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HESI Critical Care Exam Prep Document 2026/2027 | Intensive Care Nursing, Clinical Judgment & NGN Critical Care Review | 70 Verified Questions with Detailed Rationales

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HESI Critical Care Exam Prep Document 2026/2027 | Intensive Care Nursing, Clinical Judgment & NGN Critical Care Review | 70 Verified Questions with Detailed Rationales

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Metoprolol -ANSWER-Beta-blocker used to treat hypertension
Second degree heart block -ANSWER-Telemetry pattern with prolonged PR interval and
decreased conduction time from SA node to AV junction
Restless, intubated client -ANSWER-Client on mechanical ventilation exhibiting
restlessness and breath sounds on right side only
Train derailment triage -ANSWER-Priority order: Middle-aged man wandering, Woman
sitting with blanket, Crying child, Mother and father just arrived
Pneumonia with severe SOB -ANSWER-Client with pneumonia admitted with pH 7.30,
PaO2 60, PaCO2 62, HCO3 35; Immediate communication to HCP for drowsiness and
difficulty in arousing
Burn patient with serum potassium of 4 -ANSWER-Patient with burn injuries and
potassium level of 4; Medication choice for potassium not provided
Bedridden patient for 2 weeks -ANSWER-Patient bedridden for 2 weeks with pH 7.37,
PO2 90, PCO2 40, HCO3 25; Priority action is turning patient side to side q2h
Assess 40-year-old with sickle cell crisis -ANSWER-Priority assessment for a 40-year-
old with sickle cell crisis
Major disaster triage -ANSWER-Priority order: Cut over eye, Move patient to medical
surgical unit, Patient with abnormal liver levels
Carotid picture -ANSWER-Pointing to the neck to indicate carotid artery
Wound vac effectiveness -ANSWER-Checking seal to ensure no leaks in wound vac
Magnesium antidote -ANSWER-Calcium gluconate is the antidote for magnesium toxicity
Trouble swallowing -ANSWER-Assess gag reflex or consider thickening of fluids
Disconnected chest tube -ANSWER-Get new saline bottle to stick end into until
reconnecting tube
Ventricular fibrillation -ANSWER-Defibrillate with a shock once; Consider calcium levels
Chest tube volume -ANSWER-Mark container between 100 and 150
Heart sounds audio -ANSWER-S1S2 heart sounds audio
Patient on benzos -ANSWER-Narcan is not the answer for a patient on benzodiazepines
Abdominal rigidity -ANSWER-Low hemoglobin level is the most concerning
Low hemoglobin level -ANSWER-Priority assessment for patients with low hemoglobin
levels

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June 19, 2026
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