HESI CRITICAL THINKING 2026
EXAMINATION TEST QUESTIONS AND
ANSWERS ADVANCED LEARNING
RESOURCE
◉ 20. The RN and the UAP are caring for clients on a pediatric
surgical unit. Which tasks would be most appropriate to delegate to
the UAP? Select all that apply.
1. Pass dietary trays to the clients.
2. Obtain routine vital signs on the clients.
3. Complete the preoperative checklist.
4. Change linens on the clients' beds.
5. Document the clients' intake and output.
Answer: 1, 2, 4, and 5 are correct.
1. The UAP can pass the dietary trays to
the clients because it does not require
judgment.
2. One of the responsibilities of the UAP is
taking routine vital signs on clients.
3. The nurse must complete the preoperative checklist because it
requires nursing judg- ment to determine whether the client is ready
for surgery.
,4. One of the responsibilities of the UAP is changing bed linens.
5. The UAP can document the client's in- take and output, but the
UAP cannot evaluate the numbers.
◉ 20. When the nurse is evaluating the reliability of a patient's
responses, which of these statements would be correct? The patient:
A. has a history of drug abuse and therefore is not reliable.
B. provided consistent information and therefore is reliable.
C. smiled throughout interview and therefore is assumed reliable.
D. would not answer questions concerning stress and therefore is
not reliable.
Answer: B. provided consistent information and therefore is reliable.
Page: 50. A reliable person always gives the same answers, even
when questions are rephrased or are repeated later in the interview.
The other statements are not correct.
◉ 21. Which client should the charge nurse on the pediatric unit
assign to the most experienced nurse?
1. The 4-year-old child diagnosed with hemophilia receiving factor
VIII.
2. The 8-year-old child with headaches who is scheduled for a CT
scan.
,3. The 6-year-old child recovering from a sickle cell crisis.
4. The 11-year-old child newly diagnosed with rheumatoid arthritis.
Answer: 1-The administration of blood products does not require
the most experienced nurse.
2-Preparing a child for a routine procedure does not require the
most experienced nurse.
3-The child recovering from a sickle cell crisis would not require the
most experienced nurse.
**4-The child newly diagnosed with a chronic disease, which will
have acute exacerba- tions, requires extensive teaching; there- fore,
the most experienced nurse should be assigned to this child and
family.
◉ 21. In recording the childhood illnesses of a patient who denies
having had any, which note by the nurse would be most accurate?
A. Patient denies usual childhood illnesses.
B. Patient states he was a "very healthy" child.
C. Patient states sister had measles, but he didn't.
D. Patient denies measles, mumps, rubella, chickenpox, pertussis,
and strep throat.
Answer: D. Patient denies measles, mumps, rubella, chickenpox,
pertussis, and strep throat.
, Page: 51. Childhood illnesses include measles, mumps, rubella,
chickenpox, pertussis, and strep throat. Avoid recording "usual
childhood illnesses" because an illness common in the person's
childhood may be unusual today (e.g., measles).
◉ 22. The charge nurse is making shift assignments on a pediatric
oncology unit. Which delegation/assignment would be most
appropriate?
1. Delegate the unlicensed assistive personnel (UAP) to obtain
routine blood work
from the central line.
2. Instruct the licensed practical nurse (LPN) to contact the leukemia
support group.
3. Assign the chemotherapy-certified RN to administer
chemotherapeutic medication.
4. Have the dietitian check the meal trays for the amount eaten.
Answer: 1-Only an RN can withdraw blood from a
central line.
2. The social worker or case manager is respon-
sible for referring clients to support groups. This is not an expected
responsibility of a floor nurse/LPN.
**3. Only chemotherapy-certified RNs can administer antineoplastic,
chemothera- peutic medications. This is a national minimal standard
of care according to the Oncology Nursing Society.
EXAMINATION TEST QUESTIONS AND
ANSWERS ADVANCED LEARNING
RESOURCE
◉ 20. The RN and the UAP are caring for clients on a pediatric
surgical unit. Which tasks would be most appropriate to delegate to
the UAP? Select all that apply.
1. Pass dietary trays to the clients.
2. Obtain routine vital signs on the clients.
3. Complete the preoperative checklist.
4. Change linens on the clients' beds.
5. Document the clients' intake and output.
Answer: 1, 2, 4, and 5 are correct.
1. The UAP can pass the dietary trays to
the clients because it does not require
judgment.
2. One of the responsibilities of the UAP is
taking routine vital signs on clients.
3. The nurse must complete the preoperative checklist because it
requires nursing judg- ment to determine whether the client is ready
for surgery.
,4. One of the responsibilities of the UAP is changing bed linens.
5. The UAP can document the client's in- take and output, but the
UAP cannot evaluate the numbers.
◉ 20. When the nurse is evaluating the reliability of a patient's
responses, which of these statements would be correct? The patient:
A. has a history of drug abuse and therefore is not reliable.
B. provided consistent information and therefore is reliable.
C. smiled throughout interview and therefore is assumed reliable.
D. would not answer questions concerning stress and therefore is
not reliable.
Answer: B. provided consistent information and therefore is reliable.
Page: 50. A reliable person always gives the same answers, even
when questions are rephrased or are repeated later in the interview.
The other statements are not correct.
◉ 21. Which client should the charge nurse on the pediatric unit
assign to the most experienced nurse?
1. The 4-year-old child diagnosed with hemophilia receiving factor
VIII.
2. The 8-year-old child with headaches who is scheduled for a CT
scan.
,3. The 6-year-old child recovering from a sickle cell crisis.
4. The 11-year-old child newly diagnosed with rheumatoid arthritis.
Answer: 1-The administration of blood products does not require
the most experienced nurse.
2-Preparing a child for a routine procedure does not require the
most experienced nurse.
3-The child recovering from a sickle cell crisis would not require the
most experienced nurse.
**4-The child newly diagnosed with a chronic disease, which will
have acute exacerba- tions, requires extensive teaching; there- fore,
the most experienced nurse should be assigned to this child and
family.
◉ 21. In recording the childhood illnesses of a patient who denies
having had any, which note by the nurse would be most accurate?
A. Patient denies usual childhood illnesses.
B. Patient states he was a "very healthy" child.
C. Patient states sister had measles, but he didn't.
D. Patient denies measles, mumps, rubella, chickenpox, pertussis,
and strep throat.
Answer: D. Patient denies measles, mumps, rubella, chickenpox,
pertussis, and strep throat.
, Page: 51. Childhood illnesses include measles, mumps, rubella,
chickenpox, pertussis, and strep throat. Avoid recording "usual
childhood illnesses" because an illness common in the person's
childhood may be unusual today (e.g., measles).
◉ 22. The charge nurse is making shift assignments on a pediatric
oncology unit. Which delegation/assignment would be most
appropriate?
1. Delegate the unlicensed assistive personnel (UAP) to obtain
routine blood work
from the central line.
2. Instruct the licensed practical nurse (LPN) to contact the leukemia
support group.
3. Assign the chemotherapy-certified RN to administer
chemotherapeutic medication.
4. Have the dietitian check the meal trays for the amount eaten.
Answer: 1-Only an RN can withdraw blood from a
central line.
2. The social worker or case manager is respon-
sible for referring clients to support groups. This is not an expected
responsibility of a floor nurse/LPN.
**3. Only chemotherapy-certified RNs can administer antineoplastic,
chemothera- peutic medications. This is a national minimal standard
of care according to the Oncology Nursing Society.
