Duke University School of Nursing Ace the HESI Critical Care Exam 2025: Realistic Practice Questions, Critical Thinking Scenarios, and Detailed Rationales for Nursing Students

• Includes 80+ realistic practice questions with detailed rationales.
• Covers key topics: critical care nursing, emergency interventions, and patient monitoring.
• Offers critical thinking scenarios to enhance decision-making skills.
• Features in-depth explanations to solidify understanding of complex concepts.
• Aligned with Duke University School of Nursing’s curriculum standards.
• Supports HESI and NCLEX-RN preparation with targeted remediation tools.
• Provides insights into the 2025 HESI Critical Care Exam format.

Preview

A primipara with a breech presentation is in the transition phase of labor. The nurse
visualizes
the perineum and sees the umbilical cord extruding from the introitus. In which position
should
the nurse place the client?
A. Right lateral side with both legs flexed.
B. Left supine with thighs flexed on her abdomen.
C. Semi-Fowler’s with head of bed elevated 30 degrees.
D. Supine with the foot of the bed elevated. – – correct ans- -D. Supine with the foot of
the bed elevated.
RATIONALE:
The supine position with the foot of the bed elevated (D) (Trendelenburg) is one position
used to
alleviate gravitational pressure by the fetus on the prolapsed umbilical cord, (A, B, and
C) do not
alleviate pressure on the umbilical cord.
The nurse is developing a series of childbirth preparation classes for primigravida
women and
their significant others. What is the priority expected outcome for these classes?
A. Educate significant others about providing support for their partner during labor.
B. Teach and practice breathing techniques to help cope with contractions during labor.
C. Participants can identify at least three coping strategies to use during labor.
D. Introduce comfort measures that are effective techniques to use during labor and
delivery. – – correct ans- -C. Participants can identify at least three coping strategies to
use during labor.
RATIONALE:
An expected outcome is a specific, measurable change in a client’s status that occurs
in response
to nursing interventions. (B) meets the criteria for an expected outcome. (A, C, and D)
are
nursing interventions that should lead to the expected outcome.