Page 1 of 120
HESI CRITICAL CARE EXAM Q. BANK | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
A 56-year-old female client is receiving intracavitary radiation via a
radium implant. Which
nurse should be assigned to care for this client?
A. The nurse who is caring for another client receiving intracavitary
radiation.
B. A nurse with Marfan's syndrome who is postmenopausal.
C. A nurse with oncology experience who may be pregnant.
D. The nurse who is caring for another client who has Clostridium
difficile.
B. A nurse with Marfan's syndrome who is postmenopausal.
RATIONALE:
A client receiving intracavity radiation poses a radiation hazard as long
as the intracavity
radiation source is in place. A nurse's ability to care of this client is not
affected by Marfan's
syndrome (B), which is a hereditary disorder of connective tissues,
bones, muscles, ligaments
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and skeletal structures. The goal is to limit any one staff member's
exposure to the calculated
time span based on the half-life of radium, such as the number of
minutes at the bedside per day,
so (A) should not be assigned. (C) should not be exposed to the
radiation due to the possible
effect on the fetus. A radiation exposure decreases the immune
response in the client who should
not be exposed to the potential inadvertent transmission of an
infectious organism (D).
A retired office worker is admitted to the psychiatric inpatient unit
with a diagnosis of major
depression. The initial nursing care plan includes the goal, "Assist
client to express feelings of
anger." Which nursing intervention is most important to include in the
client's plan of care?
A. Teach that anger will subside after two weeks on antidepressants.
B. Ask client to describe triggers of anger.
C. Gather more data about social support.
D. Collaborate with the treatment team about revising the goal.
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B. Ask client to describe triggers of anger
RATIONALE:
Depression is associated with feelings of anger, and clients are often
not aware of these feelings.
Awareness is the first step in dealing with anger (or any other feeling),
so the nurse's efforts
should be directed toward increasing the client's awareness of feelings
(B). Anger may persist
after beginning antidepressant therapy (A), and it may not be
necessary to revise the goal (D).
(C) can assist the client to cope, but it's most important to ask the
client to describe triggers of
anger.
The nurse is conducting a drug education class for junior high school
students. Which
statement, provided by one of the student participants, best describes
the primary characteristic
of addiction?
A. Wanting the drug is all that matters to an addict.
B. Addicts who use illegal drugs are trying to escape reality.
C. Addiction causes people to steal and lie.
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D. Those who are unhappy with themselves are more likely to become
addicts.
A. Wanting the drug is all that matters to an addict.
RATIONALE:
The hallmark characteristic of addiction is impaired control (D): all
that matters is obtaining the
drug of choice. (A) may or may not be true, but is not the primary
characteristic of addiction. (B)
is a manifestation of impaired control. Addiction is not caused by
being unhappy with one's self,
but such unhappiness is usually a result of addiction (C).
The nurse is caring for critically ill clients. Which client should be
monitored for the
development of neurogenic shock? A client with
A. congestive heart failure.
B. diabetes insipidus.
C. spinal cord injury.
D. gastrointestinal hemorrhage.
C. spinal cord injury.
RATIONALE:
HESI CRITICAL CARE EXAM Q. BANK | {LATEST
2026/ 2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
A 56-year-old female client is receiving intracavitary radiation via a
radium implant. Which
nurse should be assigned to care for this client?
A. The nurse who is caring for another client receiving intracavitary
radiation.
B. A nurse with Marfan's syndrome who is postmenopausal.
C. A nurse with oncology experience who may be pregnant.
D. The nurse who is caring for another client who has Clostridium
difficile.
B. A nurse with Marfan's syndrome who is postmenopausal.
RATIONALE:
A client receiving intracavity radiation poses a radiation hazard as long
as the intracavity
radiation source is in place. A nurse's ability to care of this client is not
affected by Marfan's
syndrome (B), which is a hereditary disorder of connective tissues,
bones, muscles, ligaments
,Page 2 of 120
and skeletal structures. The goal is to limit any one staff member's
exposure to the calculated
time span based on the half-life of radium, such as the number of
minutes at the bedside per day,
so (A) should not be assigned. (C) should not be exposed to the
radiation due to the possible
effect on the fetus. A radiation exposure decreases the immune
response in the client who should
not be exposed to the potential inadvertent transmission of an
infectious organism (D).
A retired office worker is admitted to the psychiatric inpatient unit
with a diagnosis of major
depression. The initial nursing care plan includes the goal, "Assist
client to express feelings of
anger." Which nursing intervention is most important to include in the
client's plan of care?
A. Teach that anger will subside after two weeks on antidepressants.
B. Ask client to describe triggers of anger.
C. Gather more data about social support.
D. Collaborate with the treatment team about revising the goal.
,Page 3 of 120
B. Ask client to describe triggers of anger
RATIONALE:
Depression is associated with feelings of anger, and clients are often
not aware of these feelings.
Awareness is the first step in dealing with anger (or any other feeling),
so the nurse's efforts
should be directed toward increasing the client's awareness of feelings
(B). Anger may persist
after beginning antidepressant therapy (A), and it may not be
necessary to revise the goal (D).
(C) can assist the client to cope, but it's most important to ask the
client to describe triggers of
anger.
The nurse is conducting a drug education class for junior high school
students. Which
statement, provided by one of the student participants, best describes
the primary characteristic
of addiction?
A. Wanting the drug is all that matters to an addict.
B. Addicts who use illegal drugs are trying to escape reality.
C. Addiction causes people to steal and lie.
, Page 4 of 120
D. Those who are unhappy with themselves are more likely to become
addicts.
A. Wanting the drug is all that matters to an addict.
RATIONALE:
The hallmark characteristic of addiction is impaired control (D): all
that matters is obtaining the
drug of choice. (A) may or may not be true, but is not the primary
characteristic of addiction. (B)
is a manifestation of impaired control. Addiction is not caused by
being unhappy with one's self,
but such unhappiness is usually a result of addiction (C).
The nurse is caring for critically ill clients. Which client should be
monitored for the
development of neurogenic shock? A client with
A. congestive heart failure.
B. diabetes insipidus.
C. spinal cord injury.
D. gastrointestinal hemorrhage.
C. spinal cord injury.
RATIONALE:
