Critical Care HESI Practice questions and correct answers for
2024 update
A nurse delegator assigns work to a delegatee who has the ability and willingness to do the work but the
relationship between the delegator and delegatee is relatively new. How is the delegator's behavior
described according to Hersey's Model?
a. Selling
b. Telling
c. Delegating
d. Participating - ANSWER-d
What are the elements integrated into delegacy?
Select all that apply.
a. Stability
b. Leadership
c. Clinical practice
d. Critical thinking
e. Communication - ANSWER-a, d
,A client is admitted to the hospital with severe backache and chest discomfort. After reviewing the
client's condition, there is a need for 24-hour client care by the registered nurse (RN). Which healthcare
professional is responsible for assigning the task to a registered nurse when 24-hour client care is
needed?
a. Nurse manager
b. Nursing supervisor
c. Chief nursing officer
d. Primary healthcare provider - ANSWER-a
The registered nurse (RN) delegates the collection of respiratory rate data to a licensed practical nurse
(LPN) for a client who is experiencing severe dehydration and whose condition is unstable. The LPN
reports the data to the RN. The RN rechecks the data and finds that the report no longer reflects the
patient's current condition. Which characteristic of communication has interfered with the delegation
process?
a. Information decay
b. Information salience
c. Confidence in abilities
d. Synergy between team members - ANSWER-a
Prenatal diagnostic testing is recommended for a couple expecting their first child who have a family
history of congenital disorders. The couple tells the nurse that they are opposed to abortion for religious
reasons. Which concept should the nurse consider when responding to this couple?
A. There is limited value in diagnostic testing if termination of pregnancy is not an option.
B. Many states legally require prenatal testing as a means of protecting the fetus
C. Diagnostic testing may indicate a fetal problem that could be treated prior to delivery.
,D. Counseling about advantages and disadvantages of termination should be helpful. - ANSWER-C.
Diagnostic testing may indicate a fetal problem that could be treated prior to delivery
RATIONALE:
Although the couple is opposed to abortion, prenatal testing may reveal a fetal disorder that is
treatable in utero or immediately after birth with favorable results (C). (A) is not an due to the
couple's stated opposition. Prenatal testing has value beyond termination (B) because it provides
knowledge and time for the couple to prepare for various possibilities. Prenatal testing is
voluntary (D).
Which finding should the nurse identify as an early clinical manifestation of neonatal
encephalopathy related to hyperbilirubinemia?
A. Increased or unstable temperature.
B. Mental retardation.
C. Lethargy or irritability.
D. Rigid extension of all extremities. - ANSWER-C. Lethargy or irritability
RATIONALE:
During a nursing team conference, a mental health worker suggests that a client with schizophrenia,
paranoid type, be assigned to group therapy. What should the nurse manager explain about this type of
therapy for this client?
a. Individuals with this disorder respond well to small therapeutic groups.
b. Therapeutic group work tends to be threatening to individuals who are suspicious.
c. Compliance with unit rules and medication regimens increases as therapeutic group involvement
increases.
, d. Involvement in small therapeutic groups may decrease the regression and dependency associated
with institutionalization. - ANSWER-b
The RN caring for a postoperative hysterectomy client is delegating tasks to the licensed practical nurse
(LPN). Which statement made by the RN indicates the principle of right communication of delegation?
a. "Does the LPN understand when to report the vital signs?"
b. "Can the LPN monitor blood pressure of the client effectively?"
c. "Can the LPN provide effective feedback regarding the client's condition?"
d. "Does the LPN have enough knowledge regarding administration of intravenous (IV) fluids to the
client?" - ANSWER-a
The registered nurse (RN) is caring for a client who underwent ileostomy. Which activity performed by
the nurse indicates following the principle of right circumstance of delegation?
Select all that apply.
a. Assessing the willingness of the delegatee
b. Assessing the equipment to determine vital signs
c. Providing supervision of the delegatee during the task
d. Teaching institutional policies about caring for a client with ileostomy
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?
