RETAKE EXAM FOR CRITICAL CARE HESI PRACTICE QUESTIONS
WITH ANSWERS
ANS = A - The nurse is providing post-procedure care to a client who had a cardiac
catheterization. The client begins to manifest signs & symptoms associated with embolization.
Which action should the nurse take?
a. Notify the primary healthcare provider immediately
b. Apply a warm, moist compress to the incision site
c. Increase the intravenous fluid rate by 20 mL/hr
d. Monitor vital signs more frequently
ANS = D - A client reports left-sided chest pain after playing racquetball. The client is
hospitalized & diagnosed with left pneumothorax. When assessing the client's left chest area,
the nurse expects to identify which finding?
a. Dull sound on percussion
b. Vocal fremitus on palpation
c. Rales with rhonchi on auscultation
d. Absence of breath sounds on auscultation
ANS = C - A client is admitted to the hospital with partial- & full-thickness burns of the chest &
face sustained while trying to extinguish a brush fire. Which is the nurse's priority concern?
a. Loss of skin integrity caused by the burns
,b. Potential infection as a result of the burn injury
c. Inadequate gas exchange caused by smoke inhalation
d. Decreased fluid volume because of the depth of the burns
ANS = B - During the first 48 hours after a client has sustained a thermal injury, which
conditions should the nurse assess for?
a. Hypokalemia & hyponatremia
b. Hyperkalemia & hyponatremia
c. Hypokalemia & hypernatremia
d. Hyperkalemia & hypernatremia
ANS = C - A client who had extensive pelvic surgery 24 hours ago becomes cyanotic, is
gasping for breath, & reports right-sided chest pain. What should the nurse do first?
a. Obtain vital signs
b. Initiate a cardiac arrest code
c. Administer oxygen using a face mask
d. Encourage the use of an incentive spirometer
ANS = C - A nurse is caring for a client with severe burns. The nurse determines that this client
is at risk for hypovolemic shock. Which physiologic finding supports the nurse's conclusion?
,a. Decreased rate of glomerular filtration
b. Excessive blood loss through the burned tissues
c. Plasma proteins moving out of the intravascular compartment
d. Sodium retention occurring as a result of the aldosterone mechanism
ANS = A - The nurse is caring for a client with burns & reviews the client's laboratory results:
BUN 30 mg/dL; Cr 2.4 mg/dL; serum potassium 6.3 mEq/L; pH, 7.1; PO₂ 90 mm Hg; & Hgb 7.4
g/dL. Which condition does the nurse suspect the client has based upon these findings?
a. Azotemia
b. Hypokalemia
c. Metabolic alkalosis
d. Respiratory alkalosis
ANS = D - A nurse is caring for a client who experienced serious burns in a fire. Which
relationship between a client's burned body surface area & fluid loss should the nurse consider
when evaluating fluid loss in a client with burns?
a. Equal
b. Unrelated
c. Inversely related
d. Directly proportional
, ANS = C - A burn client is receiving the open method for wound treatment. Which information
will the nurse explain to the client?
a. Bathing will not be permitted
b. Dressings will be changed daily
c. Personal protective equipment will be worn by staff
d. Room temperature will be kept below 72° F (22.2° C)
ANS = A - A client presents to the emergency department with weakness & dizziness. The BP is
90/60 mm Hg, pulse is 92 & weak, & body weight reflects a 3-pound loss in two days. The
weather has been hot. Which condition should the nurse conclude is the priority for this client?
a. Deficient fluid volume
b. Impaired skin integrity
c. Inadequate nutritional intake
d. Decreased participation in activities
ANS = B - A client is admitted with severe burns. The nurse is caring for the client 36 hours after
the client's admission & identifies the client's potassium level of 6.0 mEq/L. Which drink will the
nurse recommend be included in the client's diet?
a. Milk
b. Tea
WITH ANSWERS
ANS = A - The nurse is providing post-procedure care to a client who had a cardiac
catheterization. The client begins to manifest signs & symptoms associated with embolization.
Which action should the nurse take?
a. Notify the primary healthcare provider immediately
b. Apply a warm, moist compress to the incision site
c. Increase the intravenous fluid rate by 20 mL/hr
d. Monitor vital signs more frequently
ANS = D - A client reports left-sided chest pain after playing racquetball. The client is
hospitalized & diagnosed with left pneumothorax. When assessing the client's left chest area,
the nurse expects to identify which finding?
a. Dull sound on percussion
b. Vocal fremitus on palpation
c. Rales with rhonchi on auscultation
d. Absence of breath sounds on auscultation
ANS = C - A client is admitted to the hospital with partial- & full-thickness burns of the chest &
face sustained while trying to extinguish a brush fire. Which is the nurse's priority concern?
a. Loss of skin integrity caused by the burns
,b. Potential infection as a result of the burn injury
c. Inadequate gas exchange caused by smoke inhalation
d. Decreased fluid volume because of the depth of the burns
ANS = B - During the first 48 hours after a client has sustained a thermal injury, which
conditions should the nurse assess for?
a. Hypokalemia & hyponatremia
b. Hyperkalemia & hyponatremia
c. Hypokalemia & hypernatremia
d. Hyperkalemia & hypernatremia
ANS = C - A client who had extensive pelvic surgery 24 hours ago becomes cyanotic, is
gasping for breath, & reports right-sided chest pain. What should the nurse do first?
a. Obtain vital signs
b. Initiate a cardiac arrest code
c. Administer oxygen using a face mask
d. Encourage the use of an incentive spirometer
ANS = C - A nurse is caring for a client with severe burns. The nurse determines that this client
is at risk for hypovolemic shock. Which physiologic finding supports the nurse's conclusion?
,a. Decreased rate of glomerular filtration
b. Excessive blood loss through the burned tissues
c. Plasma proteins moving out of the intravascular compartment
d. Sodium retention occurring as a result of the aldosterone mechanism
ANS = A - The nurse is caring for a client with burns & reviews the client's laboratory results:
BUN 30 mg/dL; Cr 2.4 mg/dL; serum potassium 6.3 mEq/L; pH, 7.1; PO₂ 90 mm Hg; & Hgb 7.4
g/dL. Which condition does the nurse suspect the client has based upon these findings?
a. Azotemia
b. Hypokalemia
c. Metabolic alkalosis
d. Respiratory alkalosis
ANS = D - A nurse is caring for a client who experienced serious burns in a fire. Which
relationship between a client's burned body surface area & fluid loss should the nurse consider
when evaluating fluid loss in a client with burns?
a. Equal
b. Unrelated
c. Inversely related
d. Directly proportional
, ANS = C - A burn client is receiving the open method for wound treatment. Which information
will the nurse explain to the client?
a. Bathing will not be permitted
b. Dressings will be changed daily
c. Personal protective equipment will be worn by staff
d. Room temperature will be kept below 72° F (22.2° C)
ANS = A - A client presents to the emergency department with weakness & dizziness. The BP is
90/60 mm Hg, pulse is 92 & weak, & body weight reflects a 3-pound loss in two days. The
weather has been hot. Which condition should the nurse conclude is the priority for this client?
a. Deficient fluid volume
b. Impaired skin integrity
c. Inadequate nutritional intake
d. Decreased participation in activities
ANS = B - A client is admitted with severe burns. The nurse is caring for the client 36 hours after
the client's admission & identifies the client's potassium level of 6.0 mEq/L. Which drink will the
nurse recommend be included in the client's diet?
a. Milk
b. Tea
