Hesi Critical Thinking V2 2025
The Patient: A 65-year- old male.
The Situation: The family brings the pa-
tient to the emergency room because he Determine the patient's level of con-
just took an entire bottle of pills. sciousness.
The Question: What action should the
nurse take first?
The Patient: An 80 year-old male who
has used continuous oxygen for the past
three years.
The Situation: While making a home vis-
it, the wife tells the nurse that her hus-
Assess the patient's oxygen saturation
band was doing well on 2 litres of oxygen
by pulse oximeter.
per minute 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?
The Patient: A 41-year-old male.
The Situation: The patient is complaining
of severe stomach pain and states that
Administer a prescribed pain medication.
he has been "vomiting all the time."
The Question: What should the nurse do
first?
The Patient: The wife of a wealthy owner
of the town's bank.
The Situation: The patient and her hus-
band arrive on the unit. While orient-
ing the patient to the hospital room, the
Advise the patient to have her husband
nurse notices that the patient has placed
take the items home when he leaves.
a large amount of cash and some expen-
sive earrings in the drawer of the bedside
table.
The Question: What is the best action for
the nurse to take?
The Patient: A 45-year-old female who is
5' 2" tall, weighs 200 pounds, and has
smoked since age 21.
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, Hesi Critical Thinking V2 2025
The Situation: The patient comes to the
clinic with a complaint of "leg pain."
The Question: It is most important for the A previous blood clot in the leg.
nurse to obtain information about which
previous occurrence?
The Patient: A 61-year-old female.
The Situation: The patient has a fever of
unknown origin. The nurse administered
a fever-reducing medication 30 minutes
Sponge the patient with cool water.
ago. At this time there has been no de-
crease in the patient's fever.
The Question: What action would be best
for the nurse to take?
The Patient: A 70-year-old male who is
relatively healthy.
The Situation: A liquid mediation is pre-
Determine if the patient is allergic to the
scribed for this patient.
medication.
The Question: Prior to administering the
prescribed medication, what intervention
has the highest priority?
The Patient: A fifty-eight-year-old female.
The Situation: While the nurse is offering
the patient her morning medications, she
Withhold the mediation until the patient's
tells the nurse that she does not recall
prescription is verify.
ever taking a pill that was pink-colored.
The Question: What should the nurse do
in response to this patient's comment?
The Patients:
1. A 63-year-old with a burn on the left
lower leg who is complaining of pain.
2. A 45-year-old with pneumonia, com-
plaining of shortness of breath.
The 45-years old with pneumonia and
3. A 31-year-old with abdominal pain
shortness of breath.
who has just vomited blood.
4. An 88-year-old who has right-sided
paralysis and wants to be helped to the
bathroom immediately.
The Situation: The nurse is caring for
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The Patient: A 65-year- old male.
The Situation: The family brings the pa-
tient to the emergency room because he Determine the patient's level of con-
just took an entire bottle of pills. sciousness.
The Question: What action should the
nurse take first?
The Patient: An 80 year-old male who
has used continuous oxygen for the past
three years.
The Situation: While making a home vis-
it, the wife tells the nurse that her hus-
Assess the patient's oxygen saturation
band was doing well on 2 litres of oxygen
by pulse oximeter.
per minute 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?
The Patient: A 41-year-old male.
The Situation: The patient is complaining
of severe stomach pain and states that
Administer a prescribed pain medication.
he has been "vomiting all the time."
The Question: What should the nurse do
first?
The Patient: The wife of a wealthy owner
of the town's bank.
The Situation: The patient and her hus-
band arrive on the unit. While orient-
ing the patient to the hospital room, the
Advise the patient to have her husband
nurse notices that the patient has placed
take the items home when he leaves.
a large amount of cash and some expen-
sive earrings in the drawer of the bedside
table.
The Question: What is the best action for
the nurse to take?
The Patient: A 45-year-old female who is
5' 2" tall, weighs 200 pounds, and has
smoked since age 21.
1/8
, Hesi Critical Thinking V2 2025
The Situation: The patient comes to the
clinic with a complaint of "leg pain."
The Question: It is most important for the A previous blood clot in the leg.
nurse to obtain information about which
previous occurrence?
The Patient: A 61-year-old female.
The Situation: The patient has a fever of
unknown origin. The nurse administered
a fever-reducing medication 30 minutes
Sponge the patient with cool water.
ago. At this time there has been no de-
crease in the patient's fever.
The Question: What action would be best
for the nurse to take?
The Patient: A 70-year-old male who is
relatively healthy.
The Situation: A liquid mediation is pre-
Determine if the patient is allergic to the
scribed for this patient.
medication.
The Question: Prior to administering the
prescribed medication, what intervention
has the highest priority?
The Patient: A fifty-eight-year-old female.
The Situation: While the nurse is offering
the patient her morning medications, she
Withhold the mediation until the patient's
tells the nurse that she does not recall
prescription is verify.
ever taking a pill that was pink-colored.
The Question: What should the nurse do
in response to this patient's comment?
The Patients:
1. A 63-year-old with a burn on the left
lower leg who is complaining of pain.
2. A 45-year-old with pneumonia, com-
plaining of shortness of breath.
The 45-years old with pneumonia and
3. A 31-year-old with abdominal pain
shortness of breath.
who has just vomited blood.
4. An 88-year-old who has right-sided
paralysis and wants to be helped to the
bathroom immediately.
The Situation: The nurse is caring for
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