HESI RN CRITICAL CARE EXAM LATEST 2024/CRITICAL CARE HESI RN
EXIT EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Study online at https://quizlet.com/_g141gr
1. A 56-year-old female client is re- B. A nurse with Marfan's syndrome
ceiving intracavitary radiation via who is postmenopausal.
a radium implant. Which RATIONALE:
nurse should be assigned to care A client receiving intracavity radiation
for this client? poses a radiation hazard as long as the
A. The nurse who is caring for an- intracavity
other client receiving intracavitary radiation source is in place. A nurse's
radiation. ability to care of this client is not affect-
B. A nurse with Marfan's syndrome ed by Marfan's
who is postmenopausal. syndrome (B), which is a hereditary
C. A nurse with oncology experi- disorder of connective tissues, bones,
ence who may be pregnant. muscles, ligaments
D. The nurse who is caring for an- and skeletal structures. The goal is to
other client who has Clostridium limit any one staff member's exposure
difficile. to the calculated
time span based on the half-life of radi-
um, 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 expo-
sure decreases the immune response
in the client who should
not be exposed to the potential inad-
vertent transmission of an infectious
organism (D).
2. 1.A client who has active tubercu- Assign the client to a negative air-flow
losis (TB) is admitted to the med- room
ical unit. What action is most RATIONALE:
important for the nurse to imple- Active tuberculosis requires implemen-
ment? tation of airborne precautions, so the
A. Fit the client with a respirator client should be
mask. assigned to a negative pressure
B. Assign the client to a negative air-flow room (D). Although (A and C)
air-flow room. should be implemented
C. Don a clean gown for client care. for clients in isolation with contact pre-
, HESI RN CRITICAL CARE EXAM LATEST 2024/CRITICAL CARE HESI RN
EXIT EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Study online at https://quizlet.com/_g141gr
D. Place an isolation cart in the cautions, it is most important that air
hallway flow from the room
is minimized when the client has TB.
(B) should be implemented when the
client leaves the
isolation environment.
3. 2.A client is receiving atenolol Administer the medication
(Tenormin) 25 mg PO after a my- RATIONALE:
ocardial infarction. The nurse Atenolol, a beta-blocker, blocks the
determines the client's apical beta receptors of the sinoatrial node to
pulse is 65 beats per minute. What reduce the heart rate,
action should the nurse so the medication should be adminis-
implement tered (C) because the client's apical
next? pulse is greater than 60.
A. Measure the blood pressure. (A, B, and D) are not indicated at this
B. Reassess the apical pulse. time.
C. Notify the healthcare provider.
D. Administer the medication.
4. 3.The nurse is assessing a client Hyperthyroidism
and identifies a bruit over the thy- Rationale:Hyperthyroidism (D) is an
roid. This finding is consistent enlargement of the thyroid gland, often
with which interpretation? referred to as a goiter, and a
A. Hypothyroidism. bruit may be auscultated over the goi-
B. Thyroid cyst. ter due to an increase in glandular vas-
C. Thyroid cancer. cularity which
D. Hyperthyroidism increases as the thyroid gland be-
comes hyperactive. A bruit is not com-
mon with (A, B, and C).
5. A 6-year-old child is alert but qui- Rhinorrhoea or otorrhoea with Halo
et when brought to the emergency sign.
center with periorbital ecchymosis RATIONALE:
and ecchymosis behind the ears. Raccoon eyes (periorbital ecchymosis)
The nurse suspects potential child and Battle's sign (ecchymosis behind
abuse and continues to assess the the ear over the
child for additional manifestations mastoid process) are both signs of
, HESI RN CRITICAL CARE EXAM LATEST 2024/CRITICAL CARE HESI RN
EXIT EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Study online at https://quizlet.com/_g141gr
of a basilar skull fracture. What a basilar skull fracture, so the nurse
assessment finding would be con- should assess for possible
sistent with a basilar skull frac- meningeal tears that manifest as a
ture? Halo sign with CSF leakage from the
A. Hematemesis and abdominal ears or nose (D). (A) is
distention. consistent with orbital fractures. (B) oc-
B. Asymmetry of the face and eye curs with wrenching traumas of the
movements. shoulder or arm
C. Rhinorrhoea or otorrhoea with fractures. (C) occurs with blunt abdom-
Halo sign. inal injuries.
D. Abnormal position and move-
ment of the arm.
6. The nurse is assessing a client Grave's disease
who complains of weight loss, rac- RATIONALE:
ing heart rate, and difficulty This client is exhibiting symptoms
sleeping. The nurse determines associated with hyperthyroidism or
the client has moist skin with fine Grave's disease (A),
hair, prominent eyes, lid which is an autoimmune condition af-
retraction, and a staring expres- fecting the thyroid. (B, C, and D) are not
sion. These findings are consis- associated with
tent with which disorder? these symptoms.
