HESI RN CRITICAL CARE LATEST UPDATE 2023 EXAM LATEST
EDITION / CRITICAL CARE HESI EXIT EXAM REAL EXAM QUESTIONS
WITH RATIONALES- 100% SUCCESS RATE
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... [Show More] Question Set
1. 1.ID: 20123067301
The nurse is assessing a client who is 12 hours postoperative for the removal of a
benign pituitary brain tumor and has been placed in a drug induced coma with normal
saline 0.9% infusing at 125 mL/hr. The client's heart rate is 90 beats/minute, blood
pressure 100/60 mmHg, and the indwelling urinary catheter has drained 250 mL of
pale yellow urine in the last 30 minutes into the collection bag. After reporting these
昀椀 ndings to the healthcare provider, which action should the nurse implement?
A. Identify the underlying cause of this condition.
B. Prepare to administer desmopressin (DDAVP). Correct C. Decrease the
intravenous 昀氀 uids to a maintenance rate.
D. Replace 昀氀 uid losses with D5W every shift.
Neurogenic diabetes insipidus (DI) is a condition that can occur when there is trauma
to the brain such as tumors or injury to the brain in particular the pituitary or
hypothalamus area. DI can also occur with cerebral edema present. The antidiuretic
hormone de 昀椀 ciency occurs rapidly and results in polyuria, anywhere between 5-
40 liters of urine/24 hours. The client demonstrates signs and symptoms of
hypovolemia. Electrolyte imbalances include hypernatremia, along with hypokalemia
and hypercalcemia when it is neurogenic etiology. Clients with neurogenic DI are
primarily controlled through administration of exogenous ADH preparations, of which
desmopressin (DDAVP) is most commonly used. Fluid output is carefully monitored
and 昀氀 uids are replaced every hour.
Awarded 0.0 points out of 1.0 possible points.
2. 2.ID: 20123066699
An intubated client is in the process of being weaned off ventilator support.
The client's baseline parameters are temperature 98.2 F (36.8 C), heart rate 88
beats/minute, respirations 14 breaths/minute, blood pressure 112/78 mmHg, and
oxygen saturation 94%. Which assessment 昀椀 ndings would indicate to the nurse
that the client is tolerating the weaning procedure? (Select all that apply.) [Show Less]