HESI CRITICAL CARE
PRACTICE(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Amclientmdiagnosedmwithmpancreatitismcomplainsmofmseveremepigastricmpain.mAftermadministeringm
amnarcoticmanalgesic,mthemclientminsistsmonmsittingmupmandmleaningmforward.mWhichmactionmshould
mthemnursemimplement?
a.mProvidemambedsidemtablemformclientmtomleanmacross.
b.mEncouragembedmrestmuntilmanalgesicmtakesmeffect.
c.mRaisemthemheadmofmthembedmtomam90mdegreemangle.
d.mPlacemthembedminmthemreversemTrendelenburgmposition.m-
mCORRECTmANSWERma.mProvidemambedsidemtablemformclientmtomleanmacross.
ThemNursemismcaringmformamclientmadmittedmtomthemintensivemcaremunitmwithmshortnessmofmbreathm
andmabdominalmpainmonemweekmaftermundergoingmbariatricmsurgery.mThemclient'smcurrentmvitalmsig
nsmaremrectalmtemperaturem101.5mF,mheartmratem132mbpm,mrespirationsm20mbpm,mbloodmpressurem
88/50mmmHg,mandmoxygenmsaturationm94%.mWhichminterventionmshouldmthemnursemimplementmfi
rst?
a.mAdministermamprescribedmPRNmantipyretic.
b.mTransportmtomradiologymformanmabdominalmx-ray.
c.mApplymoxygenmatm2mlitersmpermnasalmcannula.
d.mInfusemam1,000mmLmnormalmsalinembolus.m-
mCORRECTmANSWERmInfusemam1,000mmLmnormalmsalinembolus.
Themnursemismevaluatingmamclient'smcentralmvenousmpressurem(CVP)mreadingsmthatmaremtrendingmup
wards.mWhichmnursingmproblemmismsupportedmbymthempathophysiologicmmechanismmmostmlikelymc
ausingmthemincreases?
,a.mDecreasedmcardiacmoutput.
b.mIneffectivemperipheralmtissuemperfusion.
c.mDeficientmfluidmvolume.
d.mIneffectivemairwaymclearance.m-mCORRECTmANSWERmDecreasedmcardiacmoutput.
Amclientmwhomismadmittedmtomthememergencymroommfollowingmammotorcyclemaccidentmismhavingmdi
fficultymbreathing.mWhilemassessingmthemclient'smchestmandmlungs,mthemnursemnotesmthatmtheremar
emnombreathmsoundsmovermthemleftmfields.mWhichmactionsmshouldmthemnursemimplement?m(Selectm
allmthatmapply)
a.mPlacemclientminmTrendelenburgmposition.
b.mApplymamhigh-flowmoxygenmbymfacemmask
c.mElevatemthemheadmofmthembedm45mdegrees
d.mWithholdmnarcoticmpainmmedication.
e.mObtainmamchestmtubeminsertionmkit.m-mCORRECTmANSWERmb.mApplymamhigh-
flowmoxygenmbymfacemmaskm
c.mElevatemthemheadmofmthembedm45mdegreesm
e.mObtainmamchestmtubeminsertionmkit
Fivemdaysmaftermadmissionmtomthemintensivemcaremunit,mamclientmremainsmconfusedmtomtimemandmpl
acemevenmaftermfrequentmattemptsmatmreorientation.mWhichminterventionmshouldmthemnursemimpl
ementmtomensuremthemclient'smsafety?
a.mAskmthemfamilymtomobtainmam24-hourmsitter.
b.mIncreasemthemfrequencymofmdirectmobservation.
c.mApplymamvestmrestraint.
d.mAdministermamPRNmsedative.m-
mCORRECTmANSWERmIncreasemthemfrequencymofmdirectmobservation.
