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Critical Care HESI Review Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the priority intervention for a patient with a systolic BP of 70 mmHg and altered mental status?✔✔Initiate rapid fluid resuscitation and notify the provider immediately.
What is the first nursing action when a patient’s ventilator alarm indicates high pressure?✔✔Assess the patient for airway obstruction or secretions.
A patient with septic shock is started on norepinephrine. What is the primary nursing responsibility?✔✔Monitor blood pressure continuously and titrate the infusion as ordered.
What is the immediate action when a patient shows signs of ventricular tachycardia without a pulse?✔✔Begin CPR and prepare for defibrillation.
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Which electrolyte is closely linked with cardiac dysrhythmias in critical care patients?✔✔Potassium.
What should the nurse do first if a patient suddenly pulls out their endotracheal tube?✔✔Assess airway and breathing, and provide bag-valve-mask ventilation if necessary.
Which ABG finding indicates respiratory acidosis?✔✔Low pH with high PaCO₂.
What is the primary purpose of inserting a central venous catheter in critical care?✔✔To monitor central venous pressure and deliver medications.
What medication is the antidote for benzodiazepine overdose?✔✔Flumazenil.
What finding indicates possible neurogenic shock?✔✔Hypotension with bradycardia.
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What is the nurse’s priority when a patient’s oxygen saturation suddenly drops to 80%?✔✔Ensure airway patency and apply 100% oxygen.
Which complication is associated with positive pressure mechanical ventilation?✔✔Barotrauma (pneumothorax).
What is the best indicator of adequate tissue perfusion in shock patients?✔✔Urine output of at least 30 mL/hr.
What should the nurse do if a patient with a chest tube develops sudden tracheal deviation?✔✔Notify provider immediately—suspect tension pneumothorax.
What is the antidote for opioid overdose?✔✔Naloxone.
What is the priority nursing action during a seizure in a critical care patient?✔✔Protect the airway and prevent injury.
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