HESI A2 - Critical Thinking\HESI A2 CRITICAL THINKING V1, V2 AND V3
2024/2025 UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWE
100% CORRECT SOLUTIONS)
Study online at https://quizlet.com/_h8wvmr
1. Rationale 1. The nurse is working in the emergency de-
partment (ED) of a children's medical center.
Correct - 3-The child hit by a car should Which client should the nurse assess first?
be assessed first because he or she may 1. The 1-month-old infant who has developed
have life- threatening injuries that must colic and is crying.
be assessed and treated promptly. 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.
2. A) Note-taking may impede the nurse's 1. In an interview, the nurse may find it nec-
observation of the patient's nonverbal essary to take notes to aid his or her mem-
behaviors. ory later. Which statement is true regarding
note-taking?
Page: 31 Some use of history forms and
note-taking may be unavoidable. But be A) Note-taking may impede the nurse's obser-
aware that note-taking during the inter- vation of the patient's nonverbal behaviors.
view has disadvantages. It breaks eye B) Note-taking allows the patient to continue
contact too often, and it shifts attention at his or her own pace as the nurse records
away from the patient, which diminish- what is said.
es his or her sense of importance. It C) Note-taking allows the nurse to shift at-
also may interrupt the patient's narrative tention