A. Grave's disease.
B. Multiple sclerosis.
C. Addison's disease.
D. Cushing syndrome.
7. The nurse is assessing an old- Ptosis on the left eyelid
er client and determines that the Rationale: Ptosis is the term to de-
client's left upper eyelid droops, scribe an eyelid droop that covers a
covering more of the iris than large portion of the iris (A), which
the right eyelid. Which description may result from oculomotor nerve or
should the nurse use to eyelid muscle disorder. (B) is charac-
document this finding? terized by rapid,
A. A nystagmus on the left. rhythmic movement of both eyes. (C)
B. Exophthalmos on the right. is a distortion of the lens of the eye,
C. Ptosis on the left eyelid. causing decreased
D. Astigmatism on the right. visual acuity. (D) is a term used to de-
, HESI RN CRITICAL CARE EXAM LATEST 2024/CRITICAL CARE HESI RN
EXIT EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Study online at https://quizlet.com/_g141gr
scribe a protrusion of the eyeballs that
occurs with
hyperthyroidism.
8. The nurse is assessing a child's A. Question the type and quantity of
weight and height during a clinic foods eaten in a typical day.
visit prior to starting school. RATIONALE:
The nurse plots the child's weight The child is overweight for height, so
on the growth chart and notes that assessment of the child's daily diet (C)
the child's weight is in the should be
95th percentile for the child's determined. The child does not need
height. What action should the (A or B), both of which will increase the
nurse take? child's weight.
A. Question the type and quantity Poor nutrition (D) is commonly seen in
of foods eaten in a typical day. underweight children, not overweight.
B. Encourage giving two addition-
al snacks each day to the child.
C. Recommend a daily intake of at
least four glasses of whole milk.
D. Assess for signs of poor nutri-
tion, such as a pale appearance
9. A child is receiving maintenance B. 61
intravenous (IV) fluids at the rate RATIONALE:
of 1000 mL for the first 10 The formula for calculating daily fluid
kg of body weight, plus 50 mL/kg requirements is: 0 to 10 kg, 100 mL/kg
per day for each kilogram between per day; or 10 to
10 and 20. How many 20 kg, 1000 mL for the first 10 kg of
milliliters per hour should the body weight plus 50 mL/kg per day for
nurse program the infusion pump each kilogram
for a child who weighs 19.5 kg? between 10 and 20. To determine an
(Enter numeric value only. If round- hourly rate, divide the total milliliters
ing is required, round to the near- per day by 24. 19.5
est whole number.) kg x 50 mL/kg = 475 mL + 1000 mL =
A. 24 1475 mL / 24 hours = 61 mL/hour
B. 61
C. 73
D. 58
EXIT EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Study online at https://quizlet.com/_g141gr
1. A 56-year-old female client is re- B. A nurse with Marfan's syndrome
ceiving intracavitary radiation via who is postmenopausal.
a radium implant. Which RATIONALE:
nurse should be assigned to care A client receiving intracavity radiation
for this client? poses a radiation hazard as long as the
A. The nurse who is caring for an- intracavity
other client receiving intracavitary radiation source is in place. A nurse's
radiation. ability to care of this client is not affect-
B. A nurse with Marfan's syndrome ed by Marfan's
who is postmenopausal. syndrome (B), which is a hereditary
C. A nurse with oncology experi- disorder of connective tissues, bones,
ence who may be pregnant. muscles, ligaments
D. The nurse who is caring for an- and skeletal structures. The goal is to
other client who has Clostridium limit any one staff member's exposure
difficile. to the calculated
time span based on the half-life of radi-
um, 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 expo-
sure decreases the immune response
in the client who should
not be exposed to the potential inad-
vertent transmission of an infectious
organism (D).
2. 1.A client who has active tubercu- Assign the client to a negative air-flow
losis (TB) is admitted to the med- room
ical unit. What action is most RATIONALE:
important for the nurse to imple- Active tuberculosis requires implemen-
ment? tation of airborne precautions, so the
A. Fit the client with a respirator client should be
mask. assigned to a negative pressure
B. Assign the client to a negative air-flow room (D). Although (A and C)
air-flow room. should be implemented
C. Don a clean gown for client care. for clients in isolation with contact pre-
, HESI RN CRITICAL CARE EXAM LATEST 2024/CRITICAL CARE HESI RN
EXIT EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Study online at https://quizlet.com/_g141gr
D. Place an isolation cart in the cautions, it is most important that air
hallway flow from the room
is minimized when the client has TB.
(B) should be implemented when the
client leaves the
isolation environment.
3. 2.A client is receiving atenolol Administer the medication
(Tenormin) 25 mg PO after a my- RATIONALE:
ocardial infarction. The nurse Atenolol, a beta-blocker, blocks the
determines the client's apical beta receptors of the sinoatrial node to
pulse is 65 beats per minute. What reduce the heart rate,
action should the nurse so the medication should be adminis-
implement tered (C) because the client's apical
next? pulse is greater than 60.
