HESI RN CRITICAL CARE NEWEST 2026 ACTUAL
EXAM TEST BANK| CRITICAL CARE RN HESI EXIT
EXAM WITH COMPLETE 650 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
A client admitted to the ICU after a colon resection with the formation of
the loop colostomy. The nurse determines that the clients abdominal
dressing is clean and dry. Vital signs are: HR: 130, temperature: 100,
BP: 88/65, and urine output of 10 mL/hr. What interventions should the
nurse implement? - ANSWER - Give a 500 mL IV fluid bolus challenge
A client is admitted with syncopal episodes related to a third degree
heart block. After the placement of a transcutaneous pacemaker, the
nurse observes several episodes the pacemaker failure to sense. What
action should the nurse take? - ANSWER - Increase the sensitivity
A client is receiving CPR. After systole is confirmed in two leads and
sending the transcutaneous pacemaker, which IV medication should be
administered? - ANSWER - Epinephrine (adrenaline)
Bretylium 1 mg/min via infusion is prescribed for a client and
ventricular tachycardia. The available solution is 500 mL D5W contains
bretylium 1 gram. The nurse should program the infusion time to deliver
how many mL/hr? - ANSWER - 30
pg. 1
,The client is receiving an infusion of nitroglycerin 100 mg and 500 mL
D5W at 6 mL/hr. How many mcg/min of nitroglycerin is infusing? -
ANSWER - 20
Four days ago a chest tube was inserted into the second intercostal space
of a client who has a pneumothorax. Today the nurse notes that there is
no fluctuation in the water-seal chamber of the Pleuravac. Which
intervention would be most appropriate for the nurse to implement? -
ANSWER - Assess the clients breath sounds of the affected lung
A postoperative client is admitted the ICU with an inflated pressure
infuser containing solution of heparin 2 units/mL attached to an
intraarterial cannula. Which finding indicated that the heparin infusion
has achieved its therapeutic use? - ANSWER - Intra-arterial cannula
remain patent
The nurse suspects that a client with a central venous catheter in the left
subclavian vein is experiencing an embolism. What signs and symptoms
are most indicative of this condition? - ANSWER - Anxiety, confusion,
lightheadedness, and loss consciousness
The nurse is evaluating a clients central venous pressure reading that are
trending upwards. What nursing diagnosis is supported but the
pathophysiological mechanism most likely causing this increase? -
ANSWER - Impaired cardiac output
pg. 2
,The high pressure alarm on a mechanical vent is alarming. What
intervention should the nurse implement immediately? - ANSWER -
Auscultate bilaterally for breath sounds and confirm endotracheal
suctioning
A client with a history of vasovagal attacks resulting in brady-
dysrhythmias. Which instruction is the most important in the teaching
plan? - ANSWER - Use stool softeners regularly
The ECG pattern of a client indicates that the cardiac rhythm has
changed from first degree to third degree AV block. What intervention
should the nurse implement? - ANSWER - Assess the clients BP
The nurse caring for a client who hemorrhaged postoperatively and is in
the early stage of shock. Which cardiopulmonary symptoms are most
indicative of progression into a state of shock? - ANSWER - Increases
pulse rate, lowered systolic pressure, peripheral extremity mottling
Which medication should the nurse anticipate administering to a client
in the ER who is experiencing a hypertensive crisis? - ANSWER -
Sodium nitroprusside (Nipride)
When initiating dopamine (intropin) infusion for a hypotensive client,
which intervention should the nurse include in the client's plan of care? -
ANSWER - Monitor urinary output every hour
pg. 3
, Adult female with a history of chronic adrenal insufficiency is admitted
to the ICU for adrenal crisis. Which intervention should the nurse
implement first? - ANSWER - Give IV hydrocortisone
Nursing care from a 58 year old female client with postoperative
complication include central venous pressure monitoring. What is the
most important consideration a in monitoring the CVP? - ANSWER -
The zero point on the manometer must be level with the right atrium (4th
intercostal space)
A male client is admitted to the cardiac ICU with chest pain that began
12 hours ago. The nurse recognizes increased ventricular ectopy. Based
on this assessment finding, what action is most important for the nurse to
implement? - ANSWER - Initiate the units anti arrhythmic protocol if
symptomatic
A client is being treated for a MI that occurred less than 6 hours ago.
The cardiologist suspects 100% occlusion of the right coronary artery.
