HESI A2 - CRITICAL THINKING QUESTIONS AND
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60. The nurse is caring for clients on a psychiatric pediatric unit. Which action by the nurse is
reportable to the state board of nursing?
1. The nurse leaves for lunch and does not return to complete the shift.
2. The nurse fails to check the ID band when administering medications.
3. The nurse has had three documented medication errors in the last 3 months. 4. The nurse
has admitted to having an affair with another staff member. - CORRECT ANSWERS **1.
Abandonment is a reportable offense to the state board of nursing in every state. Reportable
offenses could result in stipulations made to the nurse's license.
2. This is failure to follow the five rights of medication administration, but it is not a reportable
offense.
3. Multiple medication errors are a manage- ment issue, not a reportable offense.
4.Having an affair with a fellow employee is not a reportable offense.
58. A patient has been admitted for severe psoriasis. The nurse can expect to see what finding
in the patient's fingernails?
A) Splinter hemorrhages
B) Paronychia
C) Pitting
D) Beau lines - CORRECT ANSWERS C) Pitting
Pages: 248-250. Pitting nails are characterized by sharply defined pitting and crumbling of the
nails with distal detachment, and they are associated with psoriasis. See Table 12-13 for
descriptions of the other terms.
,HESI A2 - CRITICAL THINKING QUESTIONS AND
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61. The nurse is working in a free healthcare clinic. Which client situation warrants further
investigation?
1. The child diagnosed with rheumatoid arthritis who is wearing a copper bracelet.
2. The mother of a child with a sunburn who is using juice from an aloe vera plant on
the burn.
3. The grandmother who reports rubbing Vick's Vapo-Rub on the child's chest for
a cold.
4. The father who tells the nurse that the child receives a variety of herbs every day. -
CORRECT ANSWERS 1. A copper bracelet may or may not help the child with
rheumatoid arthritis, but because it will not hurt the child, it does not warrant further
investigation.
2. Aloe vera is used in many topical burn prepa- rations; therefore, this practice would not
warrant further investigation.
3. Vick's VapoRub may or may not help the child's cold, but, because it will not hurt the child, it
does not warrant further investigation.
**4. Herbal products are not regulated by the Food and Drug Administration, and there is very
little (if any) research on herbal use with children. The nurse should at least investigate which
herbs the child is receiving before taking further action.
59. The nurse suspects that a patient has hyperthyroidism and laboratory data indicate that the
patient's thyroxine and tri-iodothyronine hormone levels are elevated. Which of these findings
would the nurse most likely find on examination?
A) Tachycardia
B) Constipation
C) Rapid dyspnea
D) Atrophied nodular thyroid - CORRECT ANSWERS A) Tachycardia
,HESI A2 - CRITICAL THINKING QUESTIONS AND
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Thyroxine and tri-iodothyronine are thyroid hormones that stimulate the rate of cellular
metabolism, resulting in tachycardia. With an enlarged thyroid as in hyperthyroidism, the nurse
might expect to find diffuse enlargement (goiter) or a nodular lump, but not an atrophied gland.
Dyspnea and constipation are not findings associated with hyperthyroidism.
62. The unlicensed assistive personnel (UAP) tells the primary nurse that the 4-year-old child is
alone in the room because the mother went to the cafeteria to get something to eat. Which
action should the nurse implement first?
1. Arrange for the mother to have a tray sent to the room.
2. Go to the cafeteria and ask the mother to return to the room. 3. Tell the UAP to stay with the
child until the mother returns. 4. Notify social services that the mother left the child alone. -
CORRECT ANSWERS 1.This is an appropriate nursing intervention so that the mother
will not have to leave her child, but it is not the first intervention. The child's safety is priority.
2. The nurse could go to the cafeteria and tell the mother to return to the room, but during this
time the UAP should stay with the child.
**3. The child's safety is priority; therefore, the nurse should have the UAP stay with the child
until the mother returns.
