HESI RN CRITICAL CARE EXAM LATEST
2024/CRITICAL CARE HESI RN EXIT EXAM ALL
150 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Terms in this set (124)
1.A client who has active Assign the client to a negative air-flow room
tuberculosis (TB) is admitted RATIONALE:
to the medical unit. What Active tuberculosis requires implementation of airborne
action is most precautions, so the client should be
important for the nurse to assigned to a negative pressure air-flow room (D).
implement? Although (A and C) should be implemented
A. Fit the client with a for clients in isolation with contact precautions, it is most
respirator mask. important that air flow from the room
B. Assign the client to a is minimized when the client has TB. (B) should be
negative air-flow room. implemented when the client leaves the
C. Don a clean gown for isolation environment.
client care.
D. Place an isolation cart in
the hallway
,2.A client is receiving Administer the medication
atenolol (Tenormin) 25 mg RATIONALE:
PO after a myocardial Atenolol, a beta-blocker, blocks the beta receptors of
infarction. The nurse the sinoatrial node to reduce the heart rate,
determines the client's so the medication should be administered (C) because
apical pulse is 65 beats per the client's apical pulse is greater than 60.
minute. What action should (A, B, and D) are not indicated at this time.
the nurse
implement
next?
A. Measure the blood
pressure.
B. Reassess the apical pulse.
C. Notify the healthcare
provider.
D. Administer the
medication.
3.The nurse is assessing a Hyperthyroidism
client and identifies a bruit Rationale:Hyperthyroidism (D) is an enlargement of the
over the thyroid. This finding thyroid gland, often referred to as a goiter, and a
is consistent bruit may be auscultated over the goiter due to an
with which interpretation? increase in glandular vascularity which
A. Hypothyroidism. increases as the thyroid gland becomes hyperactive. A
B. Thyroid cyst. bruit is not common with (A, B, and C).
C. Thyroid cancer.
D. Hyperthyroidism
,A 6-year-old child is alert Rhinorrhoea or otorrhoea with Halo sign.
but quiet when brought to RATIONALE:
the emergency center with Raccoon eyes (periorbital ecchymosis) and Battle's sign
periorbital ecchymosis and (ecchymosis behind the ear over the
ecchymosis behind the mastoid process) are both signs of a basilar skull
ears. The nurse suspects fracture, so the nurse should assess for possible
potential child abuse and meningeal tears that manifest as a Halo sign with CSF
continues to assess the leakage from the ears or nose (D). (A) is
child for additional consistent with orbital fractures. (B) occurs with
manifestations of a basilar wrenching traumas of the shoulder or arm
skull fracture. What fractures. (C) occurs with blunt abdominal injuries.
assessment finding would
be consistent with a basilar
skull fracture?
A. Hematemesis and
abdominal distention.
B. Asymmetry of the face
and eye movements.
C. Rhinorrhoea or
otorrhoea with Halo sign.
D. Abnormal position and
movement of the arm.
, A 9-year-old is hospitalized A. "To protect you because you can get an infection very
for neutropenia and is easily."
placed in reverse isolation. RATIONALE:
The child asks Reverse isolation precaution implement measures to
the nurse, "Why do you protect the client from exposure to
have to wear a gown and microorganisms from others (B). Although microbes are
mask when you are in my prevalent in all environments, (A) does
room?" How should not adequately answer the child's question. Reverse
the nurse respond? isolation should be implemented until the
A. "To protect you because client's white blood cell increases (C). Neutropenia in this
you can get an infection child does not place others (D) at risk
very easily." for infection.
B. "Your condition could be
spread to staff and other
clients in the hospital."
C. "There are many forms of
bacteria and germs in the
hospital."
D. "After taking medication
for 24 hours a gown and
mask won't be needed."
2024/CRITICAL CARE HESI RN EXIT EXAM ALL
150 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Terms in this set (124)
1.A client who has active Assign the client to a negative air-flow room
tuberculosis (TB) is admitted RATIONALE:
to the medical unit. What Active tuberculosis requires implementation of airborne
action is most precautions, so the client should be
important for the nurse to assigned to a negative pressure air-flow room (D).
implement? Although (A and C) should be implemented
A. Fit the client with a for clients in isolation with contact precautions, it is most
respirator mask. important that air flow from the room
B. Assign the client to a is minimized when the client has TB. (B) should be
negative air-flow room. implemented when the client leaves the
C. Don a clean gown for isolation environment.
client care.
D. Place an isolation cart in
the hallway
,2.A client is receiving Administer the medication
atenolol (Tenormin) 25 mg RATIONALE:
PO after a myocardial Atenolol, a beta-blocker, blocks the beta receptors of
infarction. The nurse the sinoatrial node to reduce the heart rate,
determines the client's so the medication should be administered (C) because
apical pulse is 65 beats per the client's apical pulse is greater than 60.
minute. What action should (A, B, and D) are not indicated at this time.
the nurse
implement
next?
A. Measure the blood
pressure.
B. Reassess the apical pulse.
C. Notify the healthcare
provider.
D. Administer the
medication.
3.The nurse is assessing a Hyperthyroidism
client and identifies a bruit Rationale:Hyperthyroidism (D) is an enlargement of the
over the thyroid. This finding thyroid gland, often referred to as a goiter, and a
is consistent bruit may be auscultated over the goiter due to an
with which interpretation? increase in glandular vascularity which
A. Hypothyroidism. increases as the thyroid gland becomes hyperactive. A
B. Thyroid cyst. bruit is not common with (A, B, and C).
C. Thyroid cancer.
D. Hyperthyroidism
,A 6-year-old child is alert Rhinorrhoea or otorrhoea with Halo sign.
but quiet when brought to RATIONALE:
the emergency center with Raccoon eyes (periorbital ecchymosis) and Battle's sign
periorbital ecchymosis and (ecchymosis behind the ear over the
ecchymosis behind the mastoid process) are both signs of a basilar skull
ears. The nurse suspects fracture, so the nurse should assess for possible
potential child abuse and meningeal tears that manifest as a Halo sign with CSF
continues to assess the leakage from the ears or nose (D). (A) is
child for additional consistent with orbital fractures. (B) occurs with
manifestations of a basilar wrenching traumas of the shoulder or arm
skull fracture. What fractures. (C) occurs with blunt abdominal injuries.
assessment finding would
be consistent with a basilar
skull fracture?
A. Hematemesis and
abdominal distention.
B. Asymmetry of the face
and eye movements.
C. Rhinorrhoea or
otorrhoea with Halo sign.
D. Abnormal position and
movement of the arm.
, A 9-year-old is hospitalized A. "To protect you because you can get an infection very
for neutropenia and is easily."
placed in reverse isolation. RATIONALE:
The child asks Reverse isolation precaution implement measures to
the nurse, "Why do you protect the client from exposure to
have to wear a gown and microorganisms from others (B). Although microbes are
mask when you are in my prevalent in all environments, (A) does
room?" How should not adequately answer the child's question. Reverse
the nurse respond? isolation should be implemented until the
A. "To protect you because client's white blood cell increases (C). Neutropenia in this
you can get an infection child does not place others (D) at risk
very easily." for infection.
B. "Your condition could be
spread to staff and other
clients in the hospital."
C. "There are many forms of
bacteria and germs in the
hospital."
D. "After taking medication
for 24 hours a gown and
mask won't be needed."
