1|Page
CRITICAL CARE HESI EXIT EXAM NEWEST
VERSION 2025 WITH COMPLETE 600
QUESTIONS AND SOLUTION 100% VERIFIED
ANSWERS A+ GRADE/ BRAND NEW VERSION!!
The nurse cares for a client with a cuffed
tracheostomy tube. Before performing oral care, the
nurse notes that the client's tracheostomy cuff is
inflated. Which of the following is the MOST
appropriate action for the nurse to take?
1. Leave the cuff inflated and suction through the
tracheostomy.
2. Deflate the cuff and suction through the
tracheostomy tube.
3. Inflate the cuff pressure to 40 mm Hg before
suctioning.
4. Adjust the wall suction pressure to 160 to 180 mm
Hg before suctioning. - Answer-1
A young adult brings a friend to the emergency
department and states that the friend has been
,2|Page
using heroin. Which action by the nurse is the MOST
appropriate?
1. Assess pupil size and reactivity.
2. Assess oxygen saturation levels.
3. Palpate dorsalis pedis pulses.
4. Ask the client if he knows today's date - Answer-2
The client tells the clinic nurse that the client is
thinking about using nicotine polacrilex (Nicorette).
Which question is MOST important for the nurse to
ask?
1. "Have you tried other methods to stop smoking?"
2. "How long have you been smoking?"
3. "Have you ever had chest pain?"
4. "Do you have a partial dental bridge?" - Answer-3
The nurse cares for the client with a client controlled
analgesia (PCA) pump. The nurse determines that
the client has pressed the button 11 times and
received 6 doses of morphine during the last hour.
,3|Page
Which is the MOST appropriate action for the nurse
to take?
1. Assess the patency of the PCA IV tubing.
2. Determine the client's understanding of the PCA
pump function.
3. Obtain an order to begin a PCA infusion of
fentanyl.
4. Ask the client to describe the pain. - Answer-4
A pregnant woman receives an epidural anesthetic.
After administration of the epidural anesthetic, the
client's blood pressure changes from 120/84 to
94/50. Which action by the nurse is MOST
appropriate?
1. Place the client flat on her back.
2. Elevate the head of the bed 30 degrees.
3. Place the client on her left side with her legs
flexed.
4. Place the client supine with the foot of the bed
elevated - Answer-3
, 4|Page
A nursing order, "Increase fluid intake" is written for a
client diagnosed with dehydration. Which finding
BEST indicates improving fluid status?
1. Urinary output of 1,500 mL in 24 hours.
2. Serum hematocrit 52%.
3. Oral fluid intake of 900 mL in 24 hours.
4. Blood pressure of 100/82. - Answer-1
The nurse prepares to administer the initial dose of
oral enalapril (Vasotec) 20 mg in the morning. Which
medication should the nurse question giving to the
client?
1. 20 mg oral escitalopram (Celexa) in the morning.
2. 40 mg oral furosemide (Lasix) in the morning.
3. 300 mg of oral gabapentin (Neurontin) twice daily.
4. 10 mg zolpidem (Ambien) at bedtime. - Answer-2
The home care nurse visits a client with a halo
fixator traction device. Which client statement MOST
concerns the nurse?
CRITICAL CARE HESI EXIT EXAM NEWEST
VERSION 2025 WITH COMPLETE 600
QUESTIONS AND SOLUTION 100% VERIFIED
ANSWERS A+ GRADE/ BRAND NEW VERSION!!
The nurse cares for a client with a cuffed
tracheostomy tube. Before performing oral care, the
nurse notes that the client's tracheostomy cuff is
inflated. Which of the following is the MOST
appropriate action for the nurse to take?
1. Leave the cuff inflated and suction through the
tracheostomy.
2. Deflate the cuff and suction through the
tracheostomy tube.
3. Inflate the cuff pressure to 40 mm Hg before
suctioning.
4. Adjust the wall suction pressure to 160 to 180 mm
Hg before suctioning. - Answer-1
A young adult brings a friend to the emergency
department and states that the friend has been
,2|Page
using heroin. Which action by the nurse is the MOST
appropriate?
1. Assess pupil size and reactivity.
2. Assess oxygen saturation levels.
3. Palpate dorsalis pedis pulses.
4. Ask the client if he knows today's date - Answer-2
The client tells the clinic nurse that the client is
thinking about using nicotine polacrilex (Nicorette).
Which question is MOST important for the nurse to
ask?
1. "Have you tried other methods to stop smoking?"
2. "How long have you been smoking?"
3. "Have you ever had chest pain?"
4. "Do you have a partial dental bridge?" - Answer-3
The nurse cares for the client with a client controlled
analgesia (PCA) pump. The nurse determines that
the client has pressed the button 11 times and
received 6 doses of morphine during the last hour.
,3|Page
Which is the MOST appropriate action for the nurse
to take?
1. Assess the patency of the PCA IV tubing.
2. Determine the client's understanding of the PCA
pump function.
3. Obtain an order to begin a PCA infusion of
fentanyl.
4. Ask the client to describe the pain. - Answer-4
A pregnant woman receives an epidural anesthetic.
After administration of the epidural anesthetic, the
client's blood pressure changes from 120/84 to
94/50. Which action by the nurse is MOST
appropriate?
1. Place the client flat on her back.
2. Elevate the head of the bed 30 degrees.
3. Place the client on her left side with her legs
flexed.
4. Place the client supine with the foot of the bed
elevated - Answer-3
, 4|Page
A nursing order, "Increase fluid intake" is written for a
client diagnosed with dehydration. Which finding
BEST indicates improving fluid status?
1. Urinary output of 1,500 mL in 24 hours.
2. Serum hematocrit 52%.
3. Oral fluid intake of 900 mL in 24 hours.
4. Blood pressure of 100/82. - Answer-1
The nurse prepares to administer the initial dose of
oral enalapril (Vasotec) 20 mg in the morning. Which
medication should the nurse question giving to the
client?
1. 20 mg oral escitalopram (Celexa) in the morning.
2. 40 mg oral furosemide (Lasix) in the morning.
3. 300 mg of oral gabapentin (Neurontin) twice daily.
4. 10 mg zolpidem (Ambien) at bedtime. - Answer-2
The home care nurse visits a client with a halo
fixator traction device. Which client statement MOST
concerns the nurse?