HESI Critical Care Latest Exam (2026) – 100%
Correct Answers & Confirmed Explanations
A 56-year-old female client is receiving intracavitary radiation via a radium
implant. Which
nurse should be assigned to care for this client?
A. The nurse who is caring for another client receiving intracavitary radiation.
B. A nurse with Marfan's syndrome who is postmenopausal.
C. A nurse with oncology experience who may be pregnant.
D. The nurse who is caring for another client who has Clostridium difficile. -
Answer-B. A nurse with Marfan's syndrome who is postmenopausal.
RATIONALE:
A client receiving intracavity radiation poses a radiation hazard as long as the
intracavity
radiation source is in place. A nurse's ability to care of this client is not affected by
Marfan's
syndrome (B), which is a hereditary disorder of connective tissues, bones,
muscles, ligaments
and skeletal structures. The goal is to limit any one staff member's exposure to
the calculated
time span based on the half-life of radium, such as the number of minutes at the
bedside per day,
so (A) should not be assigned. (C) should not be exposed to the radiation due to
the possible
,effect on the fetus. A radiation exposure decreases the immune response in the
client who should
not be exposed to the potential inadvertent transmission of an infectious
organism (D).
1.A client who has active tuberculosis (TB) is admitted to the medical unit. What
action is most
important for the nurse to implement?
A. Fit the client with a respirator mask.
B. Assign the client to a negative air-flow room.
C. Don a clean gown for client care.
D. Place an isolation cart in the hallway - Answer-Assign the client to a negative
air-flow room
RATIONALE:
Which information should the nurse give a client with chronic kidney disease
(CKD)?
A. Obtain monthly B12 injections.
B. Restrict calcium-rich foods.
C. Avoid salt substitutes.
D. Increase daily intake of fiber. - Answer-C. Avoid salt substitutes.
RATIONALE:
A client with CKD should restrict sodium and potassium dietary intake, and salt
substitutes
,usually contain potassium, so (C) should be taught. Hypocalcemia is a
complication of CKD and
calcium supplements are often needed, not (A). Anemia related to CKD is treated
with iron, folic
acid, and erythropoietin, not (B). Although (D) is a common dietary
recommendation, it not an
essential part of client teaching for CKD.
A nurse is answering questions about breast cancer at a hospital-sponsored
community health
fair. A woman asks the nurse to explain the use of tamoxifen (Nolvadex). Which
response should
the nurse provide?
A. Part of a combination of chemotherapeutic agents used to treat tumors.
B. An used to reduce the risk of breast cancer for all women.
C. Low doses of tamoxifen prevent menopausal hot flashes.
D. This anti-estrogen drug inhibits malignancy growth - Answer-D. This anti-
estrogen drug inhibits malignancy growth.
RATIONALE:
Tamoxifen (Nolvadex) is used in postmenopausal women with breast cancer to
prevent and treat
recurrent cancer and inhibit the growth-stimulating effects (C) of estrogen by
blocking estrogen
receptor sites on malignant cells. A side effect of tamoxifen is hot flashes (A),
which is related to
the decreased estrogen. Tamoxifen is used for women with estrogen receptor-
positive breast
, cancer, not all women (B), and is classified as a hormonal agent, not (D), used to
suppress
malignant cell growth.
Which information should the nurse provide a client who has undergone
cryosurgery for
Stage 1A cervical cancer?
A. Use condoms for sexual intercourse during the next week.
B. Notify the healthcare provider if heavy vaginal discharge occurs.
C. Use a sanitary napkin instead of a tampon.
D. Flat subclinical mucosal lesions are a common harmLess side effect. - Answer-
C. Use a sanitary napkin instead of a tampon.
RATIONALE:
Clients should avoid the use of tampons for 3 to 6 weeks (D) after the procedure
to reduce the
risk of infection. A heavy, watery vaginal discharge is expected during this time, so
(A) is
unnecessary. Sexual intercourse should be avoided for up to 6 weeks, so (B) is
inaccurate. (C) is
not a side effect of the procedure but may indicate human papillomavirus or a
cancerous lesion
and should be reported.
Which nurse follows a client from admission through discharge or resolution of
illness and
coordinates the client's care between healthcare providers?