, Amclientmwithmampulmonarymembolismmismreceivingmstreptokinasem100,000minternationalmunitsm(I
U)/hourmformthemnextm24mhours.mThempharmacymdispensedmstreptokinasem1,500,000mIUminm500mm
Lmofm0.9%mnormalmsaline.mThemnursemshouldmprogrammtheminfusionmpumpmtomdelivermhowmmanym
mL/hr?m(Entermnumericmvaluemonly,mandmroundmtomthemnearestmwholemnumber)m-
mCORRECTmANSWERm15
Amclientmwhomexperiencesmmultiplemtraumaticminjuriesmbeginsmtomoozembloodmfrommanminjectionms
ite.mWhichmadditionalmfindingmshouldmthemnursemidentifymthatmsupportsmanmearlymindicationmofmdi
sseminatedmintravascularmcoagulationm(DIC)?
a.mNegativemD-dimermtest.
b.mEdemamofmthemextremities.
c.mShortermclottingmtimes.
d.mBleedingmfrommoralmmucosa.m-mCORRECTmANSWERmEdemamofmthemextremities.
Themvitalmsignsmformamclientmwithmheartmfailure,mwhomismadmittedmtomthemintensivemcaremunitmaremt
emperature,m98.6F,mheartmratem125mbpm,mrespirationsm22mbpm,mandmbloodmpressurem140/50mmm
Hg.mThemnursemdeterminesmthemclient'smcentralmvenousmpressurem(CVP)mandmpulmonarymarterymw
edgempressurem(PAWP)maremelevated.mWhichminterventionmshouldmthemnursemimplement?
a.mAdministermfurosemidem40mmgmIV.
b.mEncouragemamliberalmPOmfluidmintake.
c.mTitratemIVmdopaminematm8mmcg/kg/minute.
d.mInitiatemIVmbolusmofm500mmLmnormalmsaline.m-
mCORRECTmANSWERmAdministermfurosemidem40mgmIV.
Amclientmwithmdiabetesmismadmittedmtomthemintensivemcaremunitmwithmdecreasedmlevelmofmconsciou
sness,mnausea,mvomiting,mandmfruitymbreath.mBasedmonmthesemassessmentmfindings,mwhichmaction
mshouldmthemnursemtake?
a.mAssessmserummglucosemlevel.
b.mReviewmthemclient'smserummpotassiummlevel.
c.mEvaluatemthemclient'sm24mhourmintakemandmoutput.m
PRACTICE(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Amclientmdiagnosedmwithmpancreatitismcomplainsmofmseveremepigastricmpain.mAftermadministeringm
amnarcoticmanalgesic,mthemclientminsistsmonmsittingmupmandmleaningmforward.mWhichmactionmshould
mthemnursemimplement?
a.mProvidemambedsidemtablemformclientmtomleanmacross.
b.mEncouragembedmrestmuntilmanalgesicmtakesmeffect.
c.mRaisemthemheadmofmthembedmtomam90mdegreemangle.
d.mPlacemthembedminmthemreversemTrendelenburgmposition.m-
mCORRECTmANSWERma.mProvidemambedsidemtablemformclientmtomleanmacross.
ThemNursemismcaringmformamclientmadmittedmtomthemintensivemcaremunitmwithmshortnessmofmbreathm
andmabdominalmpainmonemweekmaftermundergoingmbariatricmsurgery.mThemclient'smcurrentmvitalmsig
nsmaremrectalmtemperaturem101.5mF,mheartmratem132mbpm,mrespirationsm20mbpm,mbloodmpressurem
88/50mmmHg,mandmoxygenmsaturationm94%.mWhichminterventionmshouldmthemnursemimplementmfi
rst?
a.mAdministermamprescribedmPRNmantipyretic.
b.mTransportmtomradiologymformanmabdominalmx-ray.
c.mApplymoxygenmatm2mlitersmpermnasalmcannula.
d.mInfusemam1,000mmLmnormalmsalinembolus.m-
mCORRECTmANSWERmInfusemam1,000mmLmnormalmsalinembolus.
Themnursemismevaluatingmamclient'smcentralmvenousmpressurem(CVP)mreadingsmthatmaremtrendingmup
wards.mWhichmnursingmproblemmismsupportedmbymthempathophysiologicmmechanismmmostmlikelymc
ausingmthemincreases?
,a.mDecreasedmcardiacmoutput.
b.mIneffectivemperipheralmtissuemperfusion.
c.mDeficientmfluidmvolume.
d.mIneffectivemairwaymclearance.m-mCORRECTmANSWERmDecreasedmcardiacmoutput.
