HESI A2 - CRITICAL THINKING GRADE
A+ COMPLETE EXAM QUESTIONS AND
100% VERIFIED ANSWERS (2026/2027)
PASS GUARANTEE
1.CTheCnurseCisCworkingCinCtheCemergencyCdepartmentC(ED)CofCaCchildren'sCmedicalCcenter.CWhichC
clientCshouldCtheCnurseCassessCfirst?
1.CTheC1-month-oldCinfantCwhoChasCdevelopedCcolicCandCisCcrying.
2.CTheC2-year-oldCtoddlerCwhoCwasCbittenCbyCanotherCchildCatCtheCday-careCcenter.C3.CTheC6-year-
oldCschool-ageCchildCwhoCwasChitCbyCaCcarCwhileCridingCaCbicycle.
4.CTheC14-year-oldCadolescentCwhoseCmotherCsuspectsCherCchildCisCsexuallyCactive.C-
CCORRECTCANSWERRationaleC
CorrectC-C3-TheCchildChitCbyCaCcarCshouldCbeCassessedCfirstCbecauseCheCorCsheCmayChaveClife-
CthreateningCinjuriesCthatCmustCbeCassessedCandCtreatedCpromptly.
1.CInCanCinterview,CtheCnurseCmayCfindCitCnecessaryCtoCtakeCnotesCtoCaidChisCorCherCmemoryClater.C
WhichCstatementCisCtrueCregardingCnote-taking?C
A)CNote-takingCmayCimpedeCtheCnurse'sCobservationCofCtheCpatient'sCnonverbalCbehaviors.
B)CNote-
takingCallowsCtheCpatientCtoCcontinueCatChisCorCherCownCpaceCasCtheCnurseCrecordsCwhatCisCsaid.
C)CNote-
takingCallowsCtheCnurseCtoCshiftCattentionCawayCfromCtheCpatient,CresultingCinCanCincreasedCcomfor
tClevel.
D)CNote-
takingCallowsCtheCnurseCtoCbreakCeyeCcontactCwithCtheCpatient,CwhichCmayCincreaseChisCorCherCleve
lCofCcomfort.C-CCORRECTCANSWERA)CNote-
takingCmayCimpedeCtheCnurse'sCobservationCofCtheCpatient'sCnonverbalCbehaviors.
,Page:C31CSomeCuseCofChistoryCformsCandCnote-
takingCmayCbeCunavoidable.CButCbeCawareCthatCnote-
takingCduringCtheCinterviewChasCdisadvantages.CItCbreaksCeyeCcontactCtooCoften,CandCitCshiftsCatten
tionCawayCfromCtheCpatient,CwhichCdiminishesChisCorCherCsenseCofCimportance.CItCalsoCmayCinterru
ptCtheCpatient'sCnarrativeCflow,CandCitCimpedesCtheCobservationCofCtheCpatient'sCnonverbalCbehavi
or.
2.CTheC8-year-oldCclientCdiagnosedCwithCaCvaso-
occlusiveCsickleCcellCcrisisCisCcomplainingCofCaCsevereCheadache.CWhichCinterventionCshouldCtheCnu
rseCimplementCfirst?
1.CAdministerC6CLCofCoxygenCviaCnasalCcannula.
2.CAssessCtheCclient'sCneurologicalCstatus.
3.CAdministerCaCnarcoticCanalgesicCbyCintravenousCpushC(IVP).C4.CIncreaseCtheCclient'sCintravenousC
(IV)Crate.C-CCORRECTCANSWERRationaleC
CorrectC-C2-
BecauseCtheCclientCisCcomplainingCofCaCheadache,CtheCnurseCshouldCfirstCruleCoutCcerebrovascularC
accidentC(CVA)CbyCassess-
CingCtheCclient'sCneurologicalCstatusCandCthenCdetermineCwhetherCitCisCaCheadacheCthatCcanCbeCtre
atedCwithCmedication.
2.CDuringCanCinterview,CtheCnurseCstates,C"YouCmentionedCshortnessCofCbreath.CTellCmeCmoreCabou
tCthat."CWhichCverbalCskillCisCusedCwithCthisCstatement?
A)CReflection
B)CFacilitation
C)CDirectCquestion
D)COpen-endedCquestionC-CCORRECTCANSWERD)COpen-endedCquestion
Page:C32CTheCopen-
endedCquestionCasksCforCnarrativeCinformation.CItCstatesCtheCtopicCtoCbeCdiscussedCbutConlyCinCgen
,eralCterms.CTheCnurseCshouldCuseCitCtoCbeginCtheCinterview,CtoCintroduceCaCnewCsectionCofCquestio
ns,CandCwheneverCtheCpersonCintroducesCaCnewCtopic.
