HFHS Critical Care Exam, Most Recent Exam 2026
Actual Complete Real Verified Exam Questions And
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You are the nurse preparing to discharge a 46 year-old
man with hypertension who was started on chlorothiazide.
You ask the patient to share with you his understanding of
his new medication. Which of the following statements
indicates your teaching has been effective? Select all that
apply.
1- I will weigh myself every day at the same time.
2- I will notify Charles, the nurse practitioner in my primary
care doctor's office if I gain 3 pounds or more, have
increased swelling in my feet and ankles, or feel more
tired than usual.
3- I will reduce my medication if I feel very thirsty or dizzy.
4- I will wear sunscreen if I will be out in the sun for a long
period of time.
5- If I want to drink alcohol, I will wait and take my
medication right before I go to bed. - Answer-1, 2, 4
The following should NOT be used to reduce pressure, as
it may increase friction injuries:
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A) rolled towels
B) convoluted foam mattress overlay
C) foam pads
D) viscoelastic overlay - Answer-A
Rolled towels and sheets should not be used and may
negate pressure-reducing function of other pads
The MOST common cause of delayed surgical wound
healing is:
A) diabetes
B) surgical site infection
C) malnutrition
D) impaired circulation - Answer-B
Purlent discharge, signs of infection, open wound. Can
occur <30 days up to 1 year post op
An adult Jehovah's' Witness patient is hemorrhaging and
might die without transfusions, but he refused blood
products prior to surgery. The correct procedure is?
A) use volume replacement and fractionated blood cells
only, as permitted by the religion
B) contact family and ask permission
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C) ask legal authorities to grant permission
D) give transfusions because the patient may die -
Answer-ANSWER: A
This patients religion only permits fractions from red cells,
white cells, platelets, and plasma. Some JW request no
blood products at all
The nurse is taking care of Ms. Smith. She is a 85 year old
with severe congestive heart failure and has history of
severe dementia and CVA. She has had multiple
admissions for CHF exacerbation. Despite aggressive
treatment, she remains dyspneic and is requiring high flow
oxygen at 10L. During rounds, the team discusses
sending the patient to the ICU due to her probable need
for mechanical ventilation. As the nurse you are concerned
that this plan of care is inappropriate, what is the best
action?
A. Discuss the concern with the physician and treatment
team and recommend consultation with palliative care
B. Call the patient's proxy and schedule a meeting with the
physician
C. Initiate an ethics consult immediately
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D. Communicate the concerns to the oncoming nurse
during hand off of care - Answer-A
Jill Green is a 42-year-old mother of two who has been
married for 17 years. She was diagnosed with ovarian
cancer 2 years ago. After the initial diagnosis Jill had a
total hysterectomy. For the last 2 years she has undergone
intensive chemotherapy and radiation. Despite treatment,
the ovarian cancer progressed to the late stage and
metastasized to the lungs and bones. After collaborating
with her healthcare providers, Jill has decided to pursue
palliative care with a focus on comfort care.The home
hospice RN is assigned to manage Jill's care. During the
initial evaluation, the RN establishes a plan of care. Which
problem should the nurse address first?
A. The client's bowel and urination elimination pattern, the
priority concern of the health care provider.
B. The problem that the client identifies as the first priority,
the problem that most concerns the client.
C. The client's need for help with hygienic activit - Answer-
B
You have just received change of shift report. Which
patient should you assess first?