HESI A2 CRITICAL THINKING V1, V2 AND V3
2024/2025
The Patient: A 65-year-old man.
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? --answers--Determine the patient's level of
consciousness.
The Patient: An 80-year-old male who has used
continuous oxygen for the past three 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 minute until late night when he
developed severe shortness of breath on the way to
the bathroom.
,The Question: What action should the nurse take
first? --answers--Assess the patient's oxygen
saturation by pulse oximeter.
The Patient: A 41-year-old 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? --
answers--Administer a prescribed pain medication.
The Patient: The wife of a wealthy owner of the
town's 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 placed 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? --answers--Advise the patient to have her
husband take the items home when he leaves.
The Patient: A 45-year-old female who is 5'2" tall,
weighs 200 pounds, and has smoked since age 21.
The Situation: The patient comes to the clinic with a
complaint of "leg pain."
The Question: It is most important for the nurse do
obtain information about which previous
occurrence? --answers--A previous blood clot in the
leg.
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 ago. At this time there has
been no decrease in the patient's fever.
2024/2025
The Patient: A 65-year-old man.
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? --answers--Determine the patient's level of
consciousness.
The Patient: An 80-year-old male who has used
continuous oxygen for the past three 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 minute until late night when he
developed severe shortness of breath on the way to
the bathroom.
,The Question: What action should the nurse take
first? --answers--Assess the patient's oxygen
saturation by pulse oximeter.
The Patient: A 41-year-old 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? --
answers--Administer a prescribed pain medication.
The Patient: The wife of a wealthy owner of the
town's 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 placed 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? --answers--Advise the patient to have her
husband take the items home when he leaves.
The Patient: A 45-year-old female who is 5'2" tall,
weighs 200 pounds, and has smoked since age 21.
The Situation: The patient comes to the clinic with a
complaint of "leg pain."
The Question: It is most important for the nurse do
obtain information about which previous
occurrence? --answers--A previous blood clot in the
leg.
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 ago. At this time there has
been no decrease in the patient's fever.