3.CTheC6-year-
oldCclientCwhoChasCundergoneCabdominalCsurgeryCisCattemptingCtoCmakeCaCpinwheelCspinCbyCblowi
ngConCitCwithCtheCnurse'sCassistance.CTheCchildCstartsCcryingCbecauseCtheCpinwheelCwon'tCspin.CWh
ichCactionCshouldCtheCnurseCimplementCfirst?
1.CPraiseCtheCchildCforCtheCattemptCtoCmakeCtheCpinwheelCspin.
2.CNotifyCtheCrespiratoryCtherapistCtoCimplementCincentiveCspirometry.C3.CEncourageCtheCchildCtoCt
urnCfromCsideCtoCsideCandCcough.
4.CDemonstrateChowCtoCmakeCtheCpinwheelCspinCbyCblowingConCit.C-CCORRECTCANSWERRationaleC
CorrectC-
1.CTheCnurseCshouldCalwaysCpraiseCtheCchildCforCattemptsCatCcooperationCevenCifCtheCchildCdidCnotC
accomplishCwhatCtheCnurseCasked.
3.CACnurseCisCtakingCcompleteChealthChistoriesConCallCofCtheCpatientsCattendingCaCwellnessCworksho
p.COnCtheChistoryCform,ConeCofCtheCwrittenCquestionsCasks,C"YouCdon'tCsmoke,Cdrink,CorCtakeCdrugs,
CdoCyou?"CThisCquestionCisCanCexampleCof:
A)CtalkingCtooCmuch.
B)CusingCconfrontation.
C)CusingCbiasedCorCleadingCquestions.
D)CusingCbluntClanguageCtoCdealCwithCdistastefulCtopics.C-
CCORRECTCANSWERC)CusingCbiasedCorCleadingCquestions.
Page:C36CThisCisCanCexampleCofCusingCleadingCorCbiasedCquestions.CAsking,C"YouCdon'tCsmoke,CdoCy
ou?"CimpliesCthatConeCanswerCisC"better"CthanCanother.CIfCtheCpersonCwantsCtoCpleaseCsomeone,Ch
eCorCsheCisCeitherCforcedCtoCanswerCinCaCwayCcorrespondingCtoCtheirCimpliedCvaluesCorCisCmadeCtoCf
eelCguiltyCwhenCadmittingCtheCotherCanswer.
, 4.CTheCnurseCisCcaringCforCclientsConCtheCpediatricCmedicalCunit.CWhichCclientCshouldCtheCnurseCass
essCfirst?
1.CTheCchildCdiagnosedCwithCtypeC1CdiabetesCwhoChasCaCbloodCglucoseClevel
ofC180Cmg/dL.
2.CTheCchildCdiagnosedCwithCpneumoniaCwhoCisCcoughingCandChasCaCtemperatureCof
100°F.
3.CTheCchildCdiagnosedCwithCgastroenteritisCwhoChasCaCpotassiumC(K+)Clevel
ofC3.9CmEq/L.
4.CTheCchildCdiagnosedCwithCcysticCfibrosisCwhoChasCaCpulseCoximeterCreadingCofC90%.C-
CCORRECTCANSWERRationaleC
CorrectC-
C4.CACpulseCoximeterCreadingCofClessCthanC93%CisCsignificantCandCindicatesChypoxia,CwhichCisClifeCthr
eatening;Ctherefore,CthisCchildCshouldCbeCassessedCfirst.
4.CDuringCanCinterview,CaCparentCofCaChospitalizedCchildCisCsittingCinCanCopenCposition.CAsCtheCinterv
iewerCbeginsCtoCdiscussChisCson'sCtreatment,Chowever,CheCsuddenlyCcrossesChisCarmsCagainstChisCc
hestCandCcrossesChisClegs.CThisCwouldCsuggestCthatCtheCparentCis:
A)CjustCchangingCpositions.
B)CmoreCcomfortableCinCthisCposition.
C)CtiredCandCneedsCaCbreakCfromCtheCinterview.
D)CuncomfortableCtalkingCaboutChisCson'sCtreatment.C-
CCORRECTCANSWERD)CuncomfortableCtalkingCaboutChisCson'sCtreatment.
Page:C37CNoteCtheCperson'sCposition.CAnCopenCpositionCwithCtheCextensionCofClargeCmuscleCgroups
CshowsCrelaxation,CphysicalCcomfort,CandCaCwillingnessCtoCshareCinformation.CACclosedCpositionCwit
hCtheCarmsCandClegsCcrossedCtendsCtoClookCdefensiveCandCanxious.CNoteCanyCchangeCinCposture.CIfC
A+ COMPLETE EXAM QUESTIONS AND
100% VERIFIED ANSWERS (2026/2027)
PASS GUARANTEE
1.CTheCnurseCisCworkingCinCtheCemergencyCdepartmentC(ED)CofCaCchildren'sCmedicalCcenter.CWhichC
clientCshouldCtheCnurseCassessCfirst?
