CRITICAL CARE HESI PRACTICE QUESTIONS
AND CORRECT ANSWERS
◉ b.
Answer: A nurse observes a window washer falling 25 feet (7.6 m)
to the ground. The nurse rushes to the scene and determines that
the person is in cardiopulmonary arrest. What should the nurse do
first?
a. Feel for a pulse
b. Begin chest compressions
c. Leave to call for assistance
d. Perform the abdominal thrust maneuver
◉ d.
Answer: A client reports left-sided chest pain after playing
racquetball. The client is hospitalized and 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
◉ c.
Answer: A client is admitted to the hospital with partial- and full-
thickness burns of the chest and 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
◉ b.
,Answer: During the first 48 hours after a client has sustained a
thermal injury, which conditions should the nurse assess for?
a. Hypokalemia and hyponatremia
b. Hyperkalemia and hyponatremia
c. Hypokalemia and hypernatremia
d. Hyperkalemia and hypernatremia
◉ a.
Answer: A nurse is assessing a client's ECG reading. The client's
atrial and ventricular heart rates are equal at 88 beats per min. The
PR interval is 0.14 seconds, and the QRS width is 0.10 seconds.
Rhythm is regular with normal P waves and QRS complexes. How
will the nurse interpret this rhythm?
a. Normal sinus rhythm
b. Sinus tachycardia
c. Sinus bradycardia
, d. Sinus arrhythmia
◉ b.
Answer: The nurse is caring for a client with a diagnosis of
necrotizing fasciitis. Which is the priority concern of the nurse when
caring for this client?
a. Fluid volume
b. Skin integrity
c. Physical mobility
d. Urinary elimination
◉ c.
Answer: A client who had extensive pelvic surgery 24 hours ago
becomes cyanotic, is gasping for breath, and reports right-sided
chest pain. What should the nurse do first?
a. Obtain vital signs
AND CORRECT ANSWERS
◉ b.
Answer: A nurse observes a window washer falling 25 feet (7.6 m)
to the ground. The nurse rushes to the scene and determines that
the person is in cardiopulmonary arrest. What should the nurse do
first?
a. Feel for a pulse
b. Begin chest compressions
c. Leave to call for assistance
d. Perform the abdominal thrust maneuver
◉ d.
Answer: A client reports left-sided chest pain after playing
racquetball. The client is hospitalized and 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
◉ c.
Answer: A client is admitted to the hospital with partial- and full-
thickness burns of the chest and 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
◉ b.
,Answer: During the first 48 hours after a client has sustained a
thermal injury, which conditions should the nurse assess for?
a. Hypokalemia and hyponatremia
b. Hyperkalemia and hyponatremia
c. Hypokalemia and hypernatremia
d. Hyperkalemia and hypernatremia
◉ a.
Answer: A nurse is assessing a client's ECG reading. The client's
atrial and ventricular heart rates are equal at 88 beats per min. The
PR interval is 0.14 seconds, and the QRS width is 0.10 seconds.
Rhythm is regular with normal P waves and QRS complexes. How
will the nurse interpret this rhythm?
a. Normal sinus rhythm
b. Sinus tachycardia
c. Sinus bradycardia
, d. Sinus arrhythmia
◉ b.
Answer: The nurse is caring for a client with a diagnosis of
necrotizing fasciitis. Which is the priority concern of the nurse when
caring for this client?
a. Fluid volume
b. Skin integrity
c. Physical mobility
d. Urinary elimination
◉ c.
Answer: A client who had extensive pelvic surgery 24 hours ago
becomes cyanotic, is gasping for breath, and reports right-sided
chest pain. What should the nurse do first?
a. Obtain vital signs
