CRITICAL CARE HESI EXAM PREP - (55 QUESTIONS) UP-TO-DATE ACTUAL EXAM
QUESTIONS AND 100% ACCURATE SOLUTIONS | VERIFIED ANSWERS - INSTANT PDF
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Examiner/Administrator: Elsevier HESI (Health Education Systems, Inc.)
CANDIDATE INFORMATION
Name: ________________________________
Candidate ID: _________________________
Date: _________________________________
Examination Centre: ____________________
CORE COMPETENCY DOMAINS
Hemodynamic Monitoring & Shock Management
Respiratory Failure & Mechanical Ventilation
Cardiac Dysrhythmias & Acute Coronary Syndromes
Neurological Critical Care
Renal & Metabolic Emergencies
Pharmacology in Critical Care
, Sepsis & Multisystem Organ Failure
Ethical & Prioritization Decisions in ICU Settings
CANDIDATE INSTRUCTIONS
This assessment consists of approximately 55 multiple-choice questions designed to
evaluate advanced clinical reasoning and decision-making skills in critical care nursing.
You are allocated 90 minutes to complete the examination. Each question presents a
complex clinical scenario requiring application of evidence-based practice. Select the
single best answer for each question. Carefully read all options before making your
selection. No external materials are permitted.
DISCLAIMER
This is a simulated examination created for educational preparation. It is not affiliated with
or derived from any official HESI examination content.
This examination assesses the nurse’s ability to apply critical thinking, prioritize care,
and interpret clinical data in high-acuity environments such as intensive care units. It
,reflects current best practices in patient safety, advanced monitoring, and
interprofessional collaboration.
The domains covered include cardiovascular, respiratory, neurological, renal, and
systemic critical care management. Emphasis is placed on rapid recognition of life-
threatening conditions and appropriate intervention strategies.
QUESTIONS
Q1. A patient with septic shock has a mean arterial pressure (MAP) of 58 mmHg despite
fluid resuscitation. Which intervention should the nurse anticipate next?
A. Administer IV furosemide
B. Initiate norepinephrine infusion
C. Increase maintenance IV fluids
D. Administer potassium supplementation
Correct Answer: 🔴 B. Initiate norepinephrine infusion
Explanation: 🟡 Norepinephrine is the first-line vasopressor in septic shock when fluid
resuscitation fails to maintain MAP ≥65 mmHg. Option A is incorrect because diuretics
worsen hypotension. Option C is inappropriate as fluids have already been attempted.
Option D is unrelated to immediate hemodynamic stabilization.
, Q2. A mechanically ventilated patient shows peak airway pressures increasing steadily.
What is the priority nursing action?
A. Increase tidal volume
B. Assess for airway obstruction
C. Reduce sedation
D. Increase oxygen concentration
Correct Answer: 🔴 B. Assess for airway obstruction
Explanation: 🟡 Rising peak pressures suggest resistance such as secretions or tube
obstruction. Immediate assessment is critical. Option A worsens pressure. Option C is
unrelated. Option D does not address the underlying cause.
Q3. A patient with acute myocardial infarction develops ventricular tachycardia without a
pulse. What is the first intervention?
A. Administer amiodarone
B. Begin chest compressions
C. Defibrillate immediately
D. Administer epinephrine
Correct Answer: 🔴 C. Defibrillate immediately
Explanation: 🟡 Pulseless VT requires immediate defibrillation. CPR follows if needed.
QUESTIONS AND 100% ACCURATE SOLUTIONS | VERIFIED ANSWERS - INSTANT PDF
DOWNLOAD
Examiner/Administrator: Elsevier HESI (Health Education Systems, Inc.)
CANDIDATE INFORMATION
Name: ________________________________
Candidate ID: _________________________
Date: _________________________________
Examination Centre: ____________________
CORE COMPETENCY DOMAINS
Hemodynamic Monitoring & Shock Management
Respiratory Failure & Mechanical Ventilation
Cardiac Dysrhythmias & Acute Coronary Syndromes
Neurological Critical Care
Renal & Metabolic Emergencies
Pharmacology in Critical Care
, Sepsis & Multisystem Organ Failure
Ethical & Prioritization Decisions in ICU Settings
CANDIDATE INSTRUCTIONS
This assessment consists of approximately 55 multiple-choice questions designed to
evaluate advanced clinical reasoning and decision-making skills in critical care nursing.
You are allocated 90 minutes to complete the examination. Each question presents a
complex clinical scenario requiring application of evidence-based practice. Select the
single best answer for each question. Carefully read all options before making your
selection. No external materials are permitted.
DISCLAIMER
This is a simulated examination created for educational preparation. It is not affiliated with
or derived from any official HESI examination content.
This examination assesses the nurse’s ability to apply critical thinking, prioritize care,
and interpret clinical data in high-acuity environments such as intensive care units. It
,reflects current best practices in patient safety, advanced monitoring, and
interprofessional collaboration.
The domains covered include cardiovascular, respiratory, neurological, renal, and
systemic critical care management. Emphasis is placed on rapid recognition of life-
threatening conditions and appropriate intervention strategies.
QUESTIONS
Q1. A patient with septic shock has a mean arterial pressure (MAP) of 58 mmHg despite
fluid resuscitation. Which intervention should the nurse anticipate next?
A. Administer IV furosemide
B. Initiate norepinephrine infusion
C. Increase maintenance IV fluids
D. Administer potassium supplementation
Correct Answer: 🔴 B. Initiate norepinephrine infusion
Explanation: 🟡 Norepinephrine is the first-line vasopressor in septic shock when fluid
resuscitation fails to maintain MAP ≥65 mmHg. Option A is incorrect because diuretics
worsen hypotension. Option C is inappropriate as fluids have already been attempted.
Option D is unrelated to immediate hemodynamic stabilization.
, Q2. A mechanically ventilated patient shows peak airway pressures increasing steadily.
What is the priority nursing action?
A. Increase tidal volume
B. Assess for airway obstruction
C. Reduce sedation
D. Increase oxygen concentration
Correct Answer: 🔴 B. Assess for airway obstruction
Explanation: 🟡 Rising peak pressures suggest resistance such as secretions or tube
obstruction. Immediate assessment is critical. Option A worsens pressure. Option C is
unrelated. Option D does not address the underlying cause.
Q3. A patient with acute myocardial infarction develops ventricular tachycardia without a
pulse. What is the first intervention?
A. Administer amiodarone
B. Begin chest compressions
C. Defibrillate immediately
D. Administer epinephrine
Correct Answer: 🔴 C. Defibrillate immediately
Explanation: 🟡 Pulseless VT requires immediate defibrillation. CPR follows if needed.