2024 update
A nurse delegator assigns work to a delegatee who has the ability and willingness to do the work but the
relationship between the delegator and delegatee is relatively new. How is the delegator's behavior
described according to Hersey's Model?
a. Selling
b. Telling
c. Delegating
d. Participating - ANSWER-d
What are the elements integrated into delegacy?
Select all that apply.
a. Stability
b. Leadership
c. Clinical practice
d. Critical thinking
e. Communication - ANSWER-a, d
,A client is admitted to the hospital with severe backache and chest discomfort. After reviewing the
client's condition, there is a need for 24-hour client care by the registered nurse (RN). Which healthcare
professional is responsible for assigning the task to a registered nurse when 24-hour client care is
needed?
a. Nurse manager
b. Nursing supervisor
c. Chief nursing officer
d. Primary healthcare provider - ANSWER-a
The registered nurse (RN) delegates the collection of respiratory rate data to a licensed practical nurse
(LPN) for a client who is experiencing severe dehydration and whose condition is unstable. The LPN
reports the data to the RN. The RN rechecks the data and finds that the report no longer reflects the
patient's current condition. Which characteristic of communication has interfered with the delegation
process?
a. Information decay
b. Information salience
c. Confidence in abilities
d. Synergy between team members - ANSWER-a
Prenatal diagnostic testing is recommended for a couple expecting their first child who have a family
history of congenital disorders. The couple tells the nurse that they are opposed to abortion for religious
reasons. Which concept should the nurse consider when responding to this couple?
A. There is limited value in diagnostic testing if termination of pregnancy is not an option.
B. Many states legally require prenatal testing as a means of protecting the fetus
C. Diagnostic testing may indicate a fetal problem that could be treated prior to delivery.
,D. Counseling about advantages and disadvantages of termination should be helpful. - ANSWER-C.
Diagnostic testing may indicate a fetal problem that could be treated prior to delivery
RATIONALE:
Although the couple is opposed to abortion, prenatal testing may reveal a fetal disorder that is
treatable in utero or immediately after birth with favorable results (C). (A) is not an due to the
couple's stated opposition. Prenatal testing has value beyond termination (B) because it provides
knowledge and time for the couple to prepare for various possibilities. Prenatal testing is
voluntary (D).
Which finding should the nurse identify as an early clinical manifestation of neonatal
encephalopathy related to hyperbilirubinemia?
A. Increased or unstable temperature.
B. Mental retardation.
C. Lethargy or irritability.
D. Rigid extension of all extremities. - ANSWER-C. Lethargy or irritability
RATIONALE:
During a nursing team conference, a mental health worker suggests that a client with schizophrenia,
paranoid type, be assigned to group therapy. What should the nurse manager explain about this type of
therapy for this client?
a. Individuals with this disorder respond well to small therapeutic groups.
b. Therapeutic group work tends to be threatening to individuals who are suspicious.
c. Compliance with unit rules and medication regimens increases as therapeutic group involvement
increases.
, d. Involvement in small therapeutic groups may decrease the regression and dependency associated
with institutionalization. - ANSWER-b
The RN caring for a postoperative hysterectomy client is delegating tasks to the licensed practical nurse
(LPN). Which statement made by the RN indicates the principle of right communication of delegation?
a. "Does the LPN understand when to report the vital signs?"
b. "Can the LPN monitor blood pressure of the client effectively?"
c. "Can the LPN provide effective feedback regarding the client's condition?"
d. "Does the LPN have enough knowledge regarding administration of intravenous (IV) fluids to the
client?" - ANSWER-a
The registered nurse (RN) is caring for a client who underwent ileostomy. Which activity performed by
the nurse indicates following the principle of right circumstance of delegation?
Select all that apply.
a. Assessing the willingness of the delegatee
b. Assessing the equipment to determine vital signs
c. Providing supervision of the delegatee during the task
d. Teaching institutional policies about caring for a client with ileostomy
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?
