CRITICAL CARE HESI REMEDIATION
2025 EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS (VERIFIED
ANSWERS) | A+ GRADE || 2025-2026
A 28-year-old client is exhibiting signs and symptoms of
confusion, severe muscle weakness, tachycardia and
hypotension and episodic of vomiting and constipation.
The client has asthma and has been prescribed
prednisone (Rayos, Winpred) and albuterol inhaler for the
past year. Their vital signs are T- 97.8° F (36.6° C); P- 90;
B/P 86/48 with lab values of sodium 130mmol/L;
potassium 5.9mmol/L and calcium 10.3mg/dL. Which
condition is the client most likely experiencing?
a. What have you eaten in the last 24 hours?
b. How often do you have to use your albuterol inhaler?
c. Are you currently taken any SSRI's or MAOIs
medication?
d. When was the last time you took the prednisone
medication? Correct Answer d
Which action should the nurse take when caring for a
client with a spinal injury who suddenly begins showing
signs of autonomic dysreflexia?
,a. Turn the client every 4-6 hours.
b. Monitor blood pressure every 2-3 hours.
c. Elevate the head of the bed.
d. Encourage the client to ambulate. Correct Answer c
A middle-aged client who was admitted for a multi-
traumatic accident is suspected of developing "Systemic
Inflammatory Response" (SIRS). Which set of vital signs
would the nurse anticipate the client to display?
a. RR- 24 breaths/min; HR- 120 beats/minute; and
temperature of 100.8??? F (38.2??? C).
b. RR- 18 breaths/min; HR- 90 beats/minute; and
temperature of 100??? F (37.2??? C).
c. RR- 12 breaths/min; HR- 60 beats/minute; and
temperature of 96.8??? F (3???6 C).
d. RR- 36 breaths/min; HR- 86 beats/minute; and
temperature of 97.4??? F (36.3??? C). Correct Answer a
During the physical assessment, which finding should the
nurse interpret as a possible indication of meningitis?
a. Left flank pain.
,b. Lethargy.
c. Stiff neck sign.
d. Hyperglycemia. Correct Answer c
A client with pneumonia is brought to the emergency
department with a history of not taking their medication for
hypothyroidism and is suspected to have myxedema
coma. Which expected outcome should the nurse expect
to find during assessment?
a. Diarrhea.
b. Poor memory.
c. Heat intolerance.
d. Manic behavior. Correct Answer b
Which implementation should the nurse perform for a
client with myasthenia gravis?
a. Provide pulmonary toilet every two hours when the
client is awake.
b. Provide the client with extra snacks throughout the day.
c. Allow the client time to leave the floor with family.
d. Monitor pulse oximetry every 8 hours. Correct Answer a
, Which goal should the nurse include in the care plan for a
client with myasthenia gravis within the first 24 hours of
treatment?
a. PaO2 equal to 70.
b. PaCO2 equal to 60.
c. O2 saturation greater than 95%.
d. RR of 22 breaths/min. Correct Answer c
Which assessment finding should the nurse expect in a
client with a subarachnoid hemorrhage (SAH) complicated
by acute hydrocephalus?
a. Incontinence at 10 days after initial hemorrhage.
b. Gradual onset of confusion within 1-7 days of initial
hemorrhage.
c. Presence of sucking frontal lobe reflexes 5 days after
initial hemorrhage.
d. Sudden onset of coma within 24 hours of initial
hemorrhage. Correct Answer d
A client with increased intracranial pressure has not had a
bowel movement in three days. Which should the nurse
anticipate will be administered to the client?
2025 EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS (VERIFIED
ANSWERS) | A+ GRADE || 2025-2026
A 28-year-old client is exhibiting signs and symptoms of
confusion, severe muscle weakness, tachycardia and
hypotension and episodic of vomiting and constipation.
The client has asthma and has been prescribed
prednisone (Rayos, Winpred) and albuterol inhaler for the
past year. Their vital signs are T- 97.8° F (36.6° C); P- 90;
B/P 86/48 with lab values of sodium 130mmol/L;
potassium 5.9mmol/L and calcium 10.3mg/dL. Which
condition is the client most likely experiencing?
a. What have you eaten in the last 24 hours?
b. How often do you have to use your albuterol inhaler?
c. Are you currently taken any SSRI's or MAOIs
medication?
d. When was the last time you took the prednisone
medication? Correct Answer d
Which action should the nurse take when caring for a
client with a spinal injury who suddenly begins showing
signs of autonomic dysreflexia?
,a. Turn the client every 4-6 hours.
b. Monitor blood pressure every 2-3 hours.
c. Elevate the head of the bed.
d. Encourage the client to ambulate. Correct Answer c
A middle-aged client who was admitted for a multi-
traumatic accident is suspected of developing "Systemic
Inflammatory Response" (SIRS). Which set of vital signs
would the nurse anticipate the client to display?
a. RR- 24 breaths/min; HR- 120 beats/minute; and
temperature of 100.8??? F (38.2??? C).
b. RR- 18 breaths/min; HR- 90 beats/minute; and
temperature of 100??? F (37.2??? C).
c. RR- 12 breaths/min; HR- 60 beats/minute; and
temperature of 96.8??? F (3???6 C).
d. RR- 36 breaths/min; HR- 86 beats/minute; and
temperature of 97.4??? F (36.3??? C). Correct Answer a
During the physical assessment, which finding should the
nurse interpret as a possible indication of meningitis?
a. Left flank pain.
,b. Lethargy.
c. Stiff neck sign.
d. Hyperglycemia. Correct Answer c
A client with pneumonia is brought to the emergency
department with a history of not taking their medication for
hypothyroidism and is suspected to have myxedema
coma. Which expected outcome should the nurse expect
to find during assessment?
a. Diarrhea.
b. Poor memory.
c. Heat intolerance.
d. Manic behavior. Correct Answer b
Which implementation should the nurse perform for a
client with myasthenia gravis?
a. Provide pulmonary toilet every two hours when the
client is awake.
b. Provide the client with extra snacks throughout the day.
c. Allow the client time to leave the floor with family.
d. Monitor pulse oximetry every 8 hours. Correct Answer a
, Which goal should the nurse include in the care plan for a
client with myasthenia gravis within the first 24 hours of
treatment?
a. PaO2 equal to 70.
b. PaCO2 equal to 60.
c. O2 saturation greater than 95%.
d. RR of 22 breaths/min. Correct Answer c
Which assessment finding should the nurse expect in a
client with a subarachnoid hemorrhage (SAH) complicated
by acute hydrocephalus?
a. Incontinence at 10 days after initial hemorrhage.
b. Gradual onset of confusion within 1-7 days of initial
hemorrhage.
c. Presence of sucking frontal lobe reflexes 5 days after
initial hemorrhage.
d. Sudden onset of coma within 24 hours of initial
hemorrhage. Correct Answer d
A client with increased intracranial pressure has not had a
bowel movement in three days. Which should the nurse
anticipate will be administered to the client?
