HESI CRITICAL CARE EXAM 2024 WITH NGN QUESTIONS AND ANSWERS

HESI CRITICAL CARE EXAM

The nurse teaches a client about how to care for an ileostomy. Which
comment, if made by the client to the nurse, indicates further teaching is
needed?

1. “The skin around the stoma should be cleaned with warm water and
   thoroughly dried.”
2. “The appliance should fit snugly around the ileostomy opening.”
3. “I should take polyethylene glycol (MiraLax) with a large glass of
   water.”
4. “I will continue to take a daily multi-vitamin.” – ANSWER- 3
   The nurse cares for a client diagnosed with chronic bronchitis and
   peripheral vascular disease. The nurse expects to assess which of these
   breath sounds?
5. Continuous, high-pitched musical sounds heard on expiration.
6. Soft, high-pitched interrupted sounds heard on inspiration.
7. Deep, low-pitched rumbling sounds are heard mainly on expiration.
8. Harsh, grating sounds heard best during inspiration. – ANSWER- 3
   The nurse prepares to administer gentamicin (Garamycin) to the 65-
   year-old client. Which is the MOST important action for the nurse to
   take prior to administration of the medication?

1. Request a daily hemoglobin and hematocrit test.
2. Monitor the serum BUN and creatinine.
3. Request a highly-sensitive C-reactive protein (hs-CRP) test.
4. Monitor the erythrocyte sedimentation rate (ESR). – ANSWER- 2
   The nurse cares for the client in the labor unit. During the transitional
   phase of labor, the umbilical cord becomes prolapsed. It is MOST
   important for the nurse to take which action?
5. Place the client on her back with thighs flexed on her abdomen.
6. Place the client on her left side with legs flexed.
7. Place the client supine with the head of the bed elevated 30°.
8. Place the client supine with the foot of the bed elevated – ANSWER4
   The nurse cares for the client diagnosed with lung cancer. The family
   states that the client has become confused and that urinary output has
   decreased during the previous 24 hours. Which finding MOST concerns
   the nurse?
9. 2+ pitting pretibial edema.
10. Sodium 128 mEq/L.
11. Weight gain of 2 kg in 24 hours.
12. Urine specific gravity 1.008. – ANSWER- 2
    The home care nurse cares for a client who is diagnosed with
    hypertension and mild depression. The client’s daughter states that her

mother has been falling frequently. WWhich response by the nurse is
BEST?

1. “Let’s get your mother a walker.”
2. “Do you think it’s time to put your mother in a nursing home?”
3. “When does your mother fall?”
4. “Does your mother seem to be more confused lately?” – ANSWER- 3
   A femoral angiogram is scheduled for a client. It is MOST important for
   the nurse to take which action prior to the angiogram?
5. Clean and shave the catheter insertion-site area.
6. Locate and note the presence of peripheral pulses.
7. Encourage the client to increase oral fluid intake.
8. Teach coughing and deep-breathing exercises. – ANSWER- 2
   A child sustains a crushing chest injury in a car accident. In the
   emergency room, an endotracheal tube is inserted. Several hours later
   the nurse enters the client’s room and finds the child in respiratory
   distress. It is MOST important for the nurse to take which action prior to
   the angiogram?
9. Observe the color of the client’s fingernail beds.
10. Assess the client’s blood pressure in both arms.
11. Listen to the client’s breath sounds.
12. Assess for intercostal retractions. – ANSWER- 3

The nurse cares for an elderly man diagnosed with Alzheimer’s disease.
It is MOST important for the nurse to take which action?

1. Leave the television on all day in the client’s room.
2. Frequently inform the client of the room and bathroom location.
3. Provide the client with newspapers and magazines.
4. Assign a staff member to check on the client every 15 minutes. –
   ANSWER- 2
   The nurse is responsible for triage of injured residents of an apartment
   building that collapsed during a tornado. Which client should the
   emergency personnel see FIRST?
5. A 38-year-old client with potential fracture left femur. Blood pressure
   110/78, pulse 92/minute, shallow respirations at 16/minute.
6. A 42-year-old client with ecchymotic areas on the left anterior and
   posterior chest. Blood pressure 142/90, pulse 88/minute, shallow
   respirations at 20/minute.
7. A 48-year-old client with severe head trauma. Blood pressure 168/52,
   pulse 58 per minute, irregular respirations at 12/minute.
8. A 64-year-old client complaining of left hand and wrist pain asking,
   “Where am I?” Blood pressure 128/72, pulse 88/minute, respirations
   unlabored at 16/minute – ANSWER- 3
   The nurse cares for a client diagnosed with Crohn’s disease. The nurse
   instructs the client about diet. Which menu selection indicates to the
   nurse that teaching is effective?
9. Cheeseburger on a whole-wheat bun, french fries, and an apple.
10. Tomato soup, saltines, and a slice of unfrosted angel food cake.

Download the full exam pdf here https://learnexams.com/study-content/hesi-critical-care-exit-exam-2023-screenshot-critical-care-hesi-exit-exam-2023-actual-exam-screenshot-all-55-questions-and-correct-detailed-answers-with-rationales-already-graded-a-2535 and https://learnexams.com/