HESI A2 Critical Thinking
Questions
1. 1. In an interview, the nurse may find it necessary to take notes to aid his
or her memory later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the
nurse records what is said.
C) Note-taking allows the nurse to shift attention away from the patient,
resulting in an increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient, which
may increase his or her level of comfort.: A) Note-taking may impede the nurse's
observation of the patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable. But be
aware that note-taking during the interview has disadvantages. It breaks eye contact
too often, and it shifts attention away from the patient, which diminishes his or her
sense of importance. It also may interrupt the patient's narrative flow, and it impedes
the observation of the patient's nonverbal behavior.
2. 2. During an interview, the nurse states, "You mentioned shortness of
breath. Tell me more about that." Which verbal skill is used with this
statement?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question: D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states the
topic to be discussed but only in general terms. The nurse should use it to begin
the interview, to introduce a new section of questions, and whenever the person
introduces a new topic.
, HESI A2 Critical Thinking
Questions
3. 3. A nurse is taking complete health histories on all of the patients attending
a wellness workshop. On the history form, one of the written questions asks,
"You don't smoke, drink, or take drugs, do you?" This question is an example
of:
A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics.: C) using biased or
leading questions.
Page: 36 This is an example of using leading or biased questions. Asking, "You
don't smoke, do you?" implies that one answer is "better" than another. If the person
wants to please someone, he or she is either forced to answer in a way
corresponding to their implied values or is made to feel guilty when admitting the
other answer.
4. 4. During an interview, a parent of a hospitalized child is sitting in an open
position. As the interviewer begins to discuss his son's treatment, however,
he suddenly crosses his arms against his chest and crosses his legs. This
would suggest that the parent is:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment.: D) uncomfortable talking
about his son's treatment.
Page: 37 Note the person's position. An open position with the extension of large
muscle groups shows relaxation, physical comfort, and a willingness to share
information. A closed position with the arms and legs crossed tends to look
defensive and anxious. Note any change in posture. If a person in a relaxed position
suddenly tenses, it suggests possible discomfort with the new topic.
, HESI A2 Critical Thinking
Questions
5. 5. The nurse is interviewing a patient who has a hearing impairment. What
techniques would be most beneficial in communicating with this patient?
A) Determine the communication method he prefers.
B) Avoid using facial and hand gestures because most hearing-impaired
people find this degrading.
C) Request a sign language interpreter before meeting with him to help
facilitate the communication.
D) Speak loudly and with exaggerated facial movement when talking with him
because this helps with lip reading.: A) Determine the communication method
he prefers.
Pages: 40-41 The nurse should ask the deaf person the preferred way to
communicate—by signing, lip reading, or writing. If the person prefers lip reading,
then the nurse should be sure to face him or her squarely and have good lighting
on the nurse's face. The nurse should not exaggerate lip movements because this
distorts words. Similarly, shouting distorts the reception of a hearing aid the
person may wear. The nurse should speak slowly and should supplement his or
her voice with appropriate hand gestures or pantomime.
6. 6. The nurse is performing a health interview on a patient who has a
language barrier, and no interpreter is available. Which is the best example
of an appropriate question for the nurse to ask in this situation?
A) "Do you take medicine?"
B) "Do you sterilize the bottles?"
C) "Do you have nausea and vomiting?"
D) "You have been taking your medicine, haven't you?": A) "Do you take
medicine?"
Page: 46 In a situation where there is a language barrier and no interpreter
available, use simple words avoiding medical jargon. Avoid using contractions and
pronouns.
, HESI A2 Critical Thinking
Questions
Use nouns repeatedly and discuss one topic at a time.
7. 7. A female patient does not speak English well, and the nurse needs to
choose an interpreter. Which of the following would be the most appropriate
choice?
A) A trained interpreter
B) A male family member
C) A female family member
D) A volunteer college student from the foreign language studies department-
: A) A trained interpreter
Page: 46 whenever possible, the nurse should use a trained interpreter, preferably
one who knows medical terminology. In general, an older, more mature interpreter
is preferred to a younger, less experienced one, and the same gender is preferred
when possible.
8. 8. The nurse is conducting an interview. Which of these statements is true
regarding open-ended questions? Select all that apply.
A) They elicit cold facts.
B) They allow for self-expression.
C) They build and enhance rapport.
D) They leave interactions neutral.
E) They call for short one- to two-word answers.
F) They are used when narrative information is needed.: B) They allow for self-
expression.
C) They build and enhance rapport.
F) They are used when narrative information
Page: 32 Open-ended questions allow for self-expression, build rapport, and obtain
narrative information. These features enhance communication during an interview.
The other statements are appropriate for closed or direct questions.
