HESI Critical Care Exam Questions and

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HESI Critical Care Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

What is the primary goal of nursing care for a patient in shock?

• To increase cardiac output

✔✔B. To restore tissue perfusion

• To reduce fluid retention
• To manage blood pressure

Which of the following signs and symptoms is most indicative of hypovolemic shock?

✔✔A. Rapid, weak pulse

• Increased urine output
• Warm, dry skin
• Slow, bounding pulse

In a patient experiencing cardiogenic shock, what is the priority nursing intervention? 1 / 4

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• Administer intravenous fluids

✔✔B. Support oxygenation and monitor cardiac output

• Initiate hemodialysis
• Administer blood transfusions

What is the first-line treatment for septic shock?

• Administer blood products

✔✔B. Administer broad-spectrum antibiotics

• Provide intravenous fluids only
• Use vasopressors immediately

Which laboratory test is the most important to monitor in a patient with severe sepsis?

• Hemoglobin and hematocrit

✔✔B. Lactate levels

• Electrolyte panel 2 / 4

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• Platelet count

When caring for a patient with acute respiratory distress syndrome (ARDS), what is the priority intervention?

✔✔A. Maintain mechanical ventilation with appropriate settings

• Administer bronchodilators
• Perform chest physiotherapy
• Increase fluid intake

What is the priority nursing assessment in a patient with a chest tube?

• Assess for pain level

✔✔B. Monitor for air leaks and proper drainage

• Check the level of water in the suction chamber
• Ensure the patient’s position is correct

In a patient with an elevated intracranial pressure (ICP), which action should the nurse take first? 3 / 4

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✔✔A. Elevate the head of the bed to 30 degrees

• Administer a diuretic
• Initiate intravenous fluids
• Perform a neurological assessment

What is a common complication in patients with deep vein thrombosis (DVT) that should be monitored for?

• Tachypnea

✔✔B. Pulmonary embolism

• Hypertension
• Hypoglycemia

When caring for a patient with burns, what is the priority assessment in the first 24 hours?

✔✔A. Fluid resuscitation and monitoring urine output

• Pain management
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