HESI CRITICAL CARE EXAM 2026 WITH
QUESTIONS AND VERIFIED ANSWERS||
GUARANTEED PASS|| ALREADY GRADED A+
Which statement by the community health nurse is most helpful to an adult who
is in a crisis situation?
A. I will be your primary resource person, and will gather the information you
need to get through this situation.
B. Based on past coping, I believe you will be able to deal with future problems
successfully.
C. I have a plan of action that I think will help you. Would you like to see if it
will work for you?
D. You seem to be more tense these days. Would you like to talk about the
problem and how you are dealing with it? - ANSWER-D. You seem to be more
tense these days. Would you like to talk about the problem and how you are
dealing with it?
RATIONALE:
(D) acknowledges the stress and encourages the client to discuss options to deal
with the problems. Recognizing early signs/symptoms of heightened stress can
help to avert a crisis. (A and C) deny the client the opportunity to take control of
the problem and use problem solving techniques to resolve the situation. (B)
may be offering false reassurance.
A child with bacterial conjunctivitis receives a prescription for erythromycin
eye drops.
Which information is most important for the nurse to include in the teaching
plan?
A. Apply warm compresses to reduce swelling.
,B. Take acetaminophen (Tylenol) for any eye discomfort.
C. Avoid sharing towels and washcloths with siblings
D. Wear sunglasses to protect eyes from sunlight. - ANSWER-C. Avoid sharing
towels and washcloths with siblings
RATIONALE:
All of the information is important to include in the teaching plan, but it is most
important to avoid spreading the bacterial infection. The child should avoid
sharing towels and washcloths (D) and should stay home from school for the
first 24 hours after antibiotics are started, to prevent contamination of others.
(A, B, and C) are important measures to reduce the child's discomfort, but
inhibiting the spread of the infection is the priority intervention
The school nurse is reviewing health risks associated with extracurricular
activities of gradeschool children. Regular participation in which activity places
the child at highest risk for developing external otitis?
A. Soccer practice at an outdoor field.
B. Roller skating at an indoor rink.
C. Batting practice at a batting cage.
D. Swimming lessons in an indoor pool. - ANSWER-D. Swimming lessons in
an indoor pool.
RATIONALE:
External otitis is commonly caused by exposure to bacteria while swimming
(C). In addition, chlorine tends to alter the normal flora of the external ear canal,
increasing the risk for infection.
Participation in (A, B, or D) may increase the child's risk for trauma, and
families should be instructed to use protective equipment to reduce this risk
The nurse is planning to conduct nutritional assessments and diet teaching to
clients at a family health clinic. Which individual has the greatest nutritional
and energy demands?
A. A 3-month-old infant.
B. A teenager beginning puberty.
,C. A school-aged child.
D. A pregnant woman - ANSWER-D. A pregnant woman.
RATIONALE:
A pregnant woman's (A) metabolic demands are 20 to 24% more than the basic
metabolic rate.
(B, C, and D) require only 15 to 20% more than the basic metabolic rate
The nurse is assessing the laboratory results for a client who is admitted with
renal failure and osteodystrophy. Which findings are consistent with this client's
clinical picture?
A. Hemoglobin of 10 g and hypophosphatemia.
B. Cloudy, amber urine with sediment, specific gravity of 1.040.
C. Serum potassium of 5.5 mEq and total calcium of 6 mg/dl.
D. Blood urea nitrogen 40 m and creatinine 1.0. - ANSWER-C. Serum
potassium of 5.5 mEq and total calcium of 6 mg/dl.
RATIONALE:
In renal failure, normal serum electrolyte balance is altered because the kidneys
fail to activate
vitamin D, calcium absorption is impaired, and serum calcium decreases, which
stimulates the
release of PTH causing resorption of calcium and phosphate from the bone. A
decreased tubular
excretion and a decreased glomerular filtration rate results in hypocalcemia,
hyperphosphatemia,
and hyperkalemia (C). (A) is reflective of a non-renal cause, such as
dehydration or liver
pathology. (B) is more indicative of infection. Renal failure causes anemia and
hyperphosphatemia, not (D).
, A client is brought into the emergency department following a sudden cardiac
arrest. A full code is started. Five minutes later the family arrives with a durable
power of attorney signed by the client requesting that no extraordinary measures
be taken, including intubation, to save the client's life. What action should the
nurse take?
A. Assess the family's support for the durable power of attorney.
B. Ask the legal department if the code should be continued.
C. Continue the code according to protocol.
D. Stop the code immediately - ANSWER-D. Stop the code immediately
RATIONALE:
A durable power of attorney documents the client's wishes and supersedes the
wishes of the medical staff (A). (B) violates the client's rights. The code should
be stopped (C). The family's support (D) is not relevant. The client's wishes are
most important.
A client with metastatic cancer is preparing to make decisions about end-of-life
issues. When the nurse explains a durable power of attorney for health care,
which description is accurate?
A. It is a form that all people must sign before admission to the hospital so that
individualized treatment plans can be developed
B. It will identify someone that can make decisions for your health care if you
are in a coma or vegetative state.
C. It is not legally binding, but helps the healthcare provider know exactly what
medical treatments you want.
D. It allows you to document your wishes regarding life-sustaining treatment if
you can't speak for yourself. - ANSWER-B. It will identify someone that can
make decisions for your health care if you are in a coma or vegetative state.