Questions
1. 1. In an interview, the nurse may find it necessary to take notes to aid his
or her memory later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the
nurse records what is said.
C) Note-taking allows the nurse to shift attention away from the patient,
resulting in an increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient, which
may increase his or her level of comfort.: A) Note-taking may impede the nurse's
observation of the patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable. But be
aware that note-taking during the interview has disadvantages. It breaks eye contact
too often, and it shifts attention away from the patient, which diminishes his or her
sense of importance. It also may interrupt the patient's narrative flow, and it impedes
the observation of the patient's nonverbal behavior.
2. 2. During an interview, the nurse states, "You mentioned shortness of
breath. Tell me more about that." Which verbal skill is used with this
statement?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question: D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states the
topic to be discussed but only in general terms. The nurse should use it to begin
the interview, to introduce a new section of questions, and whenever the person
introduces a new topic.
, HESI A2 Critical Thinking
Questions
3. 3. A nurse is taking complete health histories on all of the patients attending
a wellness workshop. On the history form, one of the written questions asks,
"You don't smoke, drink, or take drugs, do you?" This question is an example
of:
A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics.: C) using biased or
leading questions.
Page: 36 This is an example of using leading or biased questions. Asking, "You
don't smoke, do you?" implies that one answer is "better" than another. If the person
wants to please someone, he or she is either forced to answer in a way
corresponding to their implied values or is made to feel guilty when admitting the
other answer.
4. 4. During an interview, a parent of a hospitalized child is sitting in an open
position. As the interviewer begins to discuss his son's treatment, however,
he suddenly crosses his arms against his chest and crosses his legs. This
would suggest that the parent is:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment.: D) uncomfortable talking
about his son's treatment.
Page: 37 Note the person's position. An open position with the extension of large
muscle groups shows relaxation, physical comfort, and a willingness to share
information. A closed position with the arms and legs crossed tends to look
defensive and anxious. Note any change in posture. If a person in a relaxed position
suddenly tenses, it suggests possible discomfort with the new topic.
, HESI A2 Critical Thinking
Questions
5. 5. The nurse is interviewing a patient who has a hearing impairment. What
techniques would be most beneficial in communicating with this patient?
A) Determine the communication method he prefers.
B) Avoid using facial and hand gestures because most hearing-impaired
people find this degrading.
C) Request a sign language interpreter before meeting with him to help
facilitate the communication.
D) Speak loudly and with exaggerated facial movement when talking with him
because this helps with lip reading.: A) Determine the communication method
he prefers.
Pages: 40-41 The nurse should ask the deaf person the preferred way to
communicate—by signing, lip reading, or writing. If the person prefers lip reading,
then the nurse should be sure to face him or her squarely and have good lighting
on the nurse's face. The nurse should not exaggerate lip movements because this
distorts words. Similarly, shouting distorts the reception of a hearing aid the
person may wear. The nurse should speak slowly and should supplement his or
her voice with appropriate hand gestures or pantomime.
6. 6. The nurse is performing a health interview on a patient who has a
language barrier, and no interpreter is available. Which is the best example
of an appropriate question for the nurse to ask in this situation?
A) "Do you take medicine?"
B) "Do you sterilize the bottles?"
C) "Do you have nausea and vomiting?"
D) "You have been taking your medicine, haven't you?": A) "Do you take
medicine?"
Page: 46 In a situation where there is a language barrier and no interpreter
available, use simple words avoiding medical jargon. Avoid using contractions and
pronouns.
, HESI A2 Critical Thinking
Questions
Use nouns repeatedly and discuss one topic at a time.
7. 7. A female patient does not speak English well, and the nurse needs to
choose an interpreter. Which of the following would be the most appropriate
choice?
A) A trained interpreter
B) A male family member
C) A female family member
D) A volunteer college student from the foreign language studies department-
: A) A trained interpreter
Page: 46 whenever possible, the nurse should use a trained interpreter, preferably
one who knows medical terminology. In general, an older, more mature interpreter
is preferred to a younger, less experienced one, and the same gender is preferred
when possible.
8. 8. The nurse is conducting an interview. Which of these statements is true
regarding open-ended questions? Select all that apply.
A) They elicit cold facts.
B) They allow for self-expression.
C) They build and enhance rapport.
D) They leave interactions neutral.
E) They call for short one- to two-word answers.
F) They are used when narrative information is needed.: B) They allow for self-
expression.
C) They build and enhance rapport.
F) They are used when narrative information
Page: 32 Open-ended questions allow for self-expression, build rapport, and obtain
narrative information. These features enhance communication during an interview.
The other statements are appropriate for closed or direct questions.
