HESI Critical Care RN Exit Exam
HESI Critical Care RN Exit Exam QUESTIONS
AND CORRECT ANSWERS (100% CORRECT
ANSWERS) WITH RATIONALES/
GUARANTEED PASS GRADED A+
Prolonged exposure to high concentrations of supplemental oxygen over several days can cause
which pathophysiological effect?
A. Disrupted surfactant production
B. Metabolic acidosis
C. Aphasia and memory loss
D. Deep sleep or coma –
Correct Answer :A. Disrupted surfactant production
A+ TEST BANK 1
, HESI Critical Care RN Exit Exam
A client who recently received a prescription for ramelteon to treat sleep deprivation reports
experiencing several side effects since taking the drug. Which side effect should the nurse report to
the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism –
Correct Answer :D. Somnambulism
The nurse instructs a client in use of a incentive spirometer. The client performs a return
demonstration as seen in the video. Which action should the nurse take in response to the return
demonstration?
A. Auscultate the client's lungs for adventitious sounds
B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer –
Correct Answer :D. Remind the client to cough after using the spirometer
A client tells the nurse about working out with a personal trainer and swimming three times a week in
an effort to lose weight and sleep better. The client states that it still is taking hours to fall asleep at
night. Which action should the nurse implement?
A. Advise the client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise everyday to eliminate bedtime wakefulness
C. Ask the client for a description of the exercise schedule that is being followed
D. Determine the amount of weight the client has lost since increasing activity –
A+ TEST BANK 2
, HESI Critical Care RN Exit Exam
Correct Answer :C. Ask the client for a description of the exercise schedule that is being followed
The nurse is developing an educational program for older clients who are being discharged with new
antihypertensive medications. The nurse should ensure that the education materials include which
characteristics? (Select all that apply)
A. Uses common words with few syllables
B. Printed using a 12-point type font
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
E. Written at a twelfth-grade reading level –
Correct Answer :A. Uses common words with few syllables
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
The nurse is providing care for a client with severe peripheral arterial disease (PAD). The client reports
a history of rest ischemia, with leg pain that occurs during the night. Which action should the nurse
take in response to this finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs –
Correct Answer :C. Offer cold packs when the pain occurs
The nurse assess a client being treated for Herpes zoster (shingles). Which assessments should the
nurse include when evaluating the effectiveness of the the treatment? (Select all that apply)
A. Functional ability
B. Skin integrity
A+ TEST BANK 3
, HESI Critical Care RN Exit Exam
C. Pain scale
D. Bowel sounds
E. heart sounds –
Correct Answer :A. Functional ability
B. Skin integrity
A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus dose
of 80 units/kg, the nurse calculates the infusion rate for the heparin solution at 18 units/kg/hr. The
available solution is Heparin Sodium 25,000 units in 5% Dextrose injection 250mL. The nurse should
program the infusion pump to deliver how many mL/hour? - Correct Answer :18
When providing client care the nurse identifies a problem and develops a related clinical question.
Next, the nurse intends to gather evidence so that the decision-making process in response to the
problem and clinical question is evidence-based. When gathering evidence, which consideration is
most important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
D. Frequency that the problem occurs –
Correct Answer :B. Relevance to the situation
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide is scheduled to begin at 0730. Which client medication should the nurse bring to the
healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - Correct Answer :B. Allopurinol
A+ TEST BANK 4
HESI Critical Care RN Exit Exam QUESTIONS
AND CORRECT ANSWERS (100% CORRECT
ANSWERS) WITH RATIONALES/
GUARANTEED PASS GRADED A+
Prolonged exposure to high concentrations of supplemental oxygen over several days can cause
which pathophysiological effect?
A. Disrupted surfactant production
B. Metabolic acidosis
C. Aphasia and memory loss
D. Deep sleep or coma –
Correct Answer :A. Disrupted surfactant production
A+ TEST BANK 1
, HESI Critical Care RN Exit Exam
A client who recently received a prescription for ramelteon to treat sleep deprivation reports
experiencing several side effects since taking the drug. Which side effect should the nurse report to
the healthcare provider?
A. A change in the sleep-wake cycle
B. Mild sedation
C. Dizziness reported after initial dose
D. Somnambulism –
Correct Answer :D. Somnambulism
The nurse instructs a client in use of a incentive spirometer. The client performs a return
demonstration as seen in the video. Which action should the nurse take in response to the return
demonstration?
A. Auscultate the client's lungs for adventitious sounds
B. Encourage the client to practice until successful
C. Emphasize the need to inhale slowly into the spirometer
D. Remind the client to cough after using the spirometer –
Correct Answer :D. Remind the client to cough after using the spirometer
A client tells the nurse about working out with a personal trainer and swimming three times a week in
an effort to lose weight and sleep better. The client states that it still is taking hours to fall asleep at
night. Which action should the nurse implement?
A. Advise the client that lifestyle changes often take several weeks to be effective
B. Encourage the client to exercise everyday to eliminate bedtime wakefulness
C. Ask the client for a description of the exercise schedule that is being followed
D. Determine the amount of weight the client has lost since increasing activity –
A+ TEST BANK 2
, HESI Critical Care RN Exit Exam
Correct Answer :C. Ask the client for a description of the exercise schedule that is being followed
The nurse is developing an educational program for older clients who are being discharged with new
antihypertensive medications. The nurse should ensure that the education materials include which
characteristics? (Select all that apply)
A. Uses common words with few syllables
B. Printed using a 12-point type font
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
E. Written at a twelfth-grade reading level –
Correct Answer :A. Uses common words with few syllables
C. Uses pictures to help illustrate complex ideas
D. Contains a list with definitions of unfamiliar terms
The nurse is providing care for a client with severe peripheral arterial disease (PAD). The client reports
a history of rest ischemia, with leg pain that occurs during the night. Which action should the nurse
take in response to this finding?
A. Elevate the legs to assess for color changes
B. Provide a heating pad for PRN use
C. Offer cold packs when the pain occurs
D. Suggest dangling the legs when pain occurs –
Correct Answer :C. Offer cold packs when the pain occurs
The nurse assess a client being treated for Herpes zoster (shingles). Which assessments should the
nurse include when evaluating the effectiveness of the the treatment? (Select all that apply)
A. Functional ability
B. Skin integrity
A+ TEST BANK 3
, HESI Critical Care RN Exit Exam
C. Pain scale
D. Bowel sounds
E. heart sounds –
Correct Answer :A. Functional ability
B. Skin integrity
A heparin infusion is prescribed for a client who weighs 220 pounds. After administering a bolus dose
of 80 units/kg, the nurse calculates the infusion rate for the heparin solution at 18 units/kg/hr. The
available solution is Heparin Sodium 25,000 units in 5% Dextrose injection 250mL. The nurse should
program the infusion pump to deliver how many mL/hour? - Correct Answer :18
When providing client care the nurse identifies a problem and develops a related clinical question.
Next, the nurse intends to gather evidence so that the decision-making process in response to the
problem and clinical question is evidence-based. When gathering evidence, which consideration is
most important?
A. Past experience with similar problems
B. Relevance to the situation
C. Related personal values
D. Frequency that the problem occurs –
Correct Answer :B. Relevance to the situation
A client diagnosed with calcium kidney stones has a history of gout. A new prescription for aluminum
hydroxide is scheduled to begin at 0730. Which client medication should the nurse bring to the
healthcare provider's attention?
A. Esinapril
B. Allopurinol
C. Furosemide
D. Aspirin, low dose - Correct Answer :B. Allopurinol
A+ TEST BANK 4
