1 of 19
HESI RN CRITICAL CARE /CRITICAL CARE RN HESI EXIT /HESI RN
CRITICAL CARE EXA PREPARATION 2025/2026 ACTUAL EXAM TEST
BANK LATEST 300 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH (VERIFIED ANSWERS) |ALREADY GRADED A+
How would you dose Lovenox in a patient with normal renal function and a BMI of 25 for
VTE prophylaxis? - ......ANSWER........40 mg subQ daily
How would you dose Lovenox in a patient with CrCl < 30 and BMI of 25 for VTE prophylaxis?
- ......ANSWER........30 mg subQ daily
How would you dose enoxaparin in a patient with normal renal function and a BMI of 45
- ......ANSWER........40 mg subQ BID
How would you dose dalteparin for VTE prophylaxis? - ......ANSWER........5000 units subQ
daily
How is unfractionated heparin given for VTE prophylaxis? - ......ANSWER........5000 units
subQ q8h or q12h
What is Virchow's Triad? - ......ANSWER........hypercoagulable state, vascular wall injury,
circulatory stasis
What part of Virchow's Triad would sepsis fall under? - ......ANSWER........Hypercoagulable
state
What part of Virchow's Triad would be indwelling catheters fall under?
- ......ANSWER........vascular wall injury
What part of Virchow's Triad would atrial fibrillation fall under?
- ......ANSWER........circulatory stasis
What type of heparin induced thrombocytopenia occurs within the first 2 days of heparin
exposure and platelets normalizes with continued heparin? - ......ANSWER........Type 1
(non-immune mediated)
What type of heparin induced thrombocytopenia occurs 4-10 days after heparin exposure?
- ......ANSWER........Type 2 (immune mediated)
,2 of 19
Heparin-PF4 antibodies are present in which type of HIT? - ......ANSWER........Type 2
(immune mediated)
What screening tool is used when you have a suspicion of HIT? - ......ANSWER........4T's
Score
What lab abnormality would make you suspicious that the patient may have HIT?
- ......ANSWER........decrease in platelets
What 4Ts score correlates to a high probability of true HIT? - ......ANSWER........At least 6
What 4Ts score correlates to a low probability of true HIT? - ......ANSWER........0-3
What is the purpose of the PF4-antibody test? - ......ANSWER........Help rule out HIT
What is a disadvantage of PF4 antibody test? - ......ANSWER........it detects any antibody
complexes, not just those that activate platelets
What is the advantage of a serotonin release assay compared to PF4 antibody test?
- ......ANSWER........SRA has high sensitivity and specificity. It detects heparin-PF4 antibody
complexes
What are possible options for mechanical prophylaxis? - ......ANSWER........intermittent
pneumatic compression device, graduated compression stockings
True or False: heparin is renally eliminated - ......ANSWER........FALSE
True or false: low molecular weight heparins are renally eliminated
- ......ANSWER........TRUE
True or false: a patient who developed heparin induced thrombocytopenia on heparin can
be given low molecular weight heparin. - ......ANSWER........FALSE
What low molecular weight heparin can be used for VTE prophylaxis?
- ......ANSWER........enoxaparin, dalteparin
True or False: sucralfate can be administered without regards to other medications
- ......ANSWER........FALSE
What electrolytes disturbances can occur with antacids?
- ......ANSWER........hypermagnesemia, hypophosphatemia
, 3 of 19
Which 2 pharmacologic agents are associated with increased risk of pneumonia and
C.diff? - ......ANSWER........H2RA, PPI
Which agent has a risk for thrombocytopenia? - ......ANSWER........H2RA
What electrolyte abnormalities can occur with prolonged PPI use?
- ......ANSWER........hypomagnesemia, hypokalemia
How are stress ulcers different from peptic ulcers? - ......ANSWER........stress ulcers are
superficial lesions involving mucosal layer of the stomach
How often are antacids administered? - ......ANSWER........every 1-2 hours
How often is sucralfate administered? - ......ANSWER........every 6 hours
How would you give famotidine to a patient with normal renal function for SUP?
- ......ANSWER........20 mg q12h
How would you give famotidine to a patient with CrCl < 50 mL/min for SUP?
- ......ANSWER........20 mg daily
How would you give oral ranitidine to a patient with normal renal function for SUP?
- ......ANSWER........150 mg q12h
How would you give IV ranitidine to a patient with normal renal function for SUP?
- ......ANSWER........50 mg q8h
How often are PPIs given for SUP? - ......ANSWER........once daily
True or False: PPIs need to be renally adjusted - ......ANSWER........FALSE
How does sucralfate help prevent stress ulcers? - ......ANSWER........forms a protective
barrier on mucosa lining by binding to positively charged molecules in ulcer crater
How does antacids help prevent stress ulcers? - ......ANSWER........block production of
gastric acid
How does histamine 2 receptor antagonists help prevent stress ulcers?
