HESI A2 CRITICAL THINKING V1, V2 AND V3
2024/2025 UPDATE COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS( 100% CORRECT
SOLUTIONS
The patient: 61 y/o female
situation: the patient has a fever of unknown origin. The nurse administered a
fever-reducing medication 30 mins ago. At this time there has been no decrease
in the patients fever.
The question: what action would be best for the nurse to take? - ans -sponge the
patient with cool water
The patient: 70 y/o make who is relatively healthy
The situation: a liquid medication is prescribed for this patient
The question: prior to administering the prescribed medication, what intervention
has the highest priority? - ans -determine if the patient is allergic to the
medication
the patient: 58 y/o female
the situation: while the nurse is offering the patient her morning medication, she
tells the nurse she does not recall ever taking a pill that was pink colored.
The question: what should the nurse do in response to the patients comment? -
ans -withhold the medication until the prescription is verified
The patients:
1. 63 y/o with burn on the left lower leg who is complaining of pain.
2. a 45 y/o with pneumonia, complaining of shortness of breath
3. 31 y/o with abdominal pain who has just vomited blood.
4. 88 y/o who has right sided paralysis and wants to be helped to the bathroom
immediately
Situation: the nurse is caring for these patients
The questions: who should the nurse see 1st? - ans -45 y/o with pneumonia,
complaining of shortness of breath
(ABCs- Airway, Breathing, Circulation)
The patients
, 1. a 13 y/o female with a kidney infection who reports that there is "lots of blood
in her urine".
2. 18 y/o male with acute alcohol poisoning who is seeing "bugs on the walls"
3. a 21 y/o female with inflammatory bowel disease who has soaked dressing 3
hrs after surgery
4. a 25 y/o male who is sobbing in his room after being told that he has testicular
cancer
Situation: the nurse is caring for these 4 patients
Question: who should the nurse see first? - ans -the 21 y/o who is 3 hrs
postoperative and has a soaked dressing
The patient: A 65 yr old male
The situation: the family brings the patient to the emergency room because he
just took an entire bottle of pills.
The question: what action should the nurse take first? - ans -determine the
patients level of consciousness
The patient: an 80 yr old male who has used continuous oxygen for the past 3
years.
The situation: while making a home visit, the wife tells the nurse that her husband
was doing well on 2 liters of oxygen per min until late last night when he
developed severe shortness of breath on the way to the bathroom.
The question: what action should the nurse take first? - ans -assess the patients
oxygen saturation by pulse oximeter
The patient: 41 y/o male
The situation: the patient is complaining of severe stomach pain and states that
he has been "vomiting all the time".
The question: what should the nurse do first? - ans -administer a prescribed pain
medication
The patient: the wife of a wealthy owner of towns bank.
The situation: the patient and her husband arrive on the unit. While orienting the
patient to the hospital room, the nurse notices that the patient has places a large
amount of cash and some expensive earrings in the drawer of the bedside table.
The question: what is the best action for the nurse to take? - ans -advise the
patient to have her husband take the items home when he leaves
2024/2025 UPDATE COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS( 100% CORRECT
SOLUTIONS
The patient: 61 y/o female
situation: the patient has a fever of unknown origin. The nurse administered a
fever-reducing medication 30 mins ago. At this time there has been no decrease
in the patients fever.
The question: what action would be best for the nurse to take? - ans -sponge the
patient with cool water
The patient: 70 y/o make who is relatively healthy
The situation: a liquid medication is prescribed for this patient
The question: prior to administering the prescribed medication, what intervention
has the highest priority? - ans -determine if the patient is allergic to the
medication
the patient: 58 y/o female
the situation: while the nurse is offering the patient her morning medication, she
tells the nurse she does not recall ever taking a pill that was pink colored.
The question: what should the nurse do in response to the patients comment? -
ans -withhold the medication until the prescription is verified
The patients:
1. 63 y/o with burn on the left lower leg who is complaining of pain.
2. a 45 y/o with pneumonia, complaining of shortness of breath
3. 31 y/o with abdominal pain who has just vomited blood.
4. 88 y/o who has right sided paralysis and wants to be helped to the bathroom
immediately
Situation: the nurse is caring for these patients
The questions: who should the nurse see 1st? - ans -45 y/o with pneumonia,
complaining of shortness of breath
(ABCs- Airway, Breathing, Circulation)
The patients
, 1. a 13 y/o female with a kidney infection who reports that there is "lots of blood
in her urine".
2. 18 y/o male with acute alcohol poisoning who is seeing "bugs on the walls"
3. a 21 y/o female with inflammatory bowel disease who has soaked dressing 3
hrs after surgery
4. a 25 y/o male who is sobbing in his room after being told that he has testicular
cancer
Situation: the nurse is caring for these 4 patients
Question: who should the nurse see first? - ans -the 21 y/o who is 3 hrs
postoperative and has a soaked dressing
The patient: A 65 yr old male
The situation: the family brings the patient to the emergency room because he
just took an entire bottle of pills.
The question: what action should the nurse take first? - ans -determine the
patients level of consciousness
The patient: an 80 yr old male who has used continuous oxygen for the past 3
years.
The situation: while making a home visit, the wife tells the nurse that her husband
was doing well on 2 liters of oxygen per min until late last night when he
developed severe shortness of breath on the way to the bathroom.
The question: what action should the nurse take first? - ans -assess the patients
oxygen saturation by pulse oximeter
The patient: 41 y/o male
The situation: the patient is complaining of severe stomach pain and states that
he has been "vomiting all the time".
The question: what should the nurse do first? - ans -administer a prescribed pain
medication
The patient: the wife of a wealthy owner of towns bank.
The situation: the patient and her husband arrive on the unit. While orienting the
patient to the hospital room, the nurse notices that the patient has places a large
amount of cash and some expensive earrings in the drawer of the bedside table.
The question: what is the best action for the nurse to take? - ans -advise the
patient to have her husband take the items home when he leaves
