CRITICAL CARE HESI PRACTICE
FINAL ACTUAL EXAM GRADED A
LATEST UPDATE APRIL 2O26/
CRITICAL CARE HESI PRACTICE
FINAL
,a
The nurse is providing postprocedure care to a client who had a cardiac catheterization.
The client begins to manifest signs and symptoms associated with embolization. Which
action should the nurse take?
a. Notify the primary healthcare provider immediately
b. Apply a warm, moist compress to the incision site
c. Increase the intravenous fluid rate by 20 mL/hr
d. Monitor vital signs more frequently
b
A nurse observes a window washer falling 25 feet (7.6 m) to the ground. The nurse
rushes to the scene and determines that the person is in cardiopulmonary arrest. What
should the nurse do first?
a. Feel for a pulse
b. Begin chest compressions
c. Leave to call for assistance
d. Perform the abdominal thrust maneuver
An elderly adult with Parkinson's disease falls while going to the bathroom and gets
injured. The nurse taking care of the client informs the primary healthcare provider.
What step should the nurse take to alert the risk management system?
a. The nurse should document the incident in the occurrence report tool.
b. The nurse should provide information in the medical record about the occurrence.
c. The nurse should document in the client's medical report that an occurrence report
has been filed.
d. The nurse should document in the client's medical report that the primary healthcare
provider has been contacted.
c
A nurse receives abnormal results of diagnostic testing. What action should the nurse
take first?
a. Inform the client of the results.
b. Ensure that the results are placed in the client's medical record.
c. Notify the client's primary healthcare provider of the results.
d. Obtain results of the other lab tests that were performed.
b
, A client with a mental illness in the emergency unit needs to undergo an emergency
surgery. What would be the nurse's first course of action to prevent any legal
complications?
a. Wait for a court order to intervene on the client's behalf.
b. Obtain consent from a person legally authorized to give it on the client's behalf, if
available.
c. Obtain a court order to state that the client is incompetent to decide for himself or
herself.
d. Request that the primary healthcare provider start the procedure without the client's
consent.
c
A nurse who lacks confidence in her performance in a new position is worried about an
upcoming review with the nursing director. What type of power does the nursing director
hold in this scenario?
a. Expert power
b. Position power
c. Coercive power
d. Referent power
c
The family of a client infected with human immunodeficiency virus (HIV) wants to see the
results of the client's blood tests, unaware that the client is infected. A nurse obliges the family's
request without waiting for the client's consent. What legal charge may be brought
, 00:2301:15
d
A client reports left-sided chest pain after playing racquetball. The client is hospitalized
and diagnosed with left pneumothorax. When assessing the client's left chest area, the
nurse expects to identify which finding?
a. Dull sound on percussion
b. Vocal fremitus on palpation
c. Rales with rhonchi on auscultation
d. Absence of breath sounds on auscultation
c
A client is admitted to the hospital with partial- and full-thickness burns of the chest and
face sustained while trying to extinguish a brush fire. Which is the nurse's priority
concern?
a. Loss of skin integrity caused by the burns
b. Potential infection as a result of the burn injury
c. Inadequate gas exchange caused by smoke inhalation
d. Decreased fluid volume because of the depth of the burns
b
During the first 48 hours after a client has sustained a thermal injury, which conditions
should the nurse assess for?
a. Hypokalemia and hyponatremia
b. Hyperkalemia and hyponatremia
c. Hypokalemia and hypernatremia
d. Hyperkalemia and hypernatremia
a
A nurse is assessing a client's ECG reading. The client's atrial and ventricular heart
rates are equal at 88 beats per min. The PR interval is 0.14 seconds, and the QRS
width is 0.10 seconds. Rhythm is regular with normal P waves and QRS complexes.
How will the nurse interpret this rhythm?
a. Normal sinus rhythm
b. Sinus tachycardia
FINAL ACTUAL EXAM GRADED A
LATEST UPDATE APRIL 2O26/
CRITICAL CARE HESI PRACTICE
FINAL
,a
The nurse is providing postprocedure care to a client who had a cardiac catheterization.
The client begins to manifest signs and symptoms associated with embolization. Which
action should the nurse take?
a. Notify the primary healthcare provider immediately
b. Apply a warm, moist compress to the incision site
c. Increase the intravenous fluid rate by 20 mL/hr
d. Monitor vital signs more frequently
b
A nurse observes a window washer falling 25 feet (7.6 m) to the ground. The nurse
rushes to the scene and determines that the person is in cardiopulmonary arrest. What
should the nurse do first?
a. Feel for a pulse
b. Begin chest compressions
c. Leave to call for assistance
d. Perform the abdominal thrust maneuver
An elderly adult with Parkinson's disease falls while going to the bathroom and gets
injured. The nurse taking care of the client informs the primary healthcare provider.
What step should the nurse take to alert the risk management system?
a. The nurse should document the incident in the occurrence report tool.
b. The nurse should provide information in the medical record about the occurrence.
c. The nurse should document in the client's medical report that an occurrence report
has been filed.
d. The nurse should document in the client's medical report that the primary healthcare
provider has been contacted.
c
A nurse receives abnormal results of diagnostic testing. What action should the nurse
take first?
a. Inform the client of the results.
b. Ensure that the results are placed in the client's medical record.
c. Notify the client's primary healthcare provider of the results.
d. Obtain results of the other lab tests that were performed.
b
, A client with a mental illness in the emergency unit needs to undergo an emergency
surgery. What would be the nurse's first course of action to prevent any legal
complications?
a. Wait for a court order to intervene on the client's behalf.
b. Obtain consent from a person legally authorized to give it on the client's behalf, if
available.
c. Obtain a court order to state that the client is incompetent to decide for himself or
herself.
d. Request that the primary healthcare provider start the procedure without the client's
consent.
c
A nurse who lacks confidence in her performance in a new position is worried about an
upcoming review with the nursing director. What type of power does the nursing director
hold in this scenario?
a. Expert power
b. Position power
c. Coercive power
d. Referent power
c
The family of a client infected with human immunodeficiency virus (HIV) wants to see the
results of the client's blood tests, unaware that the client is infected. A nurse obliges the family's
request without waiting for the client's consent. What legal charge may be brought
, 00:2301:15
d
A client reports left-sided chest pain after playing racquetball. The client is hospitalized
and diagnosed with left pneumothorax. When assessing the client's left chest area, the
nurse expects to identify which finding?
a. Dull sound on percussion
b. Vocal fremitus on palpation
c. Rales with rhonchi on auscultation
d. Absence of breath sounds on auscultation
c
A client is admitted to the hospital with partial- and full-thickness burns of the chest and
face sustained while trying to extinguish a brush fire. Which is the nurse's priority
concern?
a. Loss of skin integrity caused by the burns
b. Potential infection as a result of the burn injury
c. Inadequate gas exchange caused by smoke inhalation
d. Decreased fluid volume because of the depth of the burns
b
During the first 48 hours after a client has sustained a thermal injury, which conditions
should the nurse assess for?
a. Hypokalemia and hyponatremia
b. Hyperkalemia and hyponatremia
c. Hypokalemia and hypernatremia
d. Hyperkalemia and hypernatremia
a
A nurse is assessing a client's ECG reading. The client's atrial and ventricular heart
rates are equal at 88 beats per min. The PR interval is 0.14 seconds, and the QRS
width is 0.10 seconds. Rhythm is regular with normal P waves and QRS complexes.
How will the nurse interpret this rhythm?
a. Normal sinus rhythm
b. Sinus tachycardia