1.CTheC1-month-oldCinfantCwhoChasCdevelopedCcolicCandCisCcrying.
2.CTheC2-year-oldCtoddlerCwhoCwasCbittenCbyCanotherCchildCatCtheCday-careCcenter.C3.CTheC6-year-
oldCschool-ageCchildCwhoCwasChitCbyCaCcarCwhileCridingCaCbicycle.
4.CTheC14-year-oldCadolescentCwhoseCmotherCsuspectsCherCchildCisCsexuallyCactive.C-
CCORRECTCANSWERRationaleC
CorrectC-C3-TheCchildChitCbyCaCcarCshouldCbeCassessedCfirstCbecauseCheCorCsheCmayChaveClife-
CthreateningCinjuriesCthatCmustCbeCassessedCandCtreatedCpromptly.
1.CInCanCinterview,CtheCnurseCmayCfindCitCnecessaryCtoCtakeCnotesCtoCaidChisCorCherCmemoryClater.C
WhichCstatementCisCtrueCregardingCnote-taking?C
A)CNote-takingCmayCimpedeCtheCnurse'sCobservationCofCtheCpatient'sCnonverbalCbehaviors.
B)CNote-
takingCallowsCtheCpatientCtoCcontinueCatChisCorCherCownCpaceCasCtheCnurseCrecordsCwhatCisCsaid.
C)CNote-
takingCallowsCtheCnurseCtoCshiftCattentionCawayCfromCtheCpatient,CresultingCinCanCincreasedCcomfor
tClevel.
D)CNote-
takingCallowsCtheCnurseCtoCbreakCeyeCcontactCwithCtheCpatient,CwhichCmayCincreaseChisCorCherCleve
lCofCcomfort.C-CCORRECTCANSWERA)CNote-
takingCmayCimpedeCtheCnurse'sCobservationCofCtheCpatient'sCnonverbalCbehaviors.
,Page:C31CSomeCuseCofChistoryCformsCandCnote-
takingCmayCbeCunavoidable.CButCbeCawareCthatCnote-
takingCduringCtheCinterviewChasCdisadvantages.CItCbreaksCeyeCcontactCtooCoften,CandCitCshiftsCatten
tionCawayCfromCtheCpatient,CwhichCdiminishesChisCorCherCsenseCofCimportance.CItCalsoCmayCinterru
ptCtheCpatient'sCnarrativeCflow,CandCitCimpedesCtheCobservationCofCtheCpatient'sCnonverbalCbehavi
or.
2.CTheC8-year-oldCclientCdiagnosedCwithCaCvaso-
occlusiveCsickleCcellCcrisisCisCcomplainingCofCaCsevereCheadache.CWhichCinterventionCshouldCtheCnu
rseCimplementCfirst?
1.CAdministerC6CLCofCoxygenCviaCnasalCcannula.
2.CAssessCtheCclient'sCneurologicalCstatus.
3.CAdministerCaCnarcoticCanalgesicCbyCintravenousCpushC(IVP).C4.CIncreaseCtheCclient'sCintravenousC
(IV)Crate.C-CCORRECTCANSWERRationaleC
CorrectC-C2-
BecauseCtheCclientCisCcomplainingCofCaCheadache,CtheCnurseCshouldCfirstCruleCoutCcerebrovascularC
accidentC(CVA)CbyCassess-
CingCtheCclient'sCneurologicalCstatusCandCthenCdetermineCwhetherCitCisCaCheadacheCthatCcanCbeCtre
atedCwithCmedication.
2.CDuringCanCinterview,CtheCnurseCstates,C"YouCmentionedCshortnessCofCbreath.CTellCmeCmoreCabou
tCthat."CWhichCverbalCskillCisCusedCwithCthisCstatement?
A)CReflection
B)CFacilitation
C)CDirectCquestion
D)COpen-endedCquestionC-CCORRECTCANSWERD)COpen-endedCquestion
Page:C32CTheCopen-
endedCquestionCasksCforCnarrativeCinformation.CItCstatesCtheCtopicCtoCbeCdiscussedCbutConlyCinCgen
,eralCterms.CTheCnurseCshouldCuseCitCtoCbeginCtheCinterview,CtoCintroduceCaCnewCsectionCofCquestio
ns,CandCwheneverCtheCpersonCintroducesCaCnewCtopic.
