Critical Care HESI Remediation Exam with Complete Solutions 2025

The nurse is caring for a client who just been brought into the emergency department after a myocardial infarction. Which action is the priority for this client? a. Administer pain medications. b. Begin educating the client about what to expect in the cath lab. c. Administer 2-4L oxygen by nasal cannula. d. Obtain an electrocardiogram. - ANSWER-c The nurse is preparing discharge instructions for a client diagnosed with acute coronary syndrome. Which is an expected outcome when effective client education is provided? a. The client will verbalize lifestyle changes that are needed. b. The client will require additional teaching. c. The client will question the need to take hypertensive medications. d. qThe client will refuse to adhere to a cardiac diet. - ANSWER-a The nurse assesses a client with suspected acute pericarditis. Which assessment finding is most consistent with this condition? a. Slow deep breathing. b. Stabbing chest pain. c. Bradycardia. d. Pain relieved by supine position. - ANSWER-b A client is admitted to the coronary intensive care unit with a diagnosed acute heart failure (HF) and myocardial infarction (MI). Which medication would the nurse anticipate the healthcare provider to prescribed to the client to decrease the preload and afterload, slow down their respirations, and reduce their anxiety and pain due to the MI? a. Enalapril (Vasotec). b. Morphine sulfate (Contin, MSIR). Critical Care HESI Remediation Exam with Complete Solutions 2025 c. Hydrochlorothiazide (HCTZ, Urozide). d. Diazepam (Valium, Diastat, Diazemuls). - ANSWER-b The nurse is planning care for a client who was just diagnosed with acute pericarditis. Which screening test should the nurse educate the client about? a. Creatinine clearance. b. 12-lead electrocardiogram. c. Dobutamine stress test. d. Blood transfusion. - ANSWER-b An unstable client with hyperglycemic hyperosmolar syndrome (HHS) has been assigned to the nurse. Which action should the nurse take initially? a. Insert a urinary catheter. b. Prepare to administer isotonic IV fluids. c. Evaluate the client's airway. d. Place two large bore IVs. - ANSWER-c An arterial blood gas (ABG) analysis is drawn for a client. The results show pH of 7.30; PaCO2 of 68 mm Hg and an HCO3 of 24 mEq/L. What should the nurse interpret this blood gas as? a. Compensated metabolic alkalosis. b. Uncompensated respiratory acidosis. c. Compensated metabolic acidosis. d. Uncompensated respiratory alkalosis. - ANSWER-b The nurse is assessing a client who is experiencing shortness of breath, intercostal retractions, nasal flaring, inspiratory and expiratory wheezing, who has not not shown any respiratory improvement after two administrations of albuterol nebulizer treatments. Which is a common trigger for acute asthma exacerbation? a. Ingested allergen. b. Exposure to warm air. c. Hypocapnia. d. Inactivity. - ANSWER-a When caring for a client with acute coronary syndrome, which action should the nurse take to reduce the risk of further injury? a. Be prepared to begin antithrombin therapy. b. Begin discharge education on diet. c. Increase the client's physical activity. d. Stop intravenous fluids. - ANSWER-a client is admitted to the coronary intensive care unit with a diagnosed acute heart failure (HF) and myocardial infarction (MI). Which medication would the nurse anticipate the healthcare provider to prescribed to the client to decrease the preload and afterload, slow down their respirations, and reduce their anxiety and pain due to the MI? a. Enalapril (Vasotec). b. Morphine sulfate (Contin, MSIR). c. Hydrochlorothiazide (HCTZ, Urozide). d. Diazepam (Valium, Diastat, Diazemuls). - ANSWER-b The nurse performs a 12-lead electrocardiogram (ECG) on a client who is in the first hour of care after a myocardial infarction (MI). The client's T-waves appear tall and peaked. How should the nurse interpret this finding? a. This is a normal finding in the first hour after an MI. b. This is a warning sign for an impending massive heart attack. c. This as abnormal because T-waves are typically inverted during an acute MI. d. This tracing should be compared with a previous 12-lead ECG prior to interpretation. - ANSWER-a The nurse is preparing a client for discharge after a percutaneous coronary intervention. Which statement by the client indicates that teaching has been effective? a. "I no longer need medications now that I am all cleaned out." b. "I should report fainting to my cardiologist." c. "I'll follow up with my cardiologist if needed." d. "I should begin exercising once I return home." - ANSWER-b The nurse is assessing a young adult client who reports joint discomfort and pain. Upon inspection the nurse notes the client has very long hands and feet, and a very tall, thin build. On physical assessment, the nurse identifies a mitral valve murmur and scoliosis. Which condition is consistent with the nurse's assessment? a. Marfan syndrome. b. Cushing's syndrome. c. Fibromyalgia syndrome. d. Polymyalgia rheumatic syndrome. - ANSWER-a The nurse is caring for a client who is at risk for developing pneumonia. Which action should the nurse take to decrease the risk of infection? a. Encourage the client to stay in bed and rest. b. Maintain an option suction system when suctioning the client. c. Teach the client how to cough and deep breathe. d. Implement protective isolation precautions. - ANSWER-c Which statement is true about the development of the complication of primary spontaneous pneumothorax? a. "It generally occurs during pregnancy." b. "It is a life-threatening condition." c. "It occurs more often in men who smoke." d. "It occurs during exercise." - ANSWER-c Which assessment finding should the nurse anticipate in a client experiencing an acute asthma exacerbation? a. Decreased nasal secretions. b. Frequent productive cough. c. Answering questions in full sentences. d. Prolonged phase of forced expiration. - ANSWER-d What is the highest priority of nursing care in ventilator management of clients with acute respiratory distress syndrome? a. "The highest priority is nutrition support." b. "The highest priority is repositioning the client every 2 hours." c. "The highest priority is to reduce anxiety." d. "The highest priority is to protect the functional lung." - ANSWER-d 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? - 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. - 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). - 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. - 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. - 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. - ANSWER-a