HESI Critical care exam ACTUAL EXAM QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES JUST RELEASED.pdf is a high-level
nursing assessment tool designed to evaluate a student's competency
in managing unstable patients with life-threatening conditions. This
resource provides a rigorous bank of questions and detailed
rationales focusing on advanced hemodynamics, mechanical
ventilation, multi-system organ failure, emergency cardiac care
(ACLS), and the complex nursing interventions required in Intensive
Care Units (ICU) and Emergency Departments.
,Five days after admission to the intensive care unit, a client remains
confused to time and place even after frequent attempts at
reorientation. Which intervention should the nurse implement to
ensure the client's safety?
a. Ask the family to obtain a 24-hour sitter.
b. Increase the frequency of direct observation.
c. Apply a vest restraint.
d. Administer a PRN sedative.
Increase the frequency of direct observation.
,The Nurse is caring for a client admitted to the intensive care unit with
shortness of breath and abdominal pain one week after undergoing
bariatric surgery. The client's current vital signs are rectal temperature
101.5 F, heart rate 132 bpm, respirations 20 bpm, blood pressure 88/50
mmHg, and oxygen saturation 94%. Which intervention should the
nurse implement first?
a. Administer a prescribed PRN antipyretic.
b. Transport to radiology for an abdominal x-ray.
c. Apply oxygen at 2 liters per nasal cannula.
d. Infuse a 1,000 mL normal saline bolus.
Infuse a 1,000 mL normal saline bolus.
, The nurse is evaluating a client's central venous pressure (CVP)
readings that are trending upwards. Which nursing problem is
supported by the pathophysiologic mechanism most likely causing the
increases?
a. Decreased cardiac output.
b. Ineffective peripheral tissue perfusion.
c. Deficient fluid volume.
d. Ineffective airway clearance.
Decreased cardiac output.