HESI RN CRITICAL CARE Exit Exam –
Comprehensive Q&A For Certification
Success 2026
The nurses calculating fluid resuscitation for young adult male who was burned in
a bloody accident at 1200 and is seen in the ER at 1400. The HCP determines that
the client has burn over 30% of his body, mainly over his arms and chest. Using
the Parkland formula for fluid resuscitation, the client is to receive 7000 mL of
fluid in 24 hours. Which goal should the nurse establish for this clients plan of
care? - correct-answer -By 2000, the client will have received 3500 mL of fluid
When caring for a client on a vent, which finding provides the greatest indication
that the client has an open airway? - correct-answer -Bilateral breath sounds can
be auscultated
The nurse performs a prescribed a neurological check at the beginning of the shift
on a client who was admitted with a subarachnoid brain attack (Stroke). The
client's GCS is 9. What information is most important for the nurse to determine? -
correct-answer -The client's previous GCS score
, 2
An adult female with a history of type 1 diabetes has been vomiting for the past
48 hours and is admitted to the ICU with DKA. Which assessment finding warrants
immediate intervention by the nurse? - correct-answer -Excessive thirst
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? - correct-answer -Give a
500 mL IV fluid bolus challenge
A client diagnosed with acute pancreatitis is admitted to the ICU with a
temperature of 102F, pulse rate 138, RR 32, and BP 80/40. Which finding should
the nurse report to the healthcare provider immediately? - correct-answer -
Hemorrhagic discoloration of the umbilicus
The nurse caring for a client on a ventilator notes that the client has asymmetrical
chest excursion. What intervention should he nurse implement? - correct-answer
-Determine the clients endotracheal tube placement