CRITICAL CARE HESI EXIT EXAM 2023-2024 ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT ANSWERS
Metoprolol - (answer) Beta-blocker used to treat hypertension
Second degree heart block - (answer) Telemetry pattern with prolonged PR interval and decreased
conduction time from SA node to AV junction
Restless, intubated client - (answer) Client on mechanical ventilation exhibiting restlessness and breath
sounds on right side only
Train derailment triage - (answer) Priority order: Middle-aged man wandering, Woman sitting with
blanket, Crying child, Mother and father just arrived
Pneumonia with severe SOB - (answer) Client with pneumonia admitted with pH 7.30, PaO2 60, PaCO2
62, HCO3 35; Immediate communication to HCP for drowsiness and difficulty in arousing
Burn patient with serum potassium of 4 - (answer) Patient with burn injuries and potassium level of 4;
Medication choice for potassium not provided
Bedridden patient for 2 weeks - (answer) Patient bedridden for 2 weeks with pH 7.37, PO2 90, PCO2
40, HCO3 25; Priority action is turning patient side to side q2h
Assess 40-year-old with sickle cell crisis - (answer) Priority assessment for a 40-year-old with sickle cell
crisis
Major disaster triage - (answer) Priority order: Cut over eye, Move patient to medical surgical unit,
Patient with abnormal liver levels
Carotid picture - (answer) Pointing to the neck to indicate carotid artery
Wound vac effectiveness - (answer) Checking seal to ensure no leaks in wound vac
Magnesium antidote - (answer) Calcium gluconate is the antidote for magnesium toxicity
, CRITICAL CARE HESI EXIT EXAM 2023-2024 ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT ANSWERS
Trouble swallowing - (answer) Assess gag reflex or consider thickening of fluids
Disconnected chest tube - (answer) Get new saline bottle to stick end into until reconnecting tube
Ventricular fibrillation - (answer) Defibrillate with a shock once; Consider calcium levels
Chest tube volume - (answer) Mark container between 100 and 150
Heart sounds audio - (answer) S1S2 heart sounds audio
Patient on benzos - (answer) Narcan is not the answer for a patient on benzodiazepines
Abdominal rigidity - (answer) Low hemoglobin level is the most concerning
Low hemoglobin level - (answer) Priority assessment for patients with low hemoglobin levels
Patient on Heparin going for surgery - (answer) Assess patient for bleeding before surgery
Fever of 101 - (answer) Best nursing diagnosis related to temperature elevation
Listening and hearing silence, then kortokoff sound - (answer) Follow through by checking blood
pressure
Pancreatitis and elevated liver function - (answer) Expectation of patient with pancreatitis and
elevated liver function who drinks alcohol daily or frequently
Dark, tarry stool - (answer) Sign of gastrointestinal bleed, consider NSAIDs
Metoprolol - (answer) Beta-blocker used to treat hypertension
Second degree heart block - (answer) Telemetry pattern with prolonged PR interval and decreased
conduction time from SA node to AV junction
Restless, intubated client - (answer) Client on mechanical ventilation exhibiting restlessness and breath
sounds on right side only
Train derailment triage - (answer) Priority order: Middle-aged man wandering, Woman sitting with
blanket, Crying child, Mother and father just arrived
Pneumonia with severe SOB - (answer) Client with pneumonia admitted with pH 7.30, PaO2 60, PaCO2
62, HCO3 35; Immediate communication to HCP for drowsiness and difficulty in arousing
Burn patient with serum potassium of 4 - (answer) Patient with burn injuries and potassium level of 4;
Medication choice for potassium not provided
Bedridden patient for 2 weeks - (answer) Patient bedridden for 2 weeks with pH 7.37, PO2 90, PCO2
40, HCO3 25; Priority action is turning patient side to side q2h
Assess 40-year-old with sickle cell crisis - (answer) Priority assessment for a 40-year-old with sickle cell
crisis
Major disaster triage - (answer) Priority order: Cut over eye, Move patient to medical surgical unit,
Patient with abnormal liver levels
Carotid picture - (answer) Pointing to the neck to indicate carotid artery
Wound vac effectiveness - (answer) Checking seal to ensure no leaks in wound vac
Magnesium antidote - (answer) Calcium gluconate is the antidote for magnesium toxicity
, CRITICAL CARE HESI EXIT EXAM 2023-2024 ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT ANSWERS
Trouble swallowing - (answer) Assess gag reflex or consider thickening of fluids
Disconnected chest tube - (answer) Get new saline bottle to stick end into until reconnecting tube
Ventricular fibrillation - (answer) Defibrillate with a shock once; Consider calcium levels
Chest tube volume - (answer) Mark container between 100 and 150
Heart sounds audio - (answer) S1S2 heart sounds audio
Patient on benzos - (answer) Narcan is not the answer for a patient on benzodiazepines
Abdominal rigidity - (answer) Low hemoglobin level is the most concerning
Low hemoglobin level - (answer) Priority assessment for patients with low hemoglobin levels
Patient on Heparin going for surgery - (answer) Assess patient for bleeding before surgery
Fever of 101 - (answer) Best nursing diagnosis related to temperature elevation
Listening and hearing silence, then kortokoff sound - (answer) Follow through by checking blood
pressure
Pancreatitis and elevated liver function - (answer) Expectation of patient with pancreatitis and
elevated liver function who drinks alcohol daily or frequently
Dark, tarry stool - (answer) Sign of gastrointestinal bleed, consider NSAIDs