RATIONALE:
This is a legal document that allows individuals to identify someone to make
decisions for health care, identifies how aggressive treatment should be if the
client should ever be in a coma or persistent vegetative state, and lists any
medical treatments they would never want performed
QUESTIONS AND VERIFIED ANSWERS||
GUARANTEED PASS|| ALREADY GRADED A+
Which statement by the community health nurse is most helpful to an adult who
is in a crisis situation?
A. I will be your primary resource person, and will gather the information you
need to get through this situation.
B. Based on past coping, I believe you will be able to deal with future problems
successfully.
C. I have a plan of action that I think will help you. Would you like to see if it
will work for you?
D. You seem to be more tense these days. Would you like to talk about the
problem and how you are dealing with it? - ANSWER-D. You seem to be more
tense these days. Would you like to talk about the problem and how you are
dealing with it?
RATIONALE:
(D) acknowledges the stress and encourages the client to discuss options to deal
with the problems. Recognizing early signs/symptoms of heightened stress can
help to avert a crisis. (A and C) deny the client the opportunity to take control of
the problem and use problem solving techniques to resolve the situation. (B)
may be offering false reassurance.
A child with bacterial conjunctivitis receives a prescription for erythromycin
eye drops.
Which information is most important for the nurse to include in the teaching
plan?
A. Apply warm compresses to reduce swelling.
,B. Take acetaminophen (Tylenol) for any eye discomfort.
C. Avoid sharing towels and washcloths with siblings
D. Wear sunglasses to protect eyes from sunlight. - ANSWER-C. Avoid sharing
towels and washcloths with siblings
RATIONALE:
All of the information is important to include in the teaching plan, but it is most
important to avoid spreading the bacterial infection. The child should avoid
sharing towels and washcloths (D) and should stay home from school for the
first 24 hours after antibiotics are started, to prevent contamination of others.
(A, B, and C) are important measures to reduce the child's discomfort, but
inhibiting the spread of the infection is the priority intervention
The school nurse is reviewing health risks associated with extracurricular
activities of gradeschool children. Regular participation in which activity places
the child at highest risk for developing external otitis?
A. Soccer practice at an outdoor field.
B. Roller skating at an indoor rink.
C. Batting practice at a batting cage.
D. Swimming lessons in an indoor pool. - ANSWER-D. Swimming lessons in
an indoor pool.
RATIONALE:
External otitis is commonly caused by exposure to bacteria while swimming
(C). In addition, chlorine tends to alter the normal flora of the external ear canal,
increasing the risk for infection.
Participation in (A, B, or D) may increase the child's risk for trauma, and
families should be instructed to use protective equipment to reduce this risk
The nurse is planning to conduct nutritional assessments and diet teaching to
clients at a family health clinic. Which individual has the greatest nutritional
and energy demands?
A. A 3-month-old infant.
B. A teenager beginning puberty.
,C. A school-aged child.
D. A pregnant woman - ANSWER-D. A pregnant woman.
RATIONALE:
A pregnant woman's (A) metabolic demands are 20 to 24% more than the basic
metabolic rate.
(B, C, and D) require only 15 to 20% more than the basic metabolic rate
The nurse is assessing the laboratory results for a client who is admitted with
renal failure and osteodystrophy. Which findings are consistent with this client's
clinical picture?
A. Hemoglobin of 10 g and hypophosphatemia.
B. Cloudy, amber urine with sediment, specific gravity of 1.040.
C. Serum potassium of 5.5 mEq and total calcium of 6 mg/dl.
D. Blood urea nitrogen 40 m and creatinine 1.0. - ANSWER-C. Serum
potassium of 5.5 mEq and total calcium of 6 mg/dl.
RATIONALE:
In renal failure, normal serum electrolyte balance is altered because the kidneys
fail to activate
vitamin D, calcium absorption is impaired, and serum calcium decreases, which
stimulates the
release of PTH causing resorption of calcium and phosphate from the bone. A
decreased tubular
excretion and a decreased glomerular filtration rate results in hypocalcemia,
hyperphosphatemia,
and hyperkalemia (C). (A) is reflective of a non-renal cause, such as
dehydration or liver
pathology. (B) is more indicative of infection. Renal failure causes anemia and
hyperphosphatemia, not (D).
, A client is brought into the emergency department following a sudden cardiac
arrest. A full code is started. Five minutes later the family arrives with a durable
power of attorney signed by the client requesting that no extraordinary measures
be taken, including intubation, to save the client's life. What action should the
nurse take?
A. Assess the family's support for the durable power of attorney.
B. Ask the legal department if the code should be continued.
C. Continue the code according to protocol.
D. Stop the code immediately - ANSWER-D. Stop the code immediately
RATIONALE:
A durable power of attorney documents the client's wishes and supersedes the
wishes of the medical staff (A). (B) violates the client's rights. The code should
be stopped (C). The family's support (D) is not relevant. The client's wishes are
most important.
A client with metastatic cancer is preparing to make decisions about end-of-life
issues. When the nurse explains a durable power of attorney for health care,
which description is accurate?
A. It is a form that all people must sign before admission to the hospital so that
individualized treatment plans can be developed
B. It will identify someone that can make decisions for your health care if you
are in a coma or vegetative state.
C. It is not legally binding, but helps the healthcare provider know exactly what
medical treatments you want.
D. It allows you to document your wishes regarding life-sustaining treatment if
you can't speak for yourself. - ANSWER-B. It will identify someone that can
make decisions for your health care if you are in a coma or vegetative state.
RATIONALE:
This is a legal document that allows individuals to identify someone to make
decisions for health care, identifies how aggressive treatment should be if the
client should ever be in a coma or persistent vegetative state, and lists any
medical treatments they would never want performed
