2026 HESI RN CRITICAL CARE
/CRITICAL CARE RN HESI EXIT
ACTUAL EXAM TEST BANK LATEST
55 QUESTIONS WITH VERIFIED
ANSWERS
1. Themnursesmcalculatingmfluidmresuscitationmformyoungmadultmmalemwhomwasmburnedminmamb
loodymaccidentmatm1200mandmismseenminmthemERmatm1400.mThemHCPmdeterminesmthatmthemcl
ientmhasmburnmoverm30%mofmhismbody,mmainlymovermhismarmsmandmchest.mUsingmthemParkla
ndmformulamformfluidmresuscitation,mthemclientmismtomreceivem7000mmLmofmfluidminm24mhours
.mWhichmgoalmshouldmthemnursemestablishmformthismclientsmplanmofmcare?m-
mCORRECTmANSWERmBym2000,mthemclientmwillmhavemreceivedm3500mmLmofmfluid
2. Whenmcaringmformamclientmonmamvent,mwhichmfindingmprovidesmthemgreatestmindicationmtha
tmthemclientmhasmanmopenmairway?m-
mCORRECTmANSWERmBilateralmbreathmsoundsmcanmbemauscultated
3. Themnursemperformsmamprescribedmamneurologicalmcheckmatmthembeginningmofmthemshiftmon
mamclientmwhomwasmadmittedmwithmamsubarachnoidmbrainmattackm(Stroke).mThemclient'smGC
Smism9.mWhatminformationmismmostmimportantmformthemnursemtomdetermine?m-
mCORRECTmANSWERmThemclient'smpreviousmGCSmscore
4. Anmadultmfemalemwithmamhistorymofmtypem1mdiabetesmhasmbeenmvomitingmformthempastm48m
hoursmandmismadmittedmtomthemICUmwithmDKA.mWhichmassessmentmfindingmwarrantsmimme
diateminterventionmbymthemnurse?m-mCORRECTmANSWERmExcessivemthirst
5. AmclientmadmittedmtomthemICUmaftermamcolonmresectionmwithmthemformationmofmthemloopmco
lostomy.mThemnursemdeterminesmthatmthemclientsmabdominalmdressingmismcleanmandmdry.mV
italmsignsmare:mHR:m130,mtemperature:m100,mBP:m88/65,mandmurinemoutputmofm10mmL/hr.m
Whatminterventionsmshouldmthemnursemimplement?m-
mCORRECTmANSWERmGivemam500mmLmIVmfluidmbolusmchallenge
, 6. Amclientmismadmittedmwithmsyncopalmepisodesmrelatedmtomamthirdmdegreemheartmblock.mAfte
rmthemplacementmofmamtranscutaneousmpacemaker,mthemnursemobservesmseveralmepisodesm
thempacemakermfailuremtomsense.mWhatmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERmIncreasemthemsensitivity
7. AmclientmismreceivingmCPR.mAftermsystolemismconfirmedminmtwomleadsmandmsendingmthemtran
scutaneousmpacemaker,mwhichmIVmmedicationmshouldmbemadministered?m-
mCORRECTmANSWERmEpinephrinem(adrenaline)
8. Amclientmhasmamchestmtubemconnectedmtomamclosedmwatermsealmdrainagemsystemmwithmsucti
on.mWhatmequipmentmshouldmthemnursemalwaysmhavemavailablematmthemclientsmbedside?m-