3.CTheC6-year-
oldCclientCwhoChasCundergoneCabdominalCsurgeryCisCattemptingCtoCmakeCaCpinwheelCspinCbyCblowi
ngConCitCwithCtheCnurse'sCassistance.CTheCchildCstartsCcryingCbecauseCtheCpinwheelCwon'tCspin.CWh
ichCactionCshouldCtheCnurseCimplementCfirst?
1.CPraiseCtheCchildCforCtheCattemptCtoCmakeCtheCpinwheelCspin.
2.CNotifyCtheCrespiratoryCtherapistCtoCimplementCincentiveCspirometry.C3.CEncourageCtheCchildCtoCt
urnCfromCsideCtoCsideCandCcough.
4.CDemonstrateChowCtoCmakeCtheCpinwheelCspinCbyCblowingConCit.C-CCORRECTCANSWERRationaleC
CorrectC-
1.CTheCnurseCshouldCalwaysCpraiseCtheCchildCforCattemptsCatCcooperationCevenCifCtheCchildCdidCnotC
accomplishCwhatCtheCnurseCasked.
3.CACnurseCisCtakingCcompleteChealthChistoriesConCallCofCtheCpatientsCattendingCaCwellnessCworksho
p.COnCtheChistoryCform,ConeCofCtheCwrittenCquestionsCasks,C"YouCdon'tCsmoke,Cdrink,CorCtakeCdrugs,
CdoCyou?"CThisCquestionCisCanCexampleCof:
A)CtalkingCtooCmuch.
B)CusingCconfrontation.
C)CusingCbiasedCorCleadingCquestions.
D)CusingCbluntClanguageCtoCdealCwithCdistastefulCtopics.C-
CCORRECTCANSWERC)CusingCbiasedCorCleadingCquestions.
Page:C36CThisCisCanCexampleCofCusingCleadingCorCbiasedCquestions.CAsking,C"YouCdon'tCsmoke,CdoCy
ou?"CimpliesCthatConeCanswerCisC"better"CthanCanother.CIfCtheCpersonCwantsCtoCpleaseCsomeone,Ch
eCorCsheCisCeitherCforcedCtoCanswerCinCaCwayCcorrespondingCtoCtheirCimpliedCvaluesCorCisCmadeCtoCf
eelCguiltyCwhenCadmittingCtheCotherCanswer.
, 4.CTheCnurseCisCcaringCforCclientsConCtheCpediatricCmedicalCunit.CWhichCclientCshouldCtheCnurseCass
essCfirst?
1.CTheCchildCdiagnosedCwithCtypeC1CdiabetesCwhoChasCaCbloodCglucoseClevel
ofC180Cmg/dL.
2.CTheCchildCdiagnosedCwithCpneumoniaCwhoCisCcoughingCandChasCaCtemperatureCof
100°F.
3.CTheCchildCdiagnosedCwithCgastroenteritisCwhoChasCaCpotassiumC(K+)Clevel
ofC3.9CmEq/L.
4.CTheCchildCdiagnosedCwithCcysticCfibrosisCwhoChasCaCpulseCoximeterCreadingCofC90%.C-
CCORRECTCANSWERRationaleC
CorrectC-
C4.CACpulseCoximeterCreadingCofClessCthanC93%CisCsignificantCandCindicatesChypoxia,CwhichCisClifeCthr
eatening;Ctherefore,CthisCchildCshouldCbeCassessedCfirst.
4.CDuringCanCinterview,CaCparentCofCaChospitalizedCchildCisCsittingCinCanCopenCposition.CAsCtheCinterv
iewerCbeginsCtoCdiscussChisCson'sCtreatment,Chowever,CheCsuddenlyCcrossesChisCarmsCagainstChisCc
hestCandCcrossesChisClegs.CThisCwouldCsuggestCthatCtheCparentCis:
A)CjustCchangingCpositions.
B)CmoreCcomfortableCinCthisCposition.
C)CtiredCandCneedsCaCbreakCfromCtheCinterview.
D)CuncomfortableCtalkingCaboutChisCson'sCtreatment.C-
CCORRECTCANSWERD)CuncomfortableCtalkingCaboutChisCson'sCtreatment.
Page:C37CNoteCtheCperson'sCposition.CAnCopenCpositionCwithCtheCextensionCofClargeCmuscleCgroups
CshowsCrelaxation,CphysicalCcomfort,CandCaCwillingnessCtoCshareCinformation.CACclosedCpositionCwit
hCtheCarmsCandClegsCcrossedCtendsCtoClookCdefensiveCandCanxious.CNoteCanyCchangeCinCposture.CIfC