This is the authentic word-for-word questions and answers that you will see on you HESI Critical Care Specialty Exam.
HESI Critical Care Specialty exams are the most predictive of passing the HESI Exit and NCLEX examination. If you are taking the HESI Critical Care exam, you will benefit from studying this HESI Critical Care Specialty Test Bank. This is not just a study guide, it is the exact test questions!
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Here are some sample questions without answers. (when you buy the Test Bank you get the complete HESI Critical Care exam WITH ANSWERS!)
1. A client, receiving treatment for diabetic ketoacidosis, begins to demonstrate confusion, lethargy, and an irregular pulse. The nurse should assess which laboratory value first for this client
2. The central venous pressure readings for a client have been between 2 and 4 mm Hg. The latest reading is 9 mm Hg. What does this reading suggest to the nurse?
3. The nurse is instructing a client recovering from the insertion of an implanted cardioverter-defibrillator (ICD) device. What should be included in these instructions?
4. While caring for a client with traumatic facial injuries, the nurse notes bloody drainage with a yellowish ring on the pillow case behind the client’s right ear. What should the nurse do to assist this client?
5. The nurse is caring for a client with hyperosmolar hyperglycemicnonketotic syndrome (HHNS). What will be the goals of care for this client? (Select all that apply.)
6. A client is recovering from fibrinolytic therapy after an acute myocardial infarction. Which assessment finding should be reported to the physician immediately?
7. A client with heart failure is prescribed chlorothiazide (Diuril). What should the nurse instruct the client about this medication?
8. The nurse is planning care for a client with chronic pancreatitis. Which intervention would be most appropriate for this client?
9. The nurse assesses a displaced trachea in a client who is being mechanically ventilated with positive pressure. What should the nurse prepare to do to assist this client?
10. A client is prescribed an infusion of dopamine hydrochloride (Dopamine) to be administered at the rate of 5 mcg/kg/minute. The client weighs 198 lbs. The solution was prepared by adding Dopamine 200 mg to 1000 ml of Dextrose 5% and water. How many milliliters per hour should the nurse program the infusion pump to deliver?
11. A client with a closed head injury has a respiratory rate of 30 and irregular, blood pressure of 198/110 mm Hg, and pulse rate of 48. The nurse is reporting these vital signs to the healthcare provider because they indicate:
12. A client receiving intravenous heparin as treatment for a deep vein thrombosis is started on oral warfarin (Coumadin). The nurse should instruct the client that the heparin infusion will be discontinued when:
13. A client with a history of heart disease goes into ventricular fibrillation. After the first shock is provided through the use of an automated external defibrillator, what should be done to help the patient?
14. A client is brought to the emergency department wearing a pneumaticantishock garment. The nurse should suspect that the client has sustained which type of injury?
15. A client with a central venous catheter begins to demonstrate dyspnea, cyanosis, hypotension, and chest pain. What should the nurse suspect is occurring with this client?
16. During an assessment, the nurse notes the systolic blood pressure of a client with pericarditis drops 12 mm Hg during inspiration. What should the nurse do to assist this client?
17. An older client is being treated for sepsis because of an infected foot wound. The client’s central venous pressure is 4 mm Hg and means arterial pressure of 50 mm Hg. Which treatment will be indicated first for this client?
18. A client who is being mechanically ventilated is demonstrating a progressive decline in oxygen saturation levels that continue to drop after the nurse suctions the endotracheal tube. Which action should the nurse do next?