HESI CRITICAL CARE V2 FINAL PAPER 2026
ADVANCED INTENSIVE CARE
PATHOPHYSIOLOGY FULL ANSWERS AND
CLINICAL REASONING
◉ When initiating a dopamine (Intropin) intervene infusion for a
hypotensive client, which intervention should the nurse include in
the client's plan of care?
Answer: Monitor urinary output every hour
◉ Adult female with history of chronic adrenal insufficiency us
admitted to the intensive care unit and adrenal criss. Which
intervention should the nurse implement first?
Answer: Give IV hydrocortisone
◉ A female college student suffered from second and third degree
burn when lighter fluid was tossed into flames of a campfire. The
burns extended along the posterior surface of each arms from the
deltoid region to the hands and the interior surface of both legs from
the groin to the ankles. According to the rule of nines, what
percentage of the client's body surface area (BSA) burned?
Answer: 27%
, ◉ Nursing care from a 58 year old female client with postoperative
complications include central venous pressure (CVP) monitoring.
What is the most important consideration in hearing the CVP
Answer: The zero point on the manometer must be level with the
right atrium (4th intercostal space)
◉ A male client is admitted to a cardiac intensive unit (ICU) with
chest pain that began 12 hours ago. The nurse recognizes increased
ventricular ectopy. Based on this assessment finding, what action is
most important for the nurse to implement.
Answer: Inititate the units anti arrhythmic protocol if symptomatic
◉ A client is being treated for myocardial infarction that occurred
less than 6 hours ago. The cardiologist suspects 100% occlusion of
the right coronary artery (RCA). The nurse is likely to find that the
client's 12 lead EKG on admission exhibits what finding
Answer: Sinus bradycardia, Q wave and ST elevation in the inferior
leads, QRS lengthening
◉ Six hours after surgery for a ruptured appendix, a client has white
blood cell counts (WBC) of 17,000 mm3, abdominal tenderness and
abdominal rigidity. The nurse should recognize that the client is
exhibiting symptoms of which condition?
Answer: Peritonitis (Inflammation)
ADVANCED INTENSIVE CARE
PATHOPHYSIOLOGY FULL ANSWERS AND
CLINICAL REASONING
◉ When initiating a dopamine (Intropin) intervene infusion for a
hypotensive client, which intervention should the nurse include in
the client's plan of care?
Answer: Monitor urinary output every hour
◉ Adult female with history of chronic adrenal insufficiency us
admitted to the intensive care unit and adrenal criss. Which
intervention should the nurse implement first?
Answer: Give IV hydrocortisone
◉ A female college student suffered from second and third degree
burn when lighter fluid was tossed into flames of a campfire. The
burns extended along the posterior surface of each arms from the
deltoid region to the hands and the interior surface of both legs from
the groin to the ankles. According to the rule of nines, what
percentage of the client's body surface area (BSA) burned?
Answer: 27%
, ◉ Nursing care from a 58 year old female client with postoperative
complications include central venous pressure (CVP) monitoring.
What is the most important consideration in hearing the CVP
Answer: The zero point on the manometer must be level with the
right atrium (4th intercostal space)
◉ A male client is admitted to a cardiac intensive unit (ICU) with
chest pain that began 12 hours ago. The nurse recognizes increased
ventricular ectopy. Based on this assessment finding, what action is
most important for the nurse to implement.
Answer: Inititate the units anti arrhythmic protocol if symptomatic
◉ A client is being treated for myocardial infarction that occurred
less than 6 hours ago. The cardiologist suspects 100% occlusion of
the right coronary artery (RCA). The nurse is likely to find that the
client's 12 lead EKG on admission exhibits what finding
Answer: Sinus bradycardia, Q wave and ST elevation in the inferior
leads, QRS lengthening
◉ Six hours after surgery for a ruptured appendix, a client has white
blood cell counts (WBC) of 17,000 mm3, abdominal tenderness and
abdominal rigidity. The nurse should recognize that the client is
exhibiting symptoms of which condition?
Answer: Peritonitis (Inflammation)
