lOMoAR cPSD| 57394295
ACTUAL HESI CRITICAL CARE FINAL EXAM |2025-2026 LATEST UPDATED|REAL EXAM
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED SOLUTIONS | ALREADY
GRADED A+
FORM A
1 . What assessment findings should he nurse document in the electronic medical record for a client who is experiencing autonomic dysreflexia
after a T-4 spinal cord injury
- Severe hypertension, diaphroresis, and flushing above the lesion
2 . As the nurse is turning a client with a chest tube, the chest tube becomes dislodged from the pleural space. What action should the
nurse take first?
- Have the client exhale forcefully and tape 3 sides of a sterile gauze over the insertion site
3 . The nurse plans to administer a low dose prescription for dopamine (Intropin) to a client who is in septic shock. Which physiological parameter
should the nurse use to evaluate a therapeutic response to dopamine?
- Urinary Output
4 . The nurse assesses a male client postoperatively who has an arterial line in the radial artery. Assessment findings include pallor,
parastesia, and slow capillary refill in the client’s right hand fingers. What action should the nurse plan?
- Notify the HCP
5 . A male client is admitted to the cardiac intensive unit with chest pain that began twelve hours ago. The nurse
recognizes increased ventricular ectopy? Based on this assessment finding, what actions is most important for the nurse
to implement?
-Initiate the unit’s antiarrhythmic protocol if symptomatic.
6 . The nurse is assessing a client who was admitted 24 hours ago to the critical care unit following a motorcycle
collision. Which client finding requires intervention by the nurse to reduce the risk for complication related to increased
intracranial pressure?
- Change of PaCo2 to 55 mm Hg following ventilator setting adjustments
, lOMoAR cPSD| 57394295
7 . A client is receiving cardiopulmonary resuscitation. After asystole is confirmed in two leads and sending for the transcutaneous pacemaker,
which intravenous medication should be administered?
- Epinephrine
8 . The nurse performs a prescribed neurological check at the beginning of the shift on a client who was admitted to the
hospital with a subarachnoid brain attack (stroke). The client’s Glasgow coma scale is 9. What information is most
important for the nurse to determine?
- The client’s previous GCS score
, lOMoAR cPSD| 57394295
+Critical Care HESI+ 2
9 . The healthcare provider prescribes a STAT computerized tomography without contrast for a client who is
exhibiting signs of an acute change in the level of consciousness. The nurse is caring for two additional intensive care clients
and has an unlicensed assistive personnel assigned to assist with the delivery of care. What action should the nurse take?
-Administered the schedule medications prior to transporting the client to CT scan.
10 . The healthcare provider prescribes and IV fluid bolus for a client who was admitted two hours ago to the ICU
because of adrenal crisis. The client is confused and uncooperative. The nurse has attempted two times to obtain IV access
without success. Which intervention should the nurse implement first?
- Ask another nurse to attempt insertion of IV
11 . Arterial blood gas results indicate that a client with respiratory failure who is being mechanically ventilated has
respiratory acidosis. The ventilator rate is set at 6 breaths/minute, pressure support at 10 cm H2O and oxygen
concentration of 30%. Which action should help correct the client’s acidosis?
- Provide manual resuscitation
- Increase oxygen concentration
- Decrease the pressure support
- Increase the ventilator rate
12 . An adult present to the emergency department with complaints of epigastric discomfort. The client reports shortness of breath
and fatigue for the past two days. Which action should the nurse implement first?
- Place leads for an electrocardiogram
- Administer an antacid per protocol
- Obtain a blood specimen for cardiac enzymes
- Ask of taking non-steroidal anti-inflammatory drugs )
13 . The nurse identifies the collaborative problem of potential electrolyte imbalance in a patient with acute pancreatitis. What assessment
findings alert the nurse to an electrolyte imbalance associated with acute pancreatitis?
- Muscle twitching and digit numbness
ACTUAL HESI CRITICAL CARE FINAL EXAM |2025-2026 LATEST UPDATED|REAL EXAM
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED SOLUTIONS | ALREADY
GRADED A+
FORM A
1 . What assessment findings should he nurse document in the electronic medical record for a client who is experiencing autonomic dysreflexia
after a T-4 spinal cord injury
- Severe hypertension, diaphroresis, and flushing above the lesion
2 . As the nurse is turning a client with a chest tube, the chest tube becomes dislodged from the pleural space. What action should the
nurse take first?
- Have the client exhale forcefully and tape 3 sides of a sterile gauze over the insertion site
3 . The nurse plans to administer a low dose prescription for dopamine (Intropin) to a client who is in septic shock. Which physiological parameter
should the nurse use to evaluate a therapeutic response to dopamine?
- Urinary Output
4 . The nurse assesses a male client postoperatively who has an arterial line in the radial artery. Assessment findings include pallor,
parastesia, and slow capillary refill in the client’s right hand fingers. What action should the nurse plan?
- Notify the HCP
5 . A male client is admitted to the cardiac intensive unit with chest pain that began twelve hours ago. The nurse
recognizes increased ventricular ectopy? Based on this assessment finding, what actions is most important for the nurse
to implement?
-Initiate the unit’s antiarrhythmic protocol if symptomatic.
6 . The nurse is assessing a client who was admitted 24 hours ago to the critical care unit following a motorcycle
collision. Which client finding requires intervention by the nurse to reduce the risk for complication related to increased
intracranial pressure?
- Change of PaCo2 to 55 mm Hg following ventilator setting adjustments
, lOMoAR cPSD| 57394295
7 . A client is receiving cardiopulmonary resuscitation. After asystole is confirmed in two leads and sending for the transcutaneous pacemaker,
which intravenous medication should be administered?
- Epinephrine
8 . The nurse performs a prescribed neurological check at the beginning of the shift on a client who was admitted to the
hospital with a subarachnoid brain attack (stroke). The client’s Glasgow coma scale is 9. What information is most
important for the nurse to determine?
- The client’s previous GCS score
, lOMoAR cPSD| 57394295
+Critical Care HESI+ 2
9 . The healthcare provider prescribes a STAT computerized tomography without contrast for a client who is
exhibiting signs of an acute change in the level of consciousness. The nurse is caring for two additional intensive care clients
and has an unlicensed assistive personnel assigned to assist with the delivery of care. What action should the nurse take?
-Administered the schedule medications prior to transporting the client to CT scan.
10 . The healthcare provider prescribes and IV fluid bolus for a client who was admitted two hours ago to the ICU
because of adrenal crisis. The client is confused and uncooperative. The nurse has attempted two times to obtain IV access
without success. Which intervention should the nurse implement first?
- Ask another nurse to attempt insertion of IV
11 . Arterial blood gas results indicate that a client with respiratory failure who is being mechanically ventilated has
respiratory acidosis. The ventilator rate is set at 6 breaths/minute, pressure support at 10 cm H2O and oxygen
concentration of 30%. Which action should help correct the client’s acidosis?
- Provide manual resuscitation
- Increase oxygen concentration
- Decrease the pressure support
- Increase the ventilator rate
12 . An adult present to the emergency department with complaints of epigastric discomfort. The client reports shortness of breath
and fatigue for the past two days. Which action should the nurse implement first?
- Place leads for an electrocardiogram
- Administer an antacid per protocol
- Obtain a blood specimen for cardiac enzymes
- Ask of taking non-steroidal anti-inflammatory drugs )
13 . The nurse identifies the collaborative problem of potential electrolyte imbalance in a patient with acute pancreatitis. What assessment
findings alert the nurse to an electrolyte imbalance associated with acute pancreatitis?
- Muscle twitching and digit numbness
