NURSING MISCCRITICAL THINKING HESI A2 - CRITICAL THINKING-
RATIONALE Q & AS) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
HESI A2 - Critical Thinking- Rationale
. The nurse is working in the emergency department (ED) of a children's
medical center. Which client should the nurse assess first?
1. The 1-month-old infant who has developed colic and is crying.
2. The 2-year-old toddler who was bitten by another child at the day-care
center. 3. The 6-year-old school-age child who was hit by a car while
riding a bicycle.
4. The 14-year-old adolescent whose mother suspects her child is
sexually active. Rationale
Correct - 3-The child hit by a car should be assessed first because he or she
may have life- threatening injuries that must be assessed and treated
promptly.
. The 8-year-old client diagnosed with a vaso-occlusive sickle cell crisis is
complaining of a severe headache. Which intervention should the nurse
implement first?
1. Administer 6 L of oxygen via
nasal cannula. 2. Assess the
client's neurological status.
3. Administer a narcotic analgesic by intravenous push (IVP). 4. Increase
the client's intravenous (IV) rate.
1
, NURSING MISCCRITICAL THINKING HESI A2 - CRITICAL THINKING-
RATIONALE Q & AS) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
Rationale
Correct - 2-Because the client is complaining of a headache, the nurse
should first rule out cerebrovascular accident (CVA) by assess- ing the
client's neurological status and then determine whether it is a headache
that can be treated with medication.
. The 6-year-old client who has undergone abdominal surgery is attempting
to make a pinwheel spin by blowing on it with the nurse's assistance. The
child starts crying because the pinwheel won't spin. Which action should the
nurse implement first?
1. Praise the child for the attempt to make the pinwheel spin.
2. Notify the respiratory therapist to implement incentive spirometry. 3.
Encourage the child to turn from side to side and cough.
4. Demonstrate how to make the pinwheel spin
by blowing on it. Rationale
Correct -1. The nurse should always praise the child for attempts at
cooperation even if the child did not accomplish what the nurse asked.
. The nurse is caring for clients on the pediatric medical unit. Which client
should the nurse assess first?
1. The child diagnosed with type 1 diabetes who has a
blood glucose level of 180 mg/dL.
2. The child diagnosed with pneumonia who is coughing
and has a temperature of 100°F.
2
, NURSING MISCCRITICAL THINKING HESI A2 - CRITICAL THINKING-
RATIONALE Q & AS) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
3. The child diagnosed with gastroenteritis who has a
potassium (K+) level of 3.9 mEq/L.
4. The child diagnosed with cystic fibrosis who has a pulse
oximeter reading of 90%. Rationale
Correct - 4. A pulse oximeter reading of less than 93% is significant and
indicates hypoxia, which is life threatening; therefore, this child should be
assessed first.
The nurse has received the a.m. shift report for clients on a pediatric unit.
Which medication should the nurse administer first?
1. The third dose of the aminoglycoside antibiotic to the
child diagnosed with methicillin-resistant
Staphylococcus aureus (MRSA).
2. The IVP steroid methylprednisolone (Solu-Medrol) to the
child diagnosed with asthma.
3
, NURSING MISCCRITICAL THINKING HESI A2 - CRITICAL THINKING-
RATIONALE Q & AS) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
3. The sliding scale insulin to the child diagnosed with type 1 diabetes
mellitus.
4. The stimulant methylphenidate (Ritalin) to a child
diagnosed with attention deficit-hyperactivity disorder
(ADHD).
Rationale
Correct - 3-Sliding scale insulin is ordered ac, which is before meals;
therefore, this medication must be administered first after receiving the a.m.
shift report.
4-Routine medications have a 1-hour leeway before and after the scheduled
time; therefore, this medication does not have to be adminis- tered first.
. The nurse enters the client's room and realizes the 9-month-old infant is not
breath- ing. Which interventions should the nurse implement? Prioritize the
nurse's actions from first (1) to last (5).
1. Perform cardiac compression 30:2.
2. Check the infant's brachial pulse. 3. Administer two puffs to
the infant. 4. Determine unresponsiveness.
5. Open the infant's
airway. Rationale
Correct Answer: 4, 5, 3, 2, 1
4. The nurse must first determine the infant's responsiveness by thumping
the baby's feet.