A. Case manager.
Correct Answers & Confirmed Explanations
A 56-year-old female client is receiving intracavitary radiation via a radium
implant. Which
nurse should be assigned to care for this client?
A. The nurse who is caring for another client receiving intracavitary radiation.
B. A nurse with Marfan's syndrome who is postmenopausal.
C. A nurse with oncology experience who may be pregnant.
D. The nurse who is caring for another client who has Clostridium difficile. -
Answer-B. A nurse with Marfan's syndrome who is postmenopausal.
RATIONALE:
A client receiving intracavity radiation poses a radiation hazard as long as the
intracavity
radiation source is in place. A nurse's ability to care of this client is not affected by
Marfan's
syndrome (B), which is a hereditary disorder of connective tissues, bones,
muscles, ligaments
and skeletal structures. The goal is to limit any one staff member's exposure to
the calculated
time span based on the half-life of radium, such as the number of minutes at the
bedside per day,
so (A) should not be assigned. (C) should not be exposed to the radiation due to
the possible
,effect on the fetus. A radiation exposure decreases the immune response in the
client who should
not be exposed to the potential inadvertent transmission of an infectious
organism (D).
1.A client who has active tuberculosis (TB) is admitted to the medical unit. What
action is most
important for the nurse to implement?
A. Fit the client with a respirator mask.
B. Assign the client to a negative air-flow room.
C. Don a clean gown for client care.
D. Place an isolation cart in the hallway - Answer-Assign the client to a negative
air-flow room
RATIONALE:
Which information should the nurse give a client with chronic kidney disease
(CKD)?
A. Obtain monthly B12 injections.
B. Restrict calcium-rich foods.
C. Avoid salt substitutes.
D. Increase daily intake of fiber. - Answer-C. Avoid salt substitutes.
RATIONALE:
A client with CKD should restrict sodium and potassium dietary intake, and salt
substitutes
,usually contain potassium, so (C) should be taught. Hypocalcemia is a
complication of CKD and
calcium supplements are often needed, not (A). Anemia related to CKD is treated
with iron, folic
acid, and erythropoietin, not (B). Although (D) is a common dietary
recommendation, it not an
essential part of client teaching for CKD.
A nurse is answering questions about breast cancer at a hospital-sponsored
community health
fair. A woman asks the nurse to explain the use of tamoxifen (Nolvadex). Which
response should
the nurse provide?
A. Part of a combination of chemotherapeutic agents used to treat tumors.
B. An used to reduce the risk of breast cancer for all women.
C. Low doses of tamoxifen prevent menopausal hot flashes.
D. This anti-estrogen drug inhibits malignancy growth - Answer-D. This anti-
estrogen drug inhibits malignancy growth.
RATIONALE:
Tamoxifen (Nolvadex) is used in postmenopausal women with breast cancer to
prevent and treat
recurrent cancer and inhibit the growth-stimulating effects (C) of estrogen by
blocking estrogen
receptor sites on malignant cells. A side effect of tamoxifen is hot flashes (A),
which is related to
the decreased estrogen. Tamoxifen is used for women with estrogen receptor-
positive breast
, cancer, not all women (B), and is classified as a hormonal agent, not (D), used to
suppress
malignant cell growth.
Which information should the nurse provide a client who has undergone
cryosurgery for
Stage 1A cervical cancer?
A. Use condoms for sexual intercourse during the next week.
B. Notify the healthcare provider if heavy vaginal discharge occurs.
C. Use a sanitary napkin instead of a tampon.
D. Flat subclinical mucosal lesions are a common harmLess side effect. - Answer-
C. Use a sanitary napkin instead of a tampon.
RATIONALE:
Clients should avoid the use of tampons for 3 to 6 weeks (D) after the procedure
to reduce the
risk of infection. A heavy, watery vaginal discharge is expected during this time, so
(A) is
unnecessary. Sexual intercourse should be avoided for up to 6 weeks, so (B) is
inaccurate. (C) is
not a side effect of the procedure but may indicate human papillomavirus or a
cancerous lesion
and should be reported.
Which nurse follows a client from admission through discharge or resolution of
illness and
coordinates the client's care between healthcare providers?
A. Case manager.