mCORRECTmANSWERmOcclusivemdressing
9. Bretyliumm1mmg/minmviaminfusionmismprescribedmformamclientmandmventricularmtachycardia.
mThemavailablemsolutionmism500mmLmD5Wmcontainsmbretyliumm1mgram.mThemnursemshouldmp
rogrammtheminfusionmtimemtomdelivermhowmmanymmL/hr?m-mCORRECTmANSWERm30
10. Themclientmismreceivingmanminfusionmofmnitroglycerinm100mmgmandm500mmLmD5Wmatm6mmL/
hr.mHowmmanymmcg/minmofmnitroglycerinmisminfusing?m-mCORRECTmANSWERm20
11. AmclientmarrivesminmthemERmcomplainingmofmpain.mWhatmdescriptionmofmpainmshouldmpromp
tmthemnursemtomsuspectmitmoriginatedminmthemmyocardium?m-
mCORRECTmANSWERmProducesmchestmheavinessmwithmleftmarmmpain
12. Fourmdaysmagomamchestmtubemwasminsertedmintomthemsecondmintercostalmspacemofmamclientm
whomhasmampneumothorax.mTodaymthemnursemnotesmthatmtheremismnomfluctuationminmthemw
ater-
sealmchambermofmthemPleuravac.mWhichminterventionmwouldmbemmostmappropriatemformthe
mnursemtomimplement?m-
mCORRECTmANSWERmAssessmthemclientsmbreathmsoundsmofmthemaffectedmlung
/CRITICAL CARE RN HESI EXIT
ACTUAL EXAM TEST BANK LATEST
55 QUESTIONS WITH VERIFIED
ANSWERS
1. Themnursesmcalculatingmfluidmresuscitationmformyoungmadultmmalemwhomwasmburnedminmamb
loodymaccidentmatm1200mandmismseenminmthemERmatm1400.mThemHCPmdeterminesmthatmthemcl
ientmhasmburnmoverm30%mofmhismbody,mmainlymovermhismarmsmandmchest.mUsingmthemParkla
ndmformulamformfluidmresuscitation,mthemclientmismtomreceivem7000mmLmofmfluidminm24mhours
.mWhichmgoalmshouldmthemnursemestablishmformthismclientsmplanmofmcare?m-
mCORRECTmANSWERmBym2000,mthemclientmwillmhavemreceivedm3500mmLmofmfluid
2. Whenmcaringmformamclientmonmamvent,mwhichmfindingmprovidesmthemgreatestmindicationmtha
tmthemclientmhasmanmopenmairway?m-
mCORRECTmANSWERmBilateralmbreathmsoundsmcanmbemauscultated
3. Themnursemperformsmamprescribedmamneurologicalmcheckmatmthembeginningmofmthemshiftmon
mamclientmwhomwasmadmittedmwithmamsubarachnoidmbrainmattackm(Stroke).mThemclient'smGC
Smism9.mWhatminformationmismmostmimportantmformthemnursemtomdetermine?m-
mCORRECTmANSWERmThemclient'smpreviousmGCSmscore
4. Anmadultmfemalemwithmamhistorymofmtypem1mdiabetesmhasmbeenmvomitingmformthempastm48m
hoursmandmismadmittedmtomthemICUmwithmDKA.mWhichmassessmentmfindingmwarrantsmimme
diateminterventionmbymthemnurse?m-mCORRECTmANSWERmExcessivemthirst
5. AmclientmadmittedmtomthemICUmaftermamcolonmresectionmwithmthemformationmofmthemloopmco
lostomy.mThemnursemdeterminesmthatmthemclientsmabdominalmdressingmismcleanmandmdry.mV
italmsignsmare:mHR:m130,mtemperature:m100,mBP:m88/65,mandmurinemoutputmofm10mmL/hr.m
Whatminterventionsmshouldmthemnursemimplement?m-
mCORRECTmANSWERmGivemam500mmLmIVmfluidmbolusmchallenge
, 6. Amclientmismadmittedmwithmsyncopalmepisodesmrelatedmtomamthirdmdegreemheartmblock.mAfte
rmthemplacementmofmamtranscutaneousmpacemaker,mthemnursemobservesmseveralmepisodesm
thempacemakermfailuremtomsense.mWhatmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERmIncreasemthemsensitivity
7. AmclientmismreceivingmCPR.mAftermsystolemismconfirmedminmtwomleadsmandmsendingmthemtran
scutaneousmpacemaker,mwhichmIVmmedicationmshouldmbemadministered?m-
mCORRECTmANSWERmEpinephrinem(adrenaline)
8. Amclientmhasmamchestmtubemconnectedmtomamclosedmwatermsealmdrainagemsystemmwithmsucti
on.mWhatmequipmentmshouldmthemnursemalwaysmhavemavailablematmthemclientsmbedside?m-
mCORRECTmANSWERmOcclusivemdressing
9. Bretyliumm1mmg/minmviaminfusionmismprescribedmformamclientmandmventricularmtachycardia.
mThemavailablemsolutionmism500mmLmD5Wmcontainsmbretyliumm1mgram.mThemnursemshouldmp
rogrammtheminfusionmtimemtomdelivermhowmmanymmL/hr?m-mCORRECTmANSWERm30
10. Themclientmismreceivingmanminfusionmofmnitroglycerinm100mmgmandm500mmLmD5Wmatm6mmL/
hr.mHowmmanymmcg/minmofmnitroglycerinmisminfusing?m-mCORRECTmANSWERm20
11. AmclientmarrivesminmthemERmcomplainingmofmpain.mWhatmdescriptionmofmpainmshouldmpromp
tmthemnursemtomsuspectmitmoriginatedminmthemmyocardium?m-
mCORRECTmANSWERmProducesmchestmheavinessmwithmleftmarmmpain
12. Fourmdaysmagomamchestmtubemwasminsertedmintomthemsecondmintercostalmspacemofmamclientm
whomhasmampneumothorax.mTodaymthemnursemnotesmthatmtheremismnomfluctuationminmthemw
ater-
sealmchambermofmthemPleuravac.mWhichminterventionmwouldmbemmostmappropriatemformthe
mnursemtomimplement?m-
mCORRECTmANSWERmAssessmthemclientsmbreathmsoundsmofmthemaffectedmlung