A. Measure the blood pressure. (A, B, and D) are not indicated at this
B. Reassess the apical pulse. time.
C. Notify the healthcare provider.
D. Administer the medication.
4. 3.The nurse is assessing a client Hyperthyroidism
and identifies a bruit over the thy- Rationale:Hyperthyroidism (D) is an
roid. This finding is consistent enlargement of the thyroid gland, often
with which interpretation? referred to as a goiter, and a
A. Hypothyroidism. bruit may be auscultated over the goi-
B. Thyroid cyst. ter due to an increase in glandular vas-
C. Thyroid cancer. cularity which
D. Hyperthyroidism increases as the thyroid gland be-
comes hyperactive. A bruit is not com-
mon with (A, B, and C).
5. A 6-year-old child is alert but qui- Rhinorrhoea or otorrhoea with Halo
et when brought to the emergency sign.
center with periorbital ecchymosis RATIONALE:
and ecchymosis behind the ears. Raccoon eyes (periorbital ecchymosis)
The nurse suspects potential child and Battle's sign (ecchymosis behind
abuse and continues to assess the the ear over the
child for additional manifestations mastoid process) are both signs of
, HESI RN CRITICAL CARE EXAM LATEST 2024/CRITICAL CARE HESI RN
EXIT EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Study online at https://quizlet.com/_g141gr
of a basilar skull fracture. What a basilar skull fracture, so the nurse
assessment finding would be con- should assess for possible
sistent with a basilar skull frac- meningeal tears that manifest as a
ture? Halo sign with CSF leakage from the
A. Hematemesis and abdominal ears or nose (D). (A) is
distention. consistent with orbital fractures. (B) oc-
B. Asymmetry of the face and eye curs with wrenching traumas of the
movements. shoulder or arm
C. Rhinorrhoea or otorrhoea with fractures. (C) occurs with blunt abdom-
Halo sign. inal injuries.
D. Abnormal position and move-
ment of the arm.
6. The nurse is assessing a client Grave's disease
who complains of weight loss, rac- RATIONALE:
ing heart rate, and difficulty This client is exhibiting symptoms
sleeping. The nurse determines associated with hyperthyroidism or
the client has moist skin with fine Grave's disease (A),
hair, prominent eyes, lid which is an autoimmune condition af-
retraction, and a staring expres- fecting the thyroid. (B, C, and D) are not
sion. These findings are consis- associated with
tent with which disorder? these symptoms.
A. Grave's disease.
B. Multiple sclerosis.
C. Addison's disease.
D. Cushing syndrome.
7. The nurse is assessing an old- Ptosis on the left eyelid
er client and determines that the Rationale: Ptosis is the term to de-
client's left upper eyelid droops, scribe an eyelid droop that covers a
covering more of the iris than large portion of the iris (A), which
the right eyelid. Which description may result from oculomotor nerve or
should the nurse use to eyelid muscle disorder. (B) is charac-
document this finding? terized by rapid,
A. A nystagmus on the left. rhythmic movement of both eyes. (C)
B. Exophthalmos on the right. is a distortion of the lens of the eye,
C. Ptosis on the left eyelid. causing decreased
D. Astigmatism on the right. visual acuity. (D) is a term used to de-
, HESI RN CRITICAL CARE EXAM LATEST 2024/CRITICAL CARE HESI RN
EXIT EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Study online at https://quizlet.com/_g141gr
scribe a protrusion of the eyeballs that
occurs with
hyperthyroidism.
8. The nurse is assessing a child's A. Question the type and quantity of
weight and height during a clinic foods eaten in a typical day.
visit prior to starting school. RATIONALE:
The nurse plots the child's weight The child is overweight for height, so
on the growth chart and notes that assessment of the child's daily diet (C)
the child's weight is in the should be
95th percentile for the child's determined. The child does not need
height. What action should the (A or B), both of which will increase the
nurse take? child's weight.
A. Question the type and quantity Poor nutrition (D) is commonly seen in
of foods eaten in a typical day. underweight children, not overweight.
B. Encourage giving two addition-
al snacks each day to the child.
C. Recommend a daily intake of at
least four glasses of whole milk.
D. Assess for signs of poor nutri-
tion, such as a pale appearance
9. A child is receiving maintenance B. 61
intravenous (IV) fluids at the rate RATIONALE:
of 1000 mL for the first 10 The formula for calculating daily fluid
kg of body weight, plus 50 mL/kg requirements is: 0 to 10 kg, 100 mL/kg
per day for each kilogram between per day; or 10 to
10 and 20. How many 20 kg, 1000 mL for the first 10 kg of
milliliters per hour should the body weight plus 50 mL/kg per day for
nurse program the infusion pump each kilogram
for a child who weighs 19.5 kg? between 10 and 20. To determine an
(Enter numeric value only. If round- hourly rate, divide the total milliliters
ing is required, round to the near- per day by 24. 19.5
est whole number.) kg x 50 mL/kg = 475 mL + 1000 mL =
A. 24 1475 mL / 24 hours = 61 mL/hour
B. 61
C. 73
D. 58
