1|Page
CRITICAL CARE HESI EXIT EXAM NEWEST
VERSION 2025 WITH COMPLETE 600
QUESTIONS AND SOLUTION 100% VERIFIED
ANSWERS A+ GRADED FREE
While assessing a radial artery catheter, the client
complains of numbness and pain distal to the insertion
site. What interventions should the nurse implement? -
....ANSWER ....✔✔ Promptly remove the arterial
catheter from the radial artery.
A client is admitted with an epidural hematoma that
resulted from a skateboarding accident. To differentiate
the vascular source of the intracranial bleeding, which
finding should the nurse monitor? - ....ANSWER ....✔✔
Rapid onset of decreased level of consciousness.
When preparing a client for discharge from the hospital
following a cystectomy and a urinary diversion to treat
bladder cancer, which instruction is most important for
the nurse to include in the client's discharge teaching
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plan? - ....ANSWER ....✔✔ Report any signs of cloudy
urine output.
After repositioning an immobile client, the nurse
observes an area of hyperemia. To assess for blanching,
what action should the nurse take? - ....ANSWER
....✔✔ Apply light pressure over the area.
The nurse enters a client's room and observes the client's
wrist restraint secured as seen in the picture. What
action should the nurse take? - ....ANSWER ....✔✔
Reposition the restraint tie onto the bedframe.
A female client with acute respiratory distress syndrome
(ARDS) is chemically paralyzed and sedated while she is
on as assist-control ventilator using 50% FIO2. Which
assessment finding warrants
immediate intervention by the nurse? - ....ANSWER
....✔✔ Diminished left lower lobe sounds
Rationale: Diminished lobe sounds indicate collapsed
alveoli or tension pneumothorax, which required
immediate chest tube insertion to re-inflate the lung.
,3|Page
The development of atherosclerosis is a process of
sequential events. Arrange the pathophysiological
events in orders of occurrence. (Place the first event on
top and the last on the bottom) - ....ANSWER ....✔✔
Arterial endothelium injury causes inflammation
Macrophages consume low density lipoprotein (LDL),
creating foam cells
Foam cells release growth factors for smooth muscle cells
Smooth muscle grows over fatty streaks creating fibrous
plaques
Vessel narrowing results in ischemia
Following a motor vehicle collision, an adult female with
a ruptured spleen and a blood pressure of 70/44, had
an emergency splenectomy. Twelve hours after the
surgery, her urine output is 25 ml/hour for the last two
hours. What pathophysiological reason supports the
nurse's decision to report this finding to the healthcare
provider? - ....ANSWER ....✔✔ Oliguria signals
tubular necrosis related to hypoperfusion
A nurse-manager is preparing the curricula for a class
for charge nurses. A staffing formula based on what
data ensures quality client care and is most cost-
effective? - ....ANSWER ....✔✔ Skills of staff and
client acuity
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When performing postural drainage on a client with
Chronic Obstructive Pulmonary Disease (COPD), which
approach should the nurse use? - ....ANSWER ....✔✔
Explain that the client may be placed in five positions
A client presents in the emergency room with right-sided
facial asymmetry. The nurse asks the client to perform a
series of movements that require use of the facial
muscles. What symptoms suggest that the client has most
likely experience a Bell's palsy rather than a stroke? -
....ANSWER ....✔✔ Inability to close the affected eye,
raise brow, or smile
The nurse is teaching a client how to perform colostomy
irrigations. When observing the client's return
demonstration, which action indicated that the client
understood the teaching? - ....ANSWER ....✔✔ Keeps
the irrigating container less than 18 inches above the
stoma
The nurse should teach the client to observe which
precaution while taking dronedarone? - ....ANSWER
....✔✔ Avoid grapefruits and its juice
CRITICAL CARE HESI EXIT EXAM NEWEST
VERSION 2025 WITH COMPLETE 600
QUESTIONS AND SOLUTION 100% VERIFIED
ANSWERS A+ GRADED FREE
While assessing a radial artery catheter, the client
complains of numbness and pain distal to the insertion
site. What interventions should the nurse implement? -
....ANSWER ....✔✔ Promptly remove the arterial
catheter from the radial artery.
A client is admitted with an epidural hematoma that
resulted from a skateboarding accident. To differentiate
the vascular source of the intracranial bleeding, which
finding should the nurse monitor? - ....ANSWER ....✔✔
Rapid onset of decreased level of consciousness.
When preparing a client for discharge from the hospital
following a cystectomy and a urinary diversion to treat
bladder cancer, which instruction is most important for
the nurse to include in the client's discharge teaching
,2|Page
plan? - ....ANSWER ....✔✔ Report any signs of cloudy
urine output.
After repositioning an immobile client, the nurse
observes an area of hyperemia. To assess for blanching,
what action should the nurse take? - ....ANSWER
....✔✔ Apply light pressure over the area.
The nurse enters a client's room and observes the client's
wrist restraint secured as seen in the picture. What
action should the nurse take? - ....ANSWER ....✔✔
Reposition the restraint tie onto the bedframe.
A female client with acute respiratory distress syndrome
(ARDS) is chemically paralyzed and sedated while she is
on as assist-control ventilator using 50% FIO2. Which
assessment finding warrants
immediate intervention by the nurse? - ....ANSWER
....✔✔ Diminished left lower lobe sounds
Rationale: Diminished lobe sounds indicate collapsed
alveoli or tension pneumothorax, which required
immediate chest tube insertion to re-inflate the lung.
,3|Page
The development of atherosclerosis is a process of
sequential events. Arrange the pathophysiological
events in orders of occurrence. (Place the first event on
top and the last on the bottom) - ....ANSWER ....✔✔
Arterial endothelium injury causes inflammation
Macrophages consume low density lipoprotein (LDL),
creating foam cells
Foam cells release growth factors for smooth muscle cells
Smooth muscle grows over fatty streaks creating fibrous
plaques
Vessel narrowing results in ischemia
Following a motor vehicle collision, an adult female with
a ruptured spleen and a blood pressure of 70/44, had
an emergency splenectomy. Twelve hours after the
surgery, her urine output is 25 ml/hour for the last two
hours. What pathophysiological reason supports the
nurse's decision to report this finding to the healthcare
provider? - ....ANSWER ....✔✔ Oliguria signals
tubular necrosis related to hypoperfusion
A nurse-manager is preparing the curricula for a class
for charge nurses. A staffing formula based on what
data ensures quality client care and is most cost-
effective? - ....ANSWER ....✔✔ Skills of staff and
client acuity
, 4|Page
When performing postural drainage on a client with
Chronic Obstructive Pulmonary Disease (COPD), which
approach should the nurse use? - ....ANSWER ....✔✔
Explain that the client may be placed in five positions
A client presents in the emergency room with right-sided
facial asymmetry. The nurse asks the client to perform a
series of movements that require use of the facial
muscles. What symptoms suggest that the client has most
likely experience a Bell's palsy rather than a stroke? -
....ANSWER ....✔✔ Inability to close the affected eye,
raise brow, or smile
The nurse is teaching a client how to perform colostomy
irrigations. When observing the client's return
demonstration, which action indicated that the client
understood the teaching? - ....ANSWER ....✔✔ Keeps
the irrigating container less than 18 inches above the
stoma
The nurse should teach the client to observe which
precaution while taking dronedarone? - ....ANSWER
....✔✔ Avoid grapefruits and its juice
