HESI CRITICAL CARE EXAM TEST BANK | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST
VERSION 2025 (JUST RELEASED)
The nurses calculating fluid resuscitation for young adult male who was burned in a bloody accident at
1200 and is seen in the ER at 1400. The HCP determines that the client has burn over 30% of his body,
mainly over his arms and chest. Using the Parkland formula for fluid resuscitation, the client is to receive
7000 mL of fluid in 24 hours. Which goal should the nurse establish for this clients plan of care? -
(CORRECT ANSWER)By 2000, the client will have received 3500 mL of fluid
When caring for a client on a vent, which finding provides the greatest indication that the client has an
open airway? - (CORRECT ANSWER)Bilateral breath sounds can be auscultated
The nurse performs a prescribed a neurological check at the beginning of the shift on a client who was
admitted with a subarachnoid brain attack (Stroke). The client's GCS is 9. What information is most
important for the nurse to determine? - (CORRECT ANSWER)The client's previous GCS score
An adult female with a history of type 1 diabetes has been vomiting for the past 48 hours and is
admitted to the ICU with DKA. Which assessment finding warrants immediate intervention by the nurse?
- (CORRECT ANSWER)Excessive thirst
A client admitted to the ICU after a colon resection with the formation of the loop colostomy. The nurse
determines that the clients abdominal dressing is clean and dry. Vital signs are: HR: 130, temperature:
100, BP: 88/65, and urine output of 10 mL/hr. What interventions should the nurse implement? -
(CORRECT ANSWER)Give a 500 mL IV fluid bolus challenge
A client is admitted with 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? - (CORRECT ANSWER)Increase the sensitivity
A client is receiving CPR. After systole is confirmed in two leads and sending the transcutaneous
pacemaker, which IV medication should be administered? - (CORRECT ANSWER)Epinephrine
(adrenaline)
1
, 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 clients bedside? - (CORRECT
ANSWER)Occlusive dressing
Bretylium 1 mg/min via infusion is prescribed for a client and ventricular tachycardia. The available
solution is 500 mL D5W contains bretylium 1 gram. The nurse should program the infusion time to
deliver how many mL/hr? - (CORRECT ANSWER)30
The client is receiving an infusion of nitroglycerin 100 mg and 500 mL D5W at 6 mL/hr. How many
mcg/min of nitroglycerin is infusing? - (CORRECT ANSWER)20
A client arrives in the ER complaining of pain. What description of pain should prompt the nurse to
suspect it originated in the myocardium? - (CORRECT ANSWER)Produces chest heaviness with left arm
pain
Four days ago a chest tube was inserted into the second intercostal space of a client who has a
pneumothorax. Today the nurse notes that there is no fluctuation in the water-seal chamber of the
Pleuravac. Which intervention would be most appropriate for the nurse to implement? - (CORRECT
ANSWER)Assess the clients breath sounds of the affected lung
In developing a care plan for a client that has a chest tube due to a hemothorax, the nurse should
recognize which intervention is essential? - (CORRECT ANSWER)Encourage the client to breathe deeply
and cough at frequent intervals
A postoperative client is admitted the ICU with an inflated pressure infuser containing solution of
heparin 2 units/mL attached to an intraarterial cannula. Which finding indicated that the heparin
infusion has achieved its therapeutic use? - (CORRECT ANSWER)Intra-arterial cannula remain patent
The nurse suspects that a client with a central venous catheter in the left subclavian vein is experiencing
an embolism. What signs and symptoms are most indicative of this condition? - (CORRECT
ANSWER)Anxiety, confusion, lightheadedness, and loss consciousness
2
CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST
VERSION 2025 (JUST RELEASED)
The nurses calculating fluid resuscitation for young adult male who was burned in a bloody accident at
1200 and is seen in the ER at 1400. The HCP determines that the client has burn over 30% of his body,
mainly over his arms and chest. Using the Parkland formula for fluid resuscitation, the client is to receive
7000 mL of fluid in 24 hours. Which goal should the nurse establish for this clients plan of care? -
(CORRECT ANSWER)By 2000, the client will have received 3500 mL of fluid
When caring for a client on a vent, which finding provides the greatest indication that the client has an
open airway? - (CORRECT ANSWER)Bilateral breath sounds can be auscultated
The nurse performs a prescribed a neurological check at the beginning of the shift on a client who was
admitted with a subarachnoid brain attack (Stroke). The client's GCS is 9. What information is most
important for the nurse to determine? - (CORRECT ANSWER)The client's previous GCS score
An adult female with a history of type 1 diabetes has been vomiting for the past 48 hours and is
admitted to the ICU with DKA. Which assessment finding warrants immediate intervention by the nurse?
- (CORRECT ANSWER)Excessive thirst
A client admitted to the ICU after a colon resection with the formation of the loop colostomy. The nurse
determines that the clients abdominal dressing is clean and dry. Vital signs are: HR: 130, temperature:
100, BP: 88/65, and urine output of 10 mL/hr. What interventions should the nurse implement? -
(CORRECT ANSWER)Give a 500 mL IV fluid bolus challenge
A client is admitted with 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? - (CORRECT ANSWER)Increase the sensitivity
A client is receiving CPR. After systole is confirmed in two leads and sending the transcutaneous
pacemaker, which IV medication should be administered? - (CORRECT ANSWER)Epinephrine
(adrenaline)
1
, 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 clients bedside? - (CORRECT
ANSWER)Occlusive dressing
Bretylium 1 mg/min via infusion is prescribed for a client and ventricular tachycardia. The available
solution is 500 mL D5W contains bretylium 1 gram. The nurse should program the infusion time to
deliver how many mL/hr? - (CORRECT ANSWER)30
The client is receiving an infusion of nitroglycerin 100 mg and 500 mL D5W at 6 mL/hr. How many
mcg/min of nitroglycerin is infusing? - (CORRECT ANSWER)20
A client arrives in the ER complaining of pain. What description of pain should prompt the nurse to
suspect it originated in the myocardium? - (CORRECT ANSWER)Produces chest heaviness with left arm
pain
Four days ago a chest tube was inserted into the second intercostal space of a client who has a
pneumothorax. Today the nurse notes that there is no fluctuation in the water-seal chamber of the
Pleuravac. Which intervention would be most appropriate for the nurse to implement? - (CORRECT
ANSWER)Assess the clients breath sounds of the affected lung
In developing a care plan for a client that has a chest tube due to a hemothorax, the nurse should
recognize which intervention is essential? - (CORRECT ANSWER)Encourage the client to breathe deeply
and cough at frequent intervals
A postoperative client is admitted the ICU with an inflated pressure infuser containing solution of
heparin 2 units/mL attached to an intraarterial cannula. Which finding indicated that the heparin
infusion has achieved its therapeutic use? - (CORRECT ANSWER)Intra-arterial cannula remain patent
The nurse suspects that a client with a central venous catheter in the left subclavian vein is experiencing
an embolism. What signs and symptoms are most indicative of this condition? - (CORRECT
ANSWER)Anxiety, confusion, lightheadedness, and loss consciousness
2