Amclientmwhomismadmittedmtomthememergencymroommfollowingmammotorcyclemaccidentmismhavingmdi
fficultymbreathing.mWhilemassessingmthemclient'smchestmandmlungs,mthemnursemnotesmthatmtheremar
emnombreathmsoundsmovermthemleftmfields.mWhichmactionsmshouldmthemnursemimplement?m(Selectm
allmthatmapply)
a.mPlacemclientminmTrendelenburgmposition.
b.mApplymamhigh-flowmoxygenmbymfacemmask
c.mElevatemthemheadmofmthembedm45mdegrees
d.mWithholdmnarcoticmpainmmedication.
e.mObtainmamchestmtubeminsertionmkit.m-mCORRECTmANSWERmb.mApplymamhigh-
flowmoxygenmbymfacemmaskm
c.mElevatemthemheadmofmthembedm45mdegreesm
e.mObtainmamchestmtubeminsertionmkit
Fivemdaysmaftermadmissionmtomthemintensivemcaremunit,mamclientmremainsmconfusedmtomtimemandmpl
acemevenmaftermfrequentmattemptsmatmreorientation.mWhichminterventionmshouldmthemnursemimpl
ementmtomensuremthemclient'smsafety?
a.mAskmthemfamilymtomobtainmam24-hourmsitter.
b.mIncreasemthemfrequencymofmdirectmobservation.
c.mApplymamvestmrestraint.
d.mAdministermamPRNmsedative.m-
mCORRECTmANSWERmIncreasemthemfrequencymofmdirectmobservation.
, Amclientmwithmampulmonarymembolismmismreceivingmstreptokinasem100,000minternationalmunitsm(I
U)/hourmformthemnextm24mhours.mThempharmacymdispensedmstreptokinasem1,500,000mIUminm500mm
Lmofm0.9%mnormalmsaline.mThemnursemshouldmprogrammtheminfusionmpumpmtomdelivermhowmmanym
mL/hr?m(Entermnumericmvaluemonly,mandmroundmtomthemnearestmwholemnumber)m-
mCORRECTmANSWERm15
Amclientmwhomexperiencesmmultiplemtraumaticminjuriesmbeginsmtomoozembloodmfrommanminjectionms
ite.mWhichmadditionalmfindingmshouldmthemnursemidentifymthatmsupportsmanmearlymindicationmofmdi
sseminatedmintravascularmcoagulationm(DIC)?
a.mNegativemD-dimermtest.
b.mEdemamofmthemextremities.
c.mShortermclottingmtimes.
d.mBleedingmfrommoralmmucosa.m-mCORRECTmANSWERmEdemamofmthemextremities.
Themvitalmsignsmformamclientmwithmheartmfailure,mwhomismadmittedmtomthemintensivemcaremunitmaremt
emperature,m98.6F,mheartmratem125mbpm,mrespirationsm22mbpm,mandmbloodmpressurem140/50mmm
Hg.mThemnursemdeterminesmthemclient'smcentralmvenousmpressurem(CVP)mandmpulmonarymarterymw
edgempressurem(PAWP)maremelevated.mWhichminterventionmshouldmthemnursemimplement?
a.mAdministermfurosemidem40mmgmIV.
b.mEncouragemamliberalmPOmfluidmintake.
c.mTitratemIVmdopaminematm8mmcg/kg/minute.
d.mInitiatemIVmbolusmofm500mmLmnormalmsaline.m-
mCORRECTmANSWERmAdministermfurosemidem40mgmIV.
Amclientmwithmdiabetesmismadmittedmtomthemintensivemcaremunitmwithmdecreasedmlevelmofmconsciou
sness,mnausea,mvomiting,mandmfruitymbreath.mBasedmonmthesemassessmentmfindings,mwhichmaction
mshouldmthemnursemtake?
a.mAssessmserummglucosemlevel.
b.mReviewmthemclient'smserummpotassiummlevel.
c.mEvaluatemthemclient'sm24mhourmintakemandmoutput.m