4. Social services would not need to be notified at this time. If the mother continually leaves the
child alone, then this would be an appropriate action.
60. During an examination, the nurse knows that Paget's disease would be indicated by which
of these assessment findings?
A) Positive Macewen sign
B) Premature closure of the sagittal suture
C) Headache, vertigo, tinnitus, and deafness
, HESI A2 - CRITICAL THINKING QUESTIONS AND
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D) Elongated head with heavy eyebrow ridge - CORRECT ANSWERS C) Headache,
vertigo, tinnitus, and deafness
Paget's disease occurs more often in males and is characterized by bowed long bones, sudden
fractures, and enlarging skull bones that press on cranial nerves causing symptoms of
headache, vertigo, tinnitus, and progressive deafness.
63. The nurse is evaluating an 18-month-old child in the pediatric clinic. Which data would
indicate to the nurse that the child is not meeting tasks according to Erikson's Stages of
Psychosocial Development?
1. The child stamps his or her foot and says "no" frequently.
2. The child does not interact with the mother.
3. The child cries when the mother leaves the room. 4. The child responds when called by
name. - CORRECT ANSWERS 1.An 18-month-old child should be throwing temper
tantrums. This indicates the child is developing a sense of autonomy.
**2.An 18-month-old child should cling to the mother and interact continuously with the
primary caregiver. A child not interacting with the mother is not meeting the task of developing
a sense of autonomy.
3.The child has met the task of trust when he or she cries if the mother leaves the room.
4.When a child responds to his or her name, it indicates a sense of identity; therefore, the task
is met.
61. A woman comes to the clinic and states, "I've been sick for so long! My eyes have gotten so
puffy, and my eyebrows and hair have become coarse and dry." The nurse will assess for other
signs and symptoms of:
A) cachexia.
ANSWERS LATEST DOWNLOADED 2025/2026 A
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60. The nurse is caring for clients on a psychiatric pediatric unit. Which action by the nurse is
reportable to the state board of nursing?
1. The nurse leaves for lunch and does not return to complete the shift.
2. The nurse fails to check the ID band when administering medications.
3. The nurse has had three documented medication errors in the last 3 months. 4. The nurse
has admitted to having an affair with another staff member. - CORRECT ANSWERS **1.
Abandonment is a reportable offense to the state board of nursing in every state. Reportable
offenses could result in stipulations made to the nurse's license.
2. This is failure to follow the five rights of medication administration, but it is not a reportable
offense.
3. Multiple medication errors are a manage- ment issue, not a reportable offense.
4.Having an affair with a fellow employee is not a reportable offense.
58. A patient has been admitted for severe psoriasis. The nurse can expect to see what finding
in the patient's fingernails?
A) Splinter hemorrhages
B) Paronychia
C) Pitting
D) Beau lines - CORRECT ANSWERS C) Pitting
Pages: 248-250. Pitting nails are characterized by sharply defined pitting and crumbling of the
nails with distal detachment, and they are associated with psoriasis. See Table 12-13 for
descriptions of the other terms.
,HESI A2 - CRITICAL THINKING QUESTIONS AND
ANSWERS LATEST DOWNLOADED 2025/2026 A
COMPLETE EXAM SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR SUCCESS
61. The nurse is working in a free healthcare clinic. Which client situation warrants further
investigation?
1. The child diagnosed with rheumatoid arthritis who is wearing a copper bracelet.
2. The mother of a child with a sunburn who is using juice from an aloe vera plant on
the burn.
3. The grandmother who reports rubbing Vick's Vapo-Rub on the child's chest for
a cold.
4. The father who tells the nurse that the child receives a variety of herbs every day. -
CORRECT ANSWERS 1. A copper bracelet may or may not help the child with
rheumatoid arthritis, but because it will not hurt the child, it does not warrant further
investigation.
2. Aloe vera is used in many topical burn prepa- rations; therefore, this practice would not
warrant further investigation.