- ......ANSWER........block production of gastric acid
How does proton-pump inhibitors help prevent stress ulcers? - ......ANSWER........block
production of gastric acid
HESI RN CRITICAL CARE /CRITICAL CARE RN HESI EXIT /HESI RN
CRITICAL CARE EXA PREPARATION 2025/2026 ACTUAL EXAM TEST
BANK LATEST 300 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH (VERIFIED ANSWERS) |ALREADY GRADED A+
How would you dose Lovenox in a patient with normal renal function and a BMI of 25 for
VTE prophylaxis? - ......ANSWER........40 mg subQ daily
How would you dose Lovenox in a patient with CrCl < 30 and BMI of 25 for VTE prophylaxis?
- ......ANSWER........30 mg subQ daily
How would you dose enoxaparin in a patient with normal renal function and a BMI of 45
- ......ANSWER........40 mg subQ BID
How would you dose dalteparin for VTE prophylaxis? - ......ANSWER........5000 units subQ
daily
How is unfractionated heparin given for VTE prophylaxis? - ......ANSWER........5000 units
subQ q8h or q12h
What is Virchow's Triad? - ......ANSWER........hypercoagulable state, vascular wall injury,
circulatory stasis
What part of Virchow's Triad would sepsis fall under? - ......ANSWER........Hypercoagulable
state
What part of Virchow's Triad would be indwelling catheters fall under?
- ......ANSWER........vascular wall injury
What part of Virchow's Triad would atrial fibrillation fall under?
- ......ANSWER........circulatory stasis
What type of heparin induced thrombocytopenia occurs within the first 2 days of heparin
exposure and platelets normalizes with continued heparin? - ......ANSWER........Type 1
(non-immune mediated)
What type of heparin induced thrombocytopenia occurs 4-10 days after heparin exposure?
- ......ANSWER........Type 2 (immune mediated)
,2 of 19
Heparin-PF4 antibodies are present in which type of HIT? - ......ANSWER........Type 2
(immune mediated)
What screening tool is used when you have a suspicion of HIT? - ......ANSWER........4T's
Score
What lab abnormality would make you suspicious that the patient may have HIT?
- ......ANSWER........decrease in platelets
What 4Ts score correlates to a high probability of true HIT? - ......ANSWER........At least 6
What 4Ts score correlates to a low probability of true HIT? - ......ANSWER........0-3
What is the purpose of the PF4-antibody test? - ......ANSWER........Help rule out HIT
What is a disadvantage of PF4 antibody test? - ......ANSWER........it detects any antibody
complexes, not just those that activate platelets
What is the advantage of a serotonin release assay compared to PF4 antibody test?
- ......ANSWER........SRA has high sensitivity and specificity. It detects heparin-PF4 antibody
complexes
What are possible options for mechanical prophylaxis? - ......ANSWER........intermittent
pneumatic compression device, graduated compression stockings
True or False: heparin is renally eliminated - ......ANSWER........FALSE
True or false: low molecular weight heparins are renally eliminated
- ......ANSWER........TRUE
True or false: a patient who developed heparin induced thrombocytopenia on heparin can
be given low molecular weight heparin. - ......ANSWER........FALSE
What low molecular weight heparin can be used for VTE prophylaxis?
- ......ANSWER........enoxaparin, dalteparin
True or False: sucralfate can be administered without regards to other medications
- ......ANSWER........FALSE
What electrolytes disturbances can occur with antacids?
- ......ANSWER........hypermagnesemia, hypophosphatemia
, 3 of 19
Which 2 pharmacologic agents are associated with increased risk of pneumonia and
C.diff? - ......ANSWER........H2RA, PPI
Which agent has a risk for thrombocytopenia? - ......ANSWER........H2RA
What electrolyte abnormalities can occur with prolonged PPI use?
- ......ANSWER........hypomagnesemia, hypokalemia
How are stress ulcers different from peptic ulcers? - ......ANSWER........stress ulcers are
superficial lesions involving mucosal layer of the stomach
How often are antacids administered? - ......ANSWER........every 1-2 hours
How often is sucralfate administered? - ......ANSWER........every 6 hours
How would you give famotidine to a patient with normal renal function for SUP?
- ......ANSWER........20 mg q12h
How would you give famotidine to a patient with CrCl < 50 mL/min for SUP?
- ......ANSWER........20 mg daily
How would you give oral ranitidine to a patient with normal renal function for SUP?
- ......ANSWER........150 mg q12h
How would you give IV ranitidine to a patient with normal renal function for SUP?
- ......ANSWER........50 mg q8h
How often are PPIs given for SUP? - ......ANSWER........once daily
True or False: PPIs need to be renally adjusted - ......ANSWER........FALSE
How does sucralfate help prevent stress ulcers? - ......ANSWER........forms a protective
barrier on mucosa lining by binding to positively charged molecules in ulcer crater
How does antacids help prevent stress ulcers? - ......ANSWER........block production of
gastric acid
How does histamine 2 receptor antagonists help prevent stress ulcers?
- ......ANSWER........block production of gastric acid
How does proton-pump inhibitors help prevent stress ulcers? - ......ANSWER........block
production of gastric acid
