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HESI CRITICAL CARE RN EXIT EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
The nurse is providing care for a client who is comatose following
a cardiac arrest 24-hours ago. Which physical assessment finding
should the nurse determine to be a predictor of a poor outcome?
A.) Lack of response to a sternal rub.
B.) Lack of corneal or papillary response.
C.) Lack of purposeful motor movement.
D.) Lack of response to verbal stimulation. - ANSWER-B.) Lack of
corneal or papillary response.
The two best predictors of poor outcomes for a comatose
client who has experienced a cardiac arrest are lack of
corneal or papillary response at 24-hours and lack of motor
movement at 72-hours.
The nurse is assisting the healthcare provider with the insertion of
a pulmonary artery catheter for a client. The nurse should place
the client in which position for this procedure?
A.) Right lateral.
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B.) Semi-Fowler.
C.) Trendelenberg.
D.) Dorsal recumbent. - ANSWER-C.) Trendelenberg
Placing the client in the Trendelenburg position promotes
easier venous filling in the upper body to facilitate insertion
of the catheter into the jugular vein and minimizes the
occurrence of an air embolism during the procedure.
The nurse is providing care for a newly admitted client diagnosed
with hepatic failure. Which interventions should the nursing
perform while providing care for the client? (Select all that apply.)
A.) Give stool softeners. Correct
B.) Measure the abdominal girth. Correct
C.) Encourage a high protein diet.
D.) Monitor BUN, LFTs, PT/PTT levels. Correct
E.) Take glucometer readings every 2 to 4 hours. - ANSWER-A.)
Give stool softeners.
B.) Measure the abdominal girth.
D.) Monitor BUN, LFTs, PT/PTT levels.
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Clients with hepatic failure are at an increased risk of
coagulation abnormalities causing an increased risk of
bleeding; alteration in liver function; and the development of
ascites from third spacing. The nurse should implement
interventions to minimize the risk of bleeding such as stool
softeners, and limited puncture sites into skin. The nurse
should also limit the amount of protein intake, perform
abdominal girths to assess for the development of ascites,
and monitor lab work for coagulation discrepancies such as
PT/PTT and liver function tests such as the BUN.
The nurse is providing care for a client on a ventilator who is
demonstrating a tracheal shift to the right, decreased breath
sounds on the left side, tachycardia and hypotension. Which
action should the nurse implement first?
A.) Instill 5 mL normal saline into the endotracheal tube and
suction until clear of mucus plugs.
B.) Disconnect the endotracheal tube from the ventilator and
ventilate with a bag-valve device.
C.) Contact respiratory therapy to increase the PIP and PEEP
pressures, and the FiO 2 liters per minute.
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D.) Verify the ventilator settings and check all the ventilator tubing
for kinking and connections for air leaks - ANSWER-B.)
Disconnect the endotracheal tube from the ventilator and ventilate
with a bag-valve device
A ventilated client who is demonstrating signs of a tension
pneumothorax should be disconnected from the ventilator
and ventilated with a bag-valve device until a needle
decompression is performed or a chest tube inserted. A
tracheal shift, decreased breath sounds accompanied with
tachycardia and hypotension are signs of a tension
pneumothorax.
A client's assessment reveals S3 and S4 heart sounds,
pulmonary crackles, blood pressure 86/52 mmHg, heart rate 110
beats/minute, and a respiratory rate 18 breaths/minute. The
hemodynamic monitor readings reveals a decrease in the height
of the waveform, stroke volume of 34 mL, and a central venous
pressure of 10 mmHg. How should the nurse calculate the cardiac
output for this client?
A.) Multiply (34 mL) X (110 beats/minute).
B.) Multiply (110 beats/minute) X (52 mmHg).
HESI CRITICAL CARE RN EXIT EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
The nurse is providing care for a client who is comatose following
a cardiac arrest 24-hours ago. Which physical assessment finding
should the nurse determine to be a predictor of a poor outcome?
A.) Lack of response to a sternal rub.
B.) Lack of corneal or papillary response.
C.) Lack of purposeful motor movement.
D.) Lack of response to verbal stimulation. - ANSWER-B.) Lack of
corneal or papillary response.
The two best predictors of poor outcomes for a comatose
client who has experienced a cardiac arrest are lack of
corneal or papillary response at 24-hours and lack of motor
movement at 72-hours.
The nurse is assisting the healthcare provider with the insertion of
a pulmonary artery catheter for a client. The nurse should place
the client in which position for this procedure?
A.) Right lateral.
,2|Page
B.) Semi-Fowler.
C.) Trendelenberg.
D.) Dorsal recumbent. - ANSWER-C.) Trendelenberg
Placing the client in the Trendelenburg position promotes
easier venous filling in the upper body to facilitate insertion
of the catheter into the jugular vein and minimizes the
occurrence of an air embolism during the procedure.
The nurse is providing care for a newly admitted client diagnosed
with hepatic failure. Which interventions should the nursing
perform while providing care for the client? (Select all that apply.)
A.) Give stool softeners. Correct
B.) Measure the abdominal girth. Correct
C.) Encourage a high protein diet.
D.) Monitor BUN, LFTs, PT/PTT levels. Correct
E.) Take glucometer readings every 2 to 4 hours. - ANSWER-A.)
Give stool softeners.
B.) Measure the abdominal girth.
D.) Monitor BUN, LFTs, PT/PTT levels.
,3|Page
Clients with hepatic failure are at an increased risk of
coagulation abnormalities causing an increased risk of
bleeding; alteration in liver function; and the development of
ascites from third spacing. The nurse should implement
interventions to minimize the risk of bleeding such as stool
softeners, and limited puncture sites into skin. The nurse
should also limit the amount of protein intake, perform
abdominal girths to assess for the development of ascites,
and monitor lab work for coagulation discrepancies such as
PT/PTT and liver function tests such as the BUN.
The nurse is providing care for a client on a ventilator who is
demonstrating a tracheal shift to the right, decreased breath
sounds on the left side, tachycardia and hypotension. Which
action should the nurse implement first?
A.) Instill 5 mL normal saline into the endotracheal tube and
suction until clear of mucus plugs.
B.) Disconnect the endotracheal tube from the ventilator and
ventilate with a bag-valve device.
C.) Contact respiratory therapy to increase the PIP and PEEP
pressures, and the FiO 2 liters per minute.
, 4|Page
D.) Verify the ventilator settings and check all the ventilator tubing
for kinking and connections for air leaks - ANSWER-B.)
Disconnect the endotracheal tube from the ventilator and ventilate
with a bag-valve device
A ventilated client who is demonstrating signs of a tension
pneumothorax should be disconnected from the ventilator
and ventilated with a bag-valve device until a needle
decompression is performed or a chest tube inserted. A
tracheal shift, decreased breath sounds accompanied with
tachycardia and hypotension are signs of a tension
pneumothorax.
A client's assessment reveals S3 and S4 heart sounds,
pulmonary crackles, blood pressure 86/52 mmHg, heart rate 110
beats/minute, and a respiratory rate 18 breaths/minute. The
hemodynamic monitor readings reveals a decrease in the height
of the waveform, stroke volume of 34 mL, and a central venous
pressure of 10 mmHg. How should the nurse calculate the cardiac
output for this client?
A.) Multiply (34 mL) X (110 beats/minute).
B.) Multiply (110 beats/minute) X (52 mmHg).