3. Vick's VapoRub may or may not help the child's cold, but, because it will not hurt the child, it
does not warrant further investigation.
**4. Herbal products are not regulated by the Food and Drug Administration, and there is very
little (if any) research on herbal use with children. The nurse should at least investigate which
herbs the child is receiving before taking further action.
59. The nurse suspects that a patient has hyperthyroidism and laboratory data indicate that the
patient's thyroxine and tri-iodothyronine hormone levels are elevated. Which of these findings
would the nurse most likely find on examination?
A) Tachycardia
B) Constipation
C) Rapid dyspnea
D) Atrophied nodular thyroid - CORRECT ANSWERS A) Tachycardia
,HESI A2 - CRITICAL THINKING QUESTIONS AND
ANSWERS LATEST DOWNLOADED 2025/2026 A
COMPLETE EXAM SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR SUCCESS
Thyroxine and tri-iodothyronine are thyroid hormones that stimulate the rate of cellular
metabolism, resulting in tachycardia. With an enlarged thyroid as in hyperthyroidism, the nurse
might expect to find diffuse enlargement (goiter) or a nodular lump, but not an atrophied gland.
Dyspnea and constipation are not findings associated with hyperthyroidism.
62. The unlicensed assistive personnel (UAP) tells the primary nurse that the 4-year-old child is
alone in the room because the mother went to the cafeteria to get something to eat. Which
action should the nurse implement first?
1. Arrange for the mother to have a tray sent to the room.
2. Go to the cafeteria and ask the mother to return to the room. 3. Tell the UAP to stay with the
child until the mother returns. 4. Notify social services that the mother left the child alone. -
CORRECT ANSWERS 1.This is an appropriate nursing intervention so that the mother
will not have to leave her child, but it is not the first intervention. The child's safety is priority.
2. The nurse could go to the cafeteria and tell the mother to return to the room, but during this
time the UAP should stay with the child.
**3. The child's safety is priority; therefore, the nurse should have the UAP stay with the child
until the mother returns.
4. Social services would not need to be notified at this time. If the mother continually leaves the
child alone, then this would be an appropriate action.
60. During an examination, the nurse knows that Paget's disease would be indicated by which
of these assessment findings?
A) Positive Macewen sign
B) Premature closure of the sagittal suture
C) Headache, vertigo, tinnitus, and deafness
, HESI A2 - CRITICAL THINKING QUESTIONS AND
ANSWERS LATEST DOWNLOADED 2025/2026 A
COMPLETE EXAM SOLUTION ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR SUCCESS
D) Elongated head with heavy eyebrow ridge - CORRECT ANSWERS C) Headache,
vertigo, tinnitus, and deafness
Paget's disease occurs more often in males and is characterized by bowed long bones, sudden
fractures, and enlarging skull bones that press on cranial nerves causing symptoms of
headache, vertigo, tinnitus, and progressive deafness.
63. The nurse is evaluating an 18-month-old child in the pediatric clinic. Which data would
indicate to the nurse that the child is not meeting tasks according to Erikson's Stages of
Psychosocial Development?
1. The child stamps his or her foot and says "no" frequently.
2. The child does not interact with the mother.
3. The child cries when the mother leaves the room. 4. The child responds when called by
name. - CORRECT ANSWERS 1.An 18-month-old child should be throwing temper
tantrums. This indicates the child is developing a sense of autonomy.
**2.An 18-month-old child should cling to the mother and interact continuously with the
primary caregiver. A child not interacting with the mother is not meeting the task of developing
a sense of autonomy.
3.The child has met the task of trust when he or she cries if the mother leaves the room.
4.When a child responds to his or her name, it indicates a sense of identity; therefore, the task
is met.
61. A woman comes to the clinic and states, "I've been sick for so long! My eyes have gotten so
puffy, and my eyebrows and hair have become coarse and dry." The nurse will assess for other
signs and symptoms of:
A) cachexia.