The nurse is likely to find that the clients 12 lead EKG on admission
exhibits which finding? - ANSWER - Sinus bradycardia, Q waves and
ST elevation in the inferior leads, QRS lengthening
Six hours after surgery for a ruptured appendix, the client has a WBC of
17,000 mm3, abdominal tenderness, and abdominal rigidity. The nurse
should recognize the client is exhibiting symptoms of which condition? -
ANSWER - Peritonitis
pg. 4
EXAM TEST BANK| CRITICAL CARE RN HESI EXIT
EXAM WITH COMPLETE 650 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
A client admitted to the ICU after a colon resection with the formation of
the loop colostomy. The nurse determines that the clients abdominal
dressing is clean and dry. Vital signs are: HR: 130, temperature: 100,
BP: 88/65, and urine output of 10 mL/hr. What interventions should the
nurse implement? - ANSWER - Give a 500 mL IV fluid bolus challenge
A client is admitted with syncopal episodes related to a third degree
heart block. After the placement of a transcutaneous pacemaker, the
nurse observes several episodes the pacemaker failure to sense. What
action should the nurse take? - ANSWER - Increase the sensitivity
A client is receiving CPR. After systole is confirmed in two leads and
sending the transcutaneous pacemaker, which IV medication should be
administered? - ANSWER - Epinephrine (adrenaline)
Bretylium 1 mg/min via infusion is prescribed for a client and
ventricular tachycardia. The available solution is 500 mL D5W contains
bretylium 1 gram. The nurse should program the infusion time to deliver
how many mL/hr? - ANSWER - 30
pg. 1
,The client is receiving an infusion of nitroglycerin 100 mg and 500 mL
D5W at 6 mL/hr. How many mcg/min of nitroglycerin is infusing? -
ANSWER - 20
Four days ago a chest tube was inserted into the second intercostal space
of a client who has a pneumothorax. Today the nurse notes that there is
no fluctuation in the water-seal chamber of the Pleuravac. Which
intervention would be most appropriate for the nurse to implement? -
ANSWER - Assess the clients breath sounds of the affected lung
A postoperative client is admitted the ICU with an inflated pressure
infuser containing solution of heparin 2 units/mL attached to an
intraarterial cannula. Which finding indicated that the heparin infusion
has achieved its therapeutic use? - ANSWER - Intra-arterial cannula
remain patent
The nurse suspects that a client with a central venous catheter in the left
subclavian vein is experiencing an embolism. What signs and symptoms
are most indicative of this condition? - ANSWER - Anxiety, confusion,
lightheadedness, and loss consciousness
The nurse is evaluating a clients central venous pressure reading that are
trending upwards. What nursing diagnosis is supported but the
pathophysiological mechanism most likely causing this increase? -
ANSWER - Impaired cardiac output
pg. 2
,The high pressure alarm on a mechanical vent is alarming. What
intervention should the nurse implement immediately? - ANSWER -
Auscultate bilaterally for breath sounds and confirm endotracheal
suctioning
A client with a history of vasovagal attacks resulting in brady-
dysrhythmias. Which instruction is the most important in the teaching
plan? - ANSWER - Use stool softeners regularly
The ECG pattern of a client indicates that the cardiac rhythm has
changed from first degree to third degree AV block. What intervention
should the nurse implement? - ANSWER - Assess the clients BP
The nurse caring for a client who hemorrhaged postoperatively and is in
the early stage of shock. Which cardiopulmonary symptoms are most
indicative of progression into a state of shock? - ANSWER - Increases
pulse rate, lowered systolic pressure, peripheral extremity mottling
Which medication should the nurse anticipate administering to a client
in the ER who is experiencing a hypertensive crisis? - ANSWER -
Sodium nitroprusside (Nipride)
When initiating dopamine (intropin) infusion for a hypotensive client,
which intervention should the nurse include in the client's plan of care? -
ANSWER - Monitor urinary output every hour
pg. 3
, Adult female with a history of chronic adrenal insufficiency is admitted
to the ICU for adrenal crisis. Which intervention should the nurse
implement first? - ANSWER - Give IV hydrocortisone
Nursing care from a 58 year old female client with postoperative
complication include central venous pressure monitoring. What is the
most important consideration a in monitoring the CVP? - ANSWER -
The zero point on the manometer must be level with the right atrium (4th
intercostal space)
A male client is admitted to the cardiac ICU with chest pain that began
12 hours ago. The nurse recognizes increased ventricular ectopy. Based
on this assessment finding, what action is most important for the nurse to
implement? - ANSWER - Initiate the units anti arrhythmic protocol if
symptomatic
A client is being treated for a MI that occurred less than 6 hours ago.
The cardiologist suspects 100% occlusion of the right coronary artery.
The nurse is likely to find that the clients 12 lead EKG on admission
exhibits which finding? - ANSWER - Sinus bradycardia, Q waves and
ST elevation in the inferior leads, QRS lengthening
Six hours after surgery for a ruptured appendix, the client has a WBC of
17,000 mm3, abdominal tenderness, and abdominal rigidity. The nurse
should recognize the client is exhibiting symptoms of which condition? -
ANSWER - Peritonitis
pg. 4
