CRITICAL CARE HESI FINAL PAPER 2026
COMPLETE QUESTIONS AND SOLUTIONS
100% CORRECT
● High pressure alarms . Answer: biting the tube OR something is
blocked (need to suction)
● Low pressure alarms . Answer: disconnect
● ET tube placement . Answer: CO2 detector changes color, chest rise &
fall, auscultation, IF you don't hear something on one side, it's in the
right main, pull the tube back. Check placement with XRAY
● Patient is extubated, low pressure & high pressure alarm sounds .
Answer: Bag them
● Care with ventilators . Answer: hyperoxygenate, only suction for a
short amount of time
● Complications of A-Line . Answer: INFECTION, may give heparin to
prevent clots
, ● ICP . Answer: Normal range 0-15. Aseptic technique to prevent
infection
● Failure to sense, failure to capture (pacemaker) . Answer: Pacemaker
fires (straight line) but the QRS follows later; how to treat it - increase
the amplitude first.
● MODS . Answer: Can result from sepsis or trauma. VS change
(tachypnea, high HR, low BP) if MAP is consistently low, it is indicative
of MODS
● Esophageal varices . Answer: Results from liver failure, HTN in
esophagus, or lower & upper GI bleeds. May rupture and bleed.
● TX of esophageal varices . Answer: Place NG tube; monitor the
amount of blood loss. Replace with blood (PRN) and fluids.
● Blackmore tube . Answer: blow up sections of it so it applies pressure
(pt. can aspirate) when they cant breathe, pull the tube- they have
aspirated .
● Medication for esophageal varices . Answer: Use sandostatin
(octreotide)- decreases pressure in the splenic blood supply
COMPLETE QUESTIONS AND SOLUTIONS
100% CORRECT
● High pressure alarms . Answer: biting the tube OR something is
blocked (need to suction)
● Low pressure alarms . Answer: disconnect
● ET tube placement . Answer: CO2 detector changes color, chest rise &
fall, auscultation, IF you don't hear something on one side, it's in the
right main, pull the tube back. Check placement with XRAY
● Patient is extubated, low pressure & high pressure alarm sounds .
Answer: Bag them
● Care with ventilators . Answer: hyperoxygenate, only suction for a
short amount of time
● Complications of A-Line . Answer: INFECTION, may give heparin to
prevent clots
, ● ICP . Answer: Normal range 0-15. Aseptic technique to prevent
infection
● Failure to sense, failure to capture (pacemaker) . Answer: Pacemaker
fires (straight line) but the QRS follows later; how to treat it - increase
the amplitude first.
● MODS . Answer: Can result from sepsis or trauma. VS change
(tachypnea, high HR, low BP) if MAP is consistently low, it is indicative
of MODS
● Esophageal varices . Answer: Results from liver failure, HTN in
esophagus, or lower & upper GI bleeds. May rupture and bleed.
● TX of esophageal varices . Answer: Place NG tube; monitor the
amount of blood loss. Replace with blood (PRN) and fluids.
● Blackmore tube . Answer: blow up sections of it so it applies pressure
(pt. can aspirate) when they cant breathe, pull the tube- they have
aspirated .
● Medication for esophageal varices . Answer: Use sandostatin
(octreotide)- decreases pressure in the splenic blood supply
