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Critical Care- HESI
Critical Care- HESI 
How to calculate HR on EKG - ANSWERS big boxes: take 300 and divide by the 
number of boxes between RR 
Atrial Fibrillation - ANSWERS Rapid, random, ineffective *contractions of the atrium* 
No P Waves, *Normal QRS w/ irreg intervals* 
Risk for thrombi 
Tx: anti coagulants (Heparin), TEE, Synchronized Cardioversion 
Atrial Flutter - ANSWERS No P Waves, QRS at reg intervals 
Sawtooth or FLUTTER WAVES 
Tx: Anti coagulants, TEE, synchronized cardioversion 
Adenosine, beta...
- Exam (elaborations)
- • 14 pages •
Critical Care- HESI 
How to calculate HR on EKG - ANSWERS big boxes: take 300 and divide by the 
number of boxes between RR 
Atrial Fibrillation - ANSWERS Rapid, random, ineffective *contractions of the atrium* 
No P Waves, *Normal QRS w/ irreg intervals* 
Risk for thrombi 
Tx: anti coagulants (Heparin), TEE, Synchronized Cardioversion 
Atrial Flutter - ANSWERS No P Waves, QRS at reg intervals 
Sawtooth or FLUTTER WAVES 
Tx: Anti coagulants, TEE, synchronized cardioversion 
Adenosine, beta...
Critical care medications ATI
Critical care 
medications ATI 
A nurse is preparing to administer epinephrine 10 mcg/min by continuous IV infusion. 
Available is epinephrine 1 mg in 250 mL dextrose 5% in water (D5W). The nurse should 
set the IV pump to deliver how many mL/hr? Round to the nearest whole number. - 
ANSWERS150 
A nurse is preparing to administer potassium chloride 40 mEq to infuse over 4 hr to a 
client. Available is potassium chloride 40 mEq in 100 mL dextrose 5 % in 0.45 % 
sodium chloride (Ds 0.45 % Na...
- Exam (elaborations)
- • 3 pages •
Critical care 
medications ATI 
A nurse is preparing to administer epinephrine 10 mcg/min by continuous IV infusion. 
Available is epinephrine 1 mg in 250 mL dextrose 5% in water (D5W). The nurse should 
set the IV pump to deliver how many mL/hr? Round to the nearest whole number. - 
ANSWERS150 
A nurse is preparing to administer potassium chloride 40 mEq to infuse over 4 hr to a 
client. Available is potassium chloride 40 mEq in 100 mL dextrose 5 % in 0.45 % 
sodium chloride (Ds 0.45 % Na...
Critical Care Medication ATI
Critical Care Medication 
ATI 
A nurse is preparing to administer dobutamine 2.5 mcg/kg/min by continuous IV infusion 
to a client who weight 65 kg. The amount avaliable is dobutamine 250mg/250ml. The 
nurse should set the IV Pump to deliver how many ml/hr? - ANSWER 9.8 
A nurse is preparing to administer nitroprusside 4 mcg/kg/min by continuous IV infusion 
to a client who weighs 57 kg. Avaliable is nitroprusside 50 mg in 250 ml dextrose 5% in 
water. The nurse should set the IV pump to de...
- Exam (elaborations)
- • 3 pages •
Critical Care Medication 
ATI 
A nurse is preparing to administer dobutamine 2.5 mcg/kg/min by continuous IV infusion 
to a client who weight 65 kg. The amount avaliable is dobutamine 250mg/250ml. The 
nurse should set the IV Pump to deliver how many ml/hr? - ANSWER 9.8 
A nurse is preparing to administer nitroprusside 4 mcg/kg/min by continuous IV infusion 
to a client who weighs 57 kg. Avaliable is nitroprusside 50 mg in 250 ml dextrose 5% in 
water. The nurse should set the IV pump to de...
Critical Care HESI Practice
Critical Care HESI 
Practice 
a 
The nurse is providing postprocedure care to a client who had a cardiac catheterization. 
The client begins to manifest signs and symptoms associated with embolization. Which 
action should the nurse take? 
a. Notify the primary healthcare provider immediately 
b. Apply a warm, moist compress to the incision site 
c. Increase the intravenous fluid rate by 20 mL/hr 
d. Monitor vital signs more frequently 
b 
A nurse observes a window washer falling 25 feet (7.6...
- Exam (elaborations)
- • 40 pages •
Critical Care HESI 
Practice 
a 
The nurse is providing postprocedure care to a client who had a cardiac catheterization. 
The client begins to manifest signs and symptoms associated with embolization. Which 
action should the nurse take? 
a. Notify the primary healthcare provider immediately 
b. Apply a warm, moist compress to the incision site 
c. Increase the intravenous fluid rate by 20 mL/hr 
d. Monitor vital signs more frequently 
b 
A nurse observes a window washer falling 25 feet (7.6...
Critical Care HESI 2023//2024
Critical Care 
HESI 
2023//2024 
The nurses calculating fluid resuscitation for young adult male who was burned in a 
bloody accident at 1200 and is seen in the ER at 1400. The HCP determines that the 
client has burn over 30% of his body, mainly over his arms and chest. Using the 
Parkland formula for fluid resuscitation, the client is to receive 7000 mL of fluid in 24 
hours. Which goal should the nurse establish for this clients plan of care? - ANSWER 
By 2000, the client will have rece...
- Exam (elaborations)
- • 40 pages •
Critical Care 
HESI 
2023//2024 
The nurses calculating fluid resuscitation for young adult male who was burned in a 
bloody accident at 1200 and is seen in the ER at 1400. The HCP determines that the 
client has burn over 30% of his body, mainly over his arms and chest. Using the 
Parkland formula for fluid resuscitation, the client is to receive 7000 mL of fluid in 24 
hours. Which goal should the nurse establish for this clients plan of care? - ANSWER 
By 2000, the client will have rece...
Critical Care Dosages
Critical Care Dosages 
The physician has ordered a norepinephrine drip at 8 mcg/min for a patient with 
hypotension. The norepinephrine concentration is 4 mg/250 mL D5W. How many 
milliliters per hour should the norepinephrine be infused? - ANSWER 30 
A patient is receiving vasopressin at 12 mL/h. The vasopressin concentration is 4 
mg/250 mL. How many micrograms per minute of vasopressin is the patient receiving? - 
ANSWER 3.2 
The physician orders dopamine IV drip at 4 mcg/kg/min for low bl...
- Exam (elaborations)
- • 2 pages •
Critical Care Dosages 
The physician has ordered a norepinephrine drip at 8 mcg/min for a patient with 
hypotension. The norepinephrine concentration is 4 mg/250 mL D5W. How many 
milliliters per hour should the norepinephrine be infused? - ANSWER 30 
A patient is receiving vasopressin at 12 mL/h. The vasopressin concentration is 4 
mg/250 mL. How many micrograms per minute of vasopressin is the patient receiving? - 
ANSWER 3.2 
The physician orders dopamine IV drip at 4 mcg/kg/min for low bl...
Critical Care Calculations
Critical Care 
Calculations 
Background of Critical Care Calculations - ANSWER Critical care medications can 
induce changes in BP and heart rate and require continuous monitoring 
Accurate calculations of dosages is essential 
Medications used in critical care can be ordered by dosage (mcg/ min/ kg/h; mcg/ kg/ h) 
We usually see these types of calculations when you are cardiac floors 
For these types of questions, it is really important to look at the question to see what it is 
you need t...
- Exam (elaborations)
- • 4 pages •
Critical Care 
Calculations 
Background of Critical Care Calculations - ANSWER Critical care medications can 
induce changes in BP and heart rate and require continuous monitoring 
Accurate calculations of dosages is essential 
Medications used in critical care can be ordered by dosage (mcg/ min/ kg/h; mcg/ kg/ h) 
We usually see these types of calculations when you are cardiac floors 
For these types of questions, it is really important to look at the question to see what it is 
you need t...