NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
HESI A2 - Critical Thinking- Rationale
x x x x x
. The nurse is working in the emergency department (ED) of a children's medica
x x x x x x x x x x x x x
l center. Whichclient should the nurse assess first?
x x x x x x x x
1. Thex1-month-oldxinfantxwhoxhasxdevelopedxcolicxandxisxcrying.
2. Thex2-year-oldxtoddlerxwhoxwasxbittenxbyxanotherxchildxatxthexday-
care center. 3. The 6-year-oldschool-
x x x x x
age child who was hit by a car while riding a bicycle.
x x x x x x x x x x x
4. The 14-year-
x x
old adolescent whose mother suspects her child is sexually active.
x x x x x x x x x x
Rationale
Correct - 3- x x
The child hit by a car should be assessed first because he or she may have life-
x x x x x x x x x x x x x x x x
threateninginjuries that must be assessed and treated promptly.
x x x x x x x x x
. The 8-year-old client diagnosed with a vaso-
x x x x x x x
occlusive sickle cell crisis is complaining of asevere headache. Which interve
x x x x x x x x x x x
ntion should the nurse implement first?
x x x x x
NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
1
,NURSING MISCCritical Thinking HESI A2 - Critical Thinking- x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
1. Administer 6 L of oxygen via na
x x x x x x x
sal cannula.2. Assess the client's
x x x x x x
neurological status. x
3. Administer a narcotic analgesic by intravenous push (IVP). 4. Increase the
x x x x x x x x x x x x
client's intravenous (IV)rate. x x x
Rationale
Correct - 2- x x
Because the client is complaining of a headache, the nurse should first rule o
x x x x x x x x x x x x x
ut cerebrovascular accident (CVA) by assess-
x x x x x
ing the client's neurological status and then determinewhether it is a headac
x x x x x x x x x x x x x
he that can be treated with medication.
x x x x x x
. The 6-year-
x x
old client who has undergone abdominal surgery is attempting to make a pinw
x x x x x x x x x x x x
heelspin by blowing on it with the nurse's assistance. The child starts crying b
x x x x x x x x x x x x x x
ecause the pinwheel won't spin. Which action should the nurse implement first
x x x x x x x x x x x
?
1. Praise the child for the attempt to make the pinwheel spin.
x x x x x x x x x x
2. Notify the respiratory therapist to implement incentive spirometry. 3. Enco
x x x x x x x x x
urage the child to turn fromside to side and cough.
x x x x x x x x x x
4. Demonstrate how to make the pinwheel spin by
x x x x x x x x x
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
2
, NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
blowing on it.Rationale x x x
Correct - x
1. The nurse should always praise the child for attempts at cooperation even if t
x x x x x x x x x x x x x x
he child did notaccomplish what the nurse asked.
x x x x x x x x
. The nurse is caring for clients on the pediatric medical unit. Which client shou
x x x x x x x x x x x x x x
ld the nurseassess first?
x x x x
1. The child diagnosed with type 1 diabetes who has a bl
x x x x x x x x x x
ood glucose levelof 180 mg/dL.
x x x x x
2. The child diagnosed with pneumonia who is coughing and
x x x x x x x x x
has a temperature of100°F.
x x x x
3. The child diagnosed with gastroenteritis who has a p
x x x x x x x x
otassium (K+) levelof 3.9 mEq/L. x x x x x
4. The child diagnosed with cystic fibrosis who has a pulse oxi
x x x x x x x x x x
meter reading of 90%.Rationale
x x x x
Correct - x
4. A pulse oximeter reading of less than 93% is significant and indicates hypox
x x x x x x x x x x x x x x
ia, which is lifethreatening; therefore, this child should be assessed first.
x x x x x x x x x x x
The nurse has received the a.m. shift report for clients on a pediatric unit. Whi
x x x x x x x x x x x x x x
NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
3
, NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202
x x x x x x
2/2023 GRADED A+
x x
ch medicationshould the nurse administer first?
x x x x x x
1. The third dose of the aminoglycoside antibiotic to the c
x x x x x x x x x
hild diagnosed withmethicillin-
x x x
resistant Staphylococcus aureus (MRSA).
x x x
2. The IVP steroid methylprednisolone (Solu-
x x x x
Medrol) to the child diagnosed withasthma.
x x x x x x
NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202
x x x x x x
2/2023 GRADED A+
x x
4
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
HESI A2 - Critical Thinking- Rationale
x x x x x
. The nurse is working in the emergency department (ED) of a children's medica
x x x x x x x x x x x x x
l center. Whichclient should the nurse assess first?