5. The nurse should then open the child's airway using the head-tilt chin-lift
4
RATIONALE Q & AS) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
HESI A2 - Critical Thinking- Rationale
. The nurse is working in the emergency department (ED) of a children's
medical center. Which client should the nurse assess first?
1. The 1-month-old infant who has developed colic and is crying.
2. The 2-year-old toddler who was bitten by another child at the day-care
center. 3. The 6-year-old school-age child who was hit by a car while
riding a bicycle.
4. The 14-year-old adolescent whose mother suspects her child is
sexually active. Rationale
Correct - 3-The child hit by a car should be assessed first because he or she
may have life- threatening injuries that must be assessed and treated
promptly.
. The 8-year-old client diagnosed with a vaso-occlusive sickle cell crisis is
complaining of a severe headache. Which intervention should the nurse
implement first?
1. Administer 6 L of oxygen via
nasal cannula. 2. Assess the
client's neurological status.
3. Administer a narcotic analgesic by intravenous push (IVP). 4. Increase
the client's intravenous (IV) rate.
1
, NURSING MISCCRITICAL THINKING HESI A2 - CRITICAL THINKING-
RATIONALE Q & AS) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
Rationale
Correct - 2-Because the client is complaining of a headache, the nurse
should first rule out cerebrovascular accident (CVA) by assess- ing the
client's neurological status and then determine whether it is a headache
that can be treated with medication.
. The 6-year-old client who has undergone abdominal surgery is attempting
to make a pinwheel spin by blowing on it with the nurse's assistance. The
child starts crying because the pinwheel won't spin. Which action should the
nurse implement first?
1. Praise the child for the attempt to make the pinwheel spin.
2. Notify the respiratory therapist to implement incentive spirometry. 3.
Encourage the child to turn from side to side and cough.
4. Demonstrate how to make the pinwheel spin
by blowing on it. Rationale
Correct -1. The nurse should always praise the child for attempts at
cooperation even if the child did not accomplish what the nurse asked.
. The nurse is caring for clients on the pediatric medical unit. Which client
should the nurse assess first?
1. The child diagnosed with type 1 diabetes who has a
blood glucose level of 180 mg/dL.
2. The child diagnosed with pneumonia who is coughing
and has a temperature of 100°F.
2
, NURSING MISCCRITICAL THINKING HESI A2 - CRITICAL THINKING-
RATIONALE Q & AS) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
3. The child diagnosed with gastroenteritis who has a
potassium (K+) level of 3.9 mEq/L.
4. The child diagnosed with cystic fibrosis who has a pulse
oximeter reading of 90%. Rationale
Correct - 4. A pulse oximeter reading of less than 93% is significant and
indicates hypoxia, which is life threatening; therefore, this child should be
assessed first.
The nurse has received the a.m. shift report for clients on a pediatric unit.
Which medication should the nurse administer first?
1. The third dose of the aminoglycoside antibiotic to the
child diagnosed with methicillin-resistant
Staphylococcus aureus (MRSA).
2. The IVP steroid methylprednisolone (Solu-Medrol) to the
child diagnosed with asthma.
3
, NURSING MISCCRITICAL THINKING HESI A2 - CRITICAL THINKING-
RATIONALE Q & AS) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
3. The sliding scale insulin to the child diagnosed with type 1 diabetes
mellitus.
4. The stimulant methylphenidate (Ritalin) to a child
diagnosed with attention deficit-hyperactivity disorder
(ADHD).
Rationale
Correct - 3-Sliding scale insulin is ordered ac, which is before meals;
therefore, this medication must be administered first after receiving the a.m.
shift report.
4-Routine medications have a 1-hour leeway before and after the scheduled
time; therefore, this medication does not have to be adminis- tered first.
. The nurse enters the client's room and realizes the 9-month-old infant is not
breath- ing. Which interventions should the nurse implement? Prioritize the
nurse's actions from first (1) to last (5).
1. Perform cardiac compression 30:2.
2. Check the infant's brachial pulse. 3. Administer two puffs to
the infant. 4. Determine unresponsiveness.
5. Open the infant's
airway. Rationale
Correct Answer: 4, 5, 3, 2, 1
4. The nurse must first determine the infant's responsiveness by thumping
the baby's feet.
5. The nurse should then open the child's airway using the head-tilt chin-lift
4
