Critical Care Exit Hesi Exam
Questionsand Answers 2022/2023
, 2 - ANSWER-The nurse cares for an elderly man diagnosed with Alzheimer's disease. Itis
MOST important for the nurse to take which action?
1. Leave the television on all day in the client's room.
2. Frequently inform the client of the room and bathroom location.3.
Provide the client with newspapers and magazines.
4. Assign a staff member to check on the client every 15 minutes.
3 - ANSWER-The nurse is responsible for triage of injured residents of an apartment building
that collapsed during a tornado. Which client should the emergency personnelsee FIRST?
1. A 38-year-old client with potential fracture left femur. Blood pressure 110/78, pulse
92/minute, shallow respirations at 16/minute.
2. A 42-year-old client with ecchymotic areas on the left anterior and posterior chest.Blood
pressure 142/90, pulse 88/minute, shallow respirations at 20/minute.
3. A 48-year-old client with severe head trauma. Blood pressure 168/52, pulse 58 perminute,
irregular respirations at 12/minute.
4. A 64-year-old client complaining of left hand and wrist pain asking, "Where am I?"Blood
pressure 128/72, pulse 88/minute, respirations unlabored at 16/minute
3 - ANSWER-The nurse cares for a client diagnosed with Crohn's disease. The nurse instructs
the client about diet. Which menu selection indicates to the nurse that teachingis effective?
1. Cheeseburger on a whole-wheat bun, french fries, and an apple.2.
Tomato soup, saltines, and a slice of unfrosted angel food cake.3. Baked
cod, biscuit without butter, fruit roll-up.
4. Macaroni and cheese, coleslaw, 2 macaroon cookies
3 - ANSWER-The nursing team consists of one RN, one LPN/LVN and two nursing assistive
personnel (NAPs). Which assignment is MOST appropriate for the LPN/LVN?1. A 38-year-old
client diagnosed with Guillain-Barré syndrome receiving plasmapheresis therapy.
2. A 72-year-old client admitted yesterday with a 10-day history of oral antibiotic therapyand a
24-hour history of watery diarrhea.
3. A 78-year-old client diagnosed with a thrombotic cerebrovascular accident 5 daysago.
4. A 86-year-old client just admitted with malaise, a productive cough, and WBC 17,000mm3.
1 - ANSWER-The nurse cares for a client during a 24-hour urine specimen collection. Several
hours later, the client tells the nurse that she has started to menstruate. Whichaction by the
nurse is MOST appropriate?
1. Inform the health care provider that the client is menstruating.
2. Send the urine collected prior to the onset of the client's menstruation to the lab. 3. Insert
an indwelling bladder catheter during the remainder of the collection period.
4. Request a separate urine collection container from the laboratory to be used duringthe
remainder of the urine collection period.
Questionsand Answers 2022/2023
, 2 - ANSWER-The nurse cares for an elderly man diagnosed with Alzheimer's disease. Itis
MOST important for the nurse to take which action?
1. Leave the television on all day in the client's room.
2. Frequently inform the client of the room and bathroom location.3.
Provide the client with newspapers and magazines.
4. Assign a staff member to check on the client every 15 minutes.
3 - ANSWER-The nurse is responsible for triage of injured residents of an apartment building
that collapsed during a tornado. Which client should the emergency personnelsee FIRST?
1. A 38-year-old client with potential fracture left femur. Blood pressure 110/78, pulse
92/minute, shallow respirations at 16/minute.
2. A 42-year-old client with ecchymotic areas on the left anterior and posterior chest.Blood
pressure 142/90, pulse 88/minute, shallow respirations at 20/minute.
3. A 48-year-old client with severe head trauma. Blood pressure 168/52, pulse 58 perminute,
irregular respirations at 12/minute.
4. A 64-year-old client complaining of left hand and wrist pain asking, "Where am I?"Blood
pressure 128/72, pulse 88/minute, respirations unlabored at 16/minute
3 - ANSWER-The nurse cares for a client diagnosed with Crohn's disease. The nurse instructs
the client about diet. Which menu selection indicates to the nurse that teachingis effective?
1. Cheeseburger on a whole-wheat bun, french fries, and an apple.2.
Tomato soup, saltines, and a slice of unfrosted angel food cake.3. Baked
cod, biscuit without butter, fruit roll-up.
4. Macaroni and cheese, coleslaw, 2 macaroon cookies
3 - ANSWER-The nursing team consists of one RN, one LPN/LVN and two nursing assistive
personnel (NAPs). Which assignment is MOST appropriate for the LPN/LVN?1. A 38-year-old
client diagnosed with Guillain-Barré syndrome receiving plasmapheresis therapy.
2. A 72-year-old client admitted yesterday with a 10-day history of oral antibiotic therapyand a
24-hour history of watery diarrhea.
3. A 78-year-old client diagnosed with a thrombotic cerebrovascular accident 5 daysago.
4. A 86-year-old client just admitted with malaise, a productive cough, and WBC 17,000mm3.
1 - ANSWER-The nurse cares for a client during a 24-hour urine specimen collection. Several
hours later, the client tells the nurse that she has started to menstruate. Whichaction by the
nurse is MOST appropriate?
1. Inform the health care provider that the client is menstruating.
2. Send the urine collected prior to the onset of the client's menstruation to the lab. 3. Insert
an indwelling bladder catheter during the remainder of the collection period.
4. Request a separate urine collection container from the laboratory to be used duringthe
remainder of the urine collection period.