x x x x x x x x
1. Thex1-month-oldxinfantxwhoxhasxdevelopedxcolicxandxisxcrying.
2. Thex2-year-oldxtoddlerxwhoxwasxbittenxbyxanotherxchildxatxthexday-
care center. 3. The 6-year-oldschool-
x x x x x
age child who was hit by a car while riding a bicycle.
x x x x x x x x x x x
4. The 14-year-
x x
old adolescent whose mother suspects her child is sexually active.
x x x x x x x x x x
Rationale
Correct - 3- x x
The child hit by a car should be assessed first because he or she may have life-
x x x x x x x x x x x x x x x x
threateninginjuries that must be assessed and treated promptly.
x x x x x x x x x
. The 8-year-old client diagnosed with a vaso-
x x x x x x x
occlusive sickle cell crisis is complaining of asevere headache. Which interve
x x x x x x x x x x x
ntion should the nurse implement first?
x x x x x
NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
1
,NURSING MISCCritical Thinking HESI A2 - Critical Thinking- x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
1. Administer 6 L of oxygen via na
x x x x x x x
sal cannula.2. Assess the client's
x x x x x x
neurological status. x
3. Administer a narcotic analgesic by intravenous push (IVP). 4. Increase the
x x x x x x x x x x x x
client's intravenous (IV)rate. x x x
Rationale
Correct - 2- x x
Because the client is complaining of a headache, the nurse should first rule o
x x x x x x x x x x x x x
ut cerebrovascular accident (CVA) by assess-
x x x x x
ing the client's neurological status and then determinewhether it is a headac
x x x x x x x x x x x x x
he that can be treated with medication.
x x x x x x
. The 6-year-
x x
old client who has undergone abdominal surgery is attempting to make a pinw
x x x x x x x x x x x x
heelspin by blowing on it with the nurse's assistance. The child starts crying b
x x x x x x x x x x x x x x
ecause the pinwheel won't spin. Which action should the nurse implement first
x x x x x x x x x x x
?
1. Praise the child for the attempt to make the pinwheel spin.
x x x x x x x x x x
2. Notify the respiratory therapist to implement incentive spirometry. 3. Enco
x x x x x x x x x
urage the child to turn fromside to side and cough.
x x x x x x x x x x
4. Demonstrate how to make the pinwheel spin by
x x x x x x x x x
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
2
, NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
blowing on it.Rationale x x x
Correct - x
1. The nurse should always praise the child for attempts at cooperation even if t
x x x x x x x x x x x x x x
he child did notaccomplish what the nurse asked.
x x x x x x x x
. The nurse is caring for clients on the pediatric medical unit. Which client shou
x x x x x x x x x x x x x x
ld the nurseassess first?
x x x x
1. The child diagnosed with type 1 diabetes who has a bl
x x x x x x x x x x
ood glucose levelof 180 mg/dL.
x x x x x
2. The child diagnosed with pneumonia who is coughing and
x x x x x x x x x
has a temperature of100°F.
x x x x
3. The child diagnosed with gastroenteritis who has a p
x x x x x x x x
otassium (K+) levelof 3.9 mEq/L. x x x x x
4. The child diagnosed with cystic fibrosis who has a pulse oxi
x x x x x x x x x x
meter reading of 90%.Rationale
x x x x
Correct - x
4. A pulse oximeter reading of less than 93% is significant and indicates hypox
x x x x x x x x x x x x x x
ia, which is lifethreatening; therefore, this child should be assessed first.
x x x x x x x x x x x
The nurse has received the a.m. shift report for clients on a pediatric unit. Whi
x x x x x x x x x x x x x x
NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202 x x x x x x
2/2023 GRADED A+ x x
3
, NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202
x x x x x x
2/2023 GRADED A+
x x
ch medicationshould the nurse administer first?
x x x x x x
1. The third dose of the aminoglycoside antibiotic to the c
x x x x x x x x x
hild diagnosed withmethicillin-
x x x
resistant Staphylococcus aureus (MRSA).
x x x
2. The IVP steroid methylprednisolone (Solu-
x x x x
Medrol) to the child diagnosed withasthma.
x x x x x x
NURSING MISCCritical Thinking HESI A2 - Critical Thinking-
x x x x x x x
Rationale Q & As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100% CORR
x x x x x x x x x x x x
ECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 202
x x x x x x
2/2023 GRADED A+
x x
4
