HESI CRITICAL CARE V1 ASSESSMENT
2026 ICU PATIENT MANAGEMENT
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉ When caring for a client on a ventilator, which finding provides
the greatest indication that the client has an open airway?
Answer: Bilateral breath sounds can be auscultating
◉ The nurse performs a neurological check at the beginning of the
shift on a client who was admitted to the hospital with a
subarachnoid brain attack (stroke). The client's Glasgow coma scale
(GCS) is 9. Which information is most important for the nurse to
determine
Answer: The client's previous GCS score
◉ An adult female with a history of type 1 diabetes mellitus has
been vomitting for the past 48 hours and is admitted to the intensive
care unit with diabetic ketoacidosis (DKA). Which assessment
finding warrants immediate intervention by the nurse?
Answer: excessive thirst
, ◉ A client is admitted to the intensive care unit (ICU) after a colon
resection with a formation of the loop colostomy. The nurse
determines that the clients abdominal dressing is clean and dry.
Vital signs are heart rate is 130, temperature 101, blood pressure
88/65 mmHg, and urine output 10 mL/hour. Which interventions
should the nurse implement?
Answer: Give a 500 mL IV fluid bolus challenge
◉ A client is admitted with a syncopal episodes related to a third-
degree heart block. After the placement of a transcutaneous
pacemaker, the nurse observes several episodes the pacemaker
failure to sense. What action should the nurse take?
Answer: Increase the sensitivity
◉ A client is receiving cardiopulmonary resuscitation. After systole
is confirmed in two leads and sending the transcutaneous
pacemaker, which intravenous medication should be administered
Answer: epinephrine (adrenaline)
◉ A client has a chest tube connected to a closed water-seal
drainage system with suction. What equipment should the nurse
always have available at the client's bedside
Answer: Occulsive dressing (just in case tube comes out)
2026 ICU PATIENT MANAGEMENT
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉ When caring for a client on a ventilator, which finding provides
the greatest indication that the client has an open airway?
Answer: Bilateral breath sounds can be auscultating
◉ The nurse performs a neurological check at the beginning of the
shift on a client who was admitted to the hospital with a
subarachnoid brain attack (stroke). The client's Glasgow coma scale
(GCS) is 9. Which information is most important for the nurse to
determine
Answer: The client's previous GCS score
◉ An adult female with a history of type 1 diabetes mellitus has
been vomitting for the past 48 hours and is admitted to the intensive
care unit with diabetic ketoacidosis (DKA). Which assessment
finding warrants immediate intervention by the nurse?
Answer: excessive thirst
, ◉ A client is admitted to the intensive care unit (ICU) after a colon
resection with a formation of the loop colostomy. The nurse
determines that the clients abdominal dressing is clean and dry.
Vital signs are heart rate is 130, temperature 101, blood pressure
88/65 mmHg, and urine output 10 mL/hour. Which interventions
should the nurse implement?
Answer: Give a 500 mL IV fluid bolus challenge
◉ A client is admitted with a syncopal episodes related to a third-
degree heart block. After the placement of a transcutaneous
pacemaker, the nurse observes several episodes the pacemaker
failure to sense. What action should the nurse take?
Answer: Increase the sensitivity
◉ A client is receiving cardiopulmonary resuscitation. After systole
is confirmed in two leads and sending the transcutaneous
pacemaker, which intravenous medication should be administered
Answer: epinephrine (adrenaline)
◉ A client has a chest tube connected to a closed water-seal
drainage system with suction. What equipment should the nurse
always have available at the client's bedside
Answer: Occulsive dressing (just in case tube comes out)
