HESI Critical Care Exam Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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HESI Critical Care Exam Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• The nurse is assessing a client and identifies a bruit over the thyroid. This finding is

consistent with which interpretation?

• Hypothyroidism.
• Thyroid cyst.
• Thyroid cancer.
• Hyperthyroidism

Correct Answer: D. Hyperthyroidism

• A child is receiving maintenance intravenous (IV) fluids at the rate of 1000 mL for the

first 10 kg of body weight, plus 50 mL/kg per day for each kilogram between 10 and 20.How many milliliters per hour should the nurse program the infusion pump for a child who weighs 19.5 kg? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

• 24
• 61
• 73
• 58

Correct Answer: B. 61

• A 56-year-old female client is receiving intracavitary radiation via a radium implant.

Which nurse should be assigned to care for this client?

• The nurse who is caring for another client receiving intracavitary radiation.
• A nurse with Marfan's syndrome who is postmenopausal.

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• A nurse with oncology experience who may be pregnant.
• The nurse who is caring for another client who has Clostridium difficile.

Correct Answer: B. A nurse with Marfan's syndrome who is postmenopausal.

• The nurse is assessing an older client and determines that the client's left upper

eyelid droops, covering more of the iris than the right eyelid. Which description should the nurse use to document this finding?

• A nystagmus on the left.
• Exophthalmos on the right.
• Ptosis on the left eyelid.
• Astigmatism on the right.

Correct Answer: C. Ptosis on the left eyelid.

• A client who has active tuberculosis (TB) is admitted to the medical unit. What

action is most important for the nurse to implement?

• Fit the client with a respirator mask.
• Assign the client to a negative air-flow room.
• Don a clean gown for client care.
• Place an isolation cart in the hallway

Correct Answer: Assign the client to a negative air-flow room.

• The nurse obtains the pulse rate of 89 beats/minute for an infant before

administering digoxin (Lanoxin). Which action should the nurse take?

• Withhold the medication and contact the healthcare provider.
• Give the medication dosage as scheduled.
• Assess respiratory rate for one minute next.
• Wait 30 minutes and give half of the dosage of medication.

Correct Answer: A. Withhold the medication and contact the healthcare provider.

• A 6-year-old child is alert but quiet when brought to the emergency center with

periorbital ecchymosis and ecchymosis behind the ears. The nurse suspects potential child abuse and continues to assess the child for additional manifestations of a

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basilar skull fracture. What assessment finding would be consistent with a basilar skull fracture?

• Hematemesis and abdominal distention.
• Asymmetry of the face and eye movements.
• Rhinorrhoea or otorrhoea with Halo sign.
• Abnormal position and movement of the arm.

Correct Answer: C. Rhinorrhoea or otorrhoea with Halo sign.

• The nurse is assessing a child's weight and height during a clinic visit prior to

starting school. The nurse plots the child's weight on the growth chart and notes that the child's weight is in the 95th percentile for the child's height. What action should the nurse take?

• Question the type and quantity of foods eaten in a typical day.
• Encourage giving two additional snacks each day to the child.
• Recommend a daily intake of at least four glasses of whole milk.
• Assess for signs of poor nutrition, such as a pale appearance

Correct Answer: A. Question the type and quantity of foods eaten in a typical day.

• A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The

nurse determines the client's apical pulse is 65 beats per minute. What action should the nurse implement next?

• Measure the blood pressure.
• Reassess the apical pulse.
• Notify the healthcare provider.
• Administer the medication.

Correct Answer: D. Administer the medication.

• The nurse is assessing a client who complains of weight loss, racing heart rate, and

difficulty sleeping. The nurse determines the client has moist skin with fine hair, prominent eyes, lid retraction, and a staring expression. These findings are consistent with which disorder?

• Grave's disease.

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• Multiple sclerosis.
• Addison's disease.
• Cushing syndrome.

Correct Answer: A. Grave's disease.

• The nurse is developing a teaching plan for an adolescent with a Milwaukee brace.

Which instruction should the nurse include?

• Wear the brace over a T-shirt 23 hours per day.
• Dress with the brace over regular clothing.
• Shower with the brace directly against the skin.
• Remove the brace just before going to bed.

Correct Answer: A. Wear the brace over a T-shirt 23 hours per day.

• A client with asthma receives a prescription for high blood pressure during a clinic

visit. Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma?

• Carteolol (Ocupress).
• Propranolol hydrochloride (Inderal).
• Pindolol (Visken).
• Metoprolol tartrate (Lopressor)

Correct Answer: D. Metoprolol tartrate (Lopressor).

• A male client who has been taking propranolol (Inderal) for 18 months tells the

nurse that the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide?

• Obtain another antihypertensive prescription to avoid withdrawal symptoms.
• Stop the medication and keep an accurate record of blood pressure
• Report any uncomfortable symptoms after stopping the medication.
• Ask the healthcare provider about tapering the drug dose over the next week.