Elevate your preparation for the Critical Care HESI Exam with the Critical Care HESI Exam Study Guide: Verified Answers and Latest Updates (2024-2025), a comprehensive resource designed for nursing students and professionals aiming to excel in critical care nursing certification. This updated 2024-2025 edition offers a robust collection of verified questions and answers, reflecting the latest exam standards and clinical practices. Covering essential critical care topics, this study guide dives deep into areas such as hemodynamic monitoring, mechanical ventilation, cardiac disorders (e.g., managing acute coronary syndrome), respiratory conditions (e.g., ARDS and COPD), and neurological assessments (e.g., Glasgow Coma Scale application). It includes scenario-based questions that mirror real-world challenges, such as calculating fluid resuscitation using the Parkland formula for burn patients or prioritizing interventions for a client with a dislodged chest tube. Each question is paired with detailed rationales, explaining the reasoning behind correct and incorrect answers to enhance clinical judgment—crucial for the HESI’s focus on critical thinking. Aligned with the Next Generation HESI format, this guide prepares you for question types like case studies and matrix/grid items, ensuring you’re ready for the exam’s adaptive structure. With a proven track record of helping students achieve a Graded A, this study guide guarantees success by providing targeted practice for the 55-160 question range typical of the HESI Critical Care Exam. Whether you’re mastering dopamine administration for septic shock or interpreting EKG strips for dysrhythmias, this resource equips you with the knowledge and confidence to pass on your first attempt. Secure your copy now and take a decisive step toward acing your Critical Care HESI Exam!
Preview
1. What is Metoprolol primarily used for?
A) Antibiotic
B) Beta-blocker used to treat hypertension
C) Diuretic
D) Antidepressant
Correct Answer: B
Rationale: Metoprolol is a beta-blocker commonly prescribed to manage hypertension and various
heart conditions by reducing heart rate and blood pressure.
2. What characterizes a second-degree heart block on telemetry?
A) Normal PR interval
B) Prolonged PR interval with decreased conduction time from SA node to AV junction
C) Absent P waves
D) Regular heart rhythm
Correct Answer: B
Rationale: A second-degree heart block is indicated by a prolonged PR interval and suggests that
electrical signals are not being conducted properly from the atria to the ventricles.
3. What might indicate a problem in a restless, intubated client?
A) Sudden increase in sedation
B) Client on mechanical ventilation exhibiting restlessness with breath sounds on the right side only
C) Decreased blood pressure
D) O2 saturation of 100%
Correct Answer: B
Rationale: Restlessness in an intubated client with unilateral breath sounds may indicate inadequate
ventilation or a complication such as a pneumothorax.
4. In a train derailment triage scenario, which patient should be prioritized first?
A) Middle-aged man wandering
B) Woman sitting with a blanket
C) Crying child
D) Mother and father just arrived
Correct Answer: A
Rationale: The wandering middle-aged man may require immediate assessment for injuries, while
others may be stable or less critical.
5. A client with pneumonia presents with severe shortness of breath. What lab results warrant
immediate communication with the healthcare provider?
A) pH 7.40, PaO2 80, PaCO2 45, HCO3 25
B) pH 7.30, PaO2 60, PaCO2 62, HCO3 35
C) pH 7.45, PaO2 90, PaCO2 35, HCO3 24
D) pH 7.35, PaO2 75, PaCO2 50, HCO3 22
Correct Answer: B
Rationale: These values indicate respiratory acidosis with severe hypoxemia, which is critical and
requires immediate intervention.
A) Antibiotic
B) Beta-blocker used to treat hypertension
C) Diuretic
D) Antidepressant
Correct Answer: B
Rationale: Metoprolol is a beta-blocker commonly prescribed to manage hypertension and various
heart conditions by reducing heart rate and blood pressure.
2. What characterizes a second-degree heart block on telemetry?
A) Normal PR interval
B) Prolonged PR interval with decreased conduction time from SA node to AV junction
C) Absent P waves
D) Regular heart rhythm
Correct Answer: B
Rationale: A second-degree heart block is indicated by a prolonged PR interval and suggests that
electrical signals are not being conducted properly from the atria to the ventricles.
3. What might indicate a problem in a restless, intubated client?
A) Sudden increase in sedation
B) Client on mechanical ventilation exhibiting restlessness with breath sounds on the right side only
C) Decreased blood pressure
D) O2 saturation of 100%
Correct Answer: B
Rationale: Restlessness in an intubated client with unilateral breath sounds may indicate inadequate
ventilation or a complication such as a pneumothorax.
4. In a train derailment triage scenario, which patient should be prioritized first?
A) Middle-aged man wandering
B) Woman sitting with a blanket
C) Crying child
D) Mother and father just arrived
Correct Answer: A
Rationale: The wandering middle-aged man may require immediate assessment for injuries, while
others may be stable or less critical.
5. A client with pneumonia presents with severe shortness of breath. What lab results warrant
immediate communication with the healthcare provider?
A) pH 7.40, PaO2 80, PaCO2 45, HCO3 25
B) pH 7.30, PaO2 60, PaCO2 62, HCO3 35
C) pH 7.45, PaO2 90, PaCO2 35, HCO3 24
D) pH 7.35, PaO2 75, PaCO2 50, HCO3 22
Correct Answer: B
Rationale: These values indicate respiratory acidosis with severe hypoxemia, which is critical and
requires immediate intervention.
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