HESI RN CRITICAL CARE EXAM LATEST 2023/CRITICAL CARE HESI RN EXIT EXAM ALL 160 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

HESI RN CRITICAL CARE EXAM LATEST

2023/CRITICAL CARE HESI RN EXIT EXAM ALL 160

QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES|ALREADY GRADED A+

A client who returns to the postoperative unit after a total thyroidectomy

suddenly develops shortness of breath and stridor. What action should

the nurse implement first?

a) Call the rapid response team for emergency assistance.

b) Encourage the client to relax as respiratory effort eases.

c) Document the findings and monitor the client hourly.

d) Call respiratory therapy to provide cool mist oxygen per mask. -

ANSWER- a) Call the rapid response team for emergency assistance.

A client who experienced an intracranial hemorrhage is receiving

cisatracurium to induce a pharmacological state of paralysis. Which

intervention should the nurse implement during the therapeutic

paralysis?

a) Administer a sedating medication.

b) Monitor the client for seizures.

c) Titrate the drug dose to prevent addiction.

d) Check the client's gag reflex every 2 hours. - ANSWER- a)

Administer a sedating medication.

what should be given with a paralytic - ANSWER- a sedative to provide

comfort to the client who is unable to move or physically respond to

pain or anxiety related to the induced paralysis

A client diagnosed with an end-stage terminal illness has decided to

discontinue treatment. The client has become very detached and does not

want to participate in the plan of care. Which action should the nurse

implement first?

a) Initiate a referral for a mental health consultation.

b) Encourage the client to participate in their plan of care.

c) Review the client's medical record for documented religious

preference.

d) Contact the hospital chaplain to provide spiritual counseling and

guidance. - ANSWER- c) Review the client's medical record for

documented religious preference.

The ECG tracing rhythm indicates ventricular fibrillation what do you

do - ANSWER- After checking the client's pulse to verify no pulse, the

nurse should activate the rapid response team and begin chest

compressions

A client is trying to talk with an endotracheal tube in place for

mechanical ventilation. Which method is most readily available for the

nurse to provide the client for communication?

a) Communication board or paper and pencil to write messages.

b) Hand gestures that explain what the client wants to say.

c) Communication by ventilator interruption for short periods of time.

d) Touch screen figures or text-to-voice communication computers -

ANSWER- a) Communication board or paper and pencil to write

messages.

A communication strategy for a client on a ventilator - ANSWERshould be brief, minimally fatiguing, immediately available for use by

the client and staff, and should not compromise the client's respiratory

management

A client placed on hospice care is admitted for palliative radiation

treatments to the neck. Which assessment should the nurse identify as a

priority?

a) Pain assessment.

b) Respiratory assessment.

c) Cardiovascular assessment.

d) Integumentary assessment. - ANSWER- a) Pain assessment

The goal of end-of-life treatment - ANSWER- is to manage a client's

symptoms to provide a pain-free and stress-free environment to improve

a client's quality of life

The nurse is caring for a client admitted to the surgical intensive care

unit on the first postoperative day after kidney transplantation. Which

intervention should the nurse include in the plan of care to prevent

hypovolemia?

a) Give IV fluids on a 1:1 ratio from output.

b) Administer loop diuretics.

c) Increase sodium intake.

d) Provide sports drinks for hydration - ANSWER- a) Give IV fluids on

a 1:1 ratio from output.

Which intervention should the nurse perform prior to the removing an

endotracheal tube (ETT) from a client?

a) Suction the ETT thoroughly.

b) Premedicate the client with pain medication.

c) Increase the FiO2 for a minimum of 15 minutes.

d) Provide positive pressure ventilation prior to extubation - ANSWERa) Suction the ETT thoroughly.

Prior to extubating a client and removing the ETT - ANSWER- the

nurse should ensure good airway clearance by suctioning the ETT

thoroughly

A client with syndrome of inappropriate secretion of antidiuretic

hormone (SIADH) is admitted to the intensive care unit with a serum

sodium level of 112 mEq/L (112 mmol/L). Which protocol prescription

should the nurse implement first?

a) Obtain serum sodium levels every 4 hours.

b) Provide oral sodium chloride supplements.

c) Monitor fluid restriction and document hourly intake and output.

d) Initiate normal saline IV at 100 mL/hour. - ANSWER- a) Obtain

serum sodium levels every 4 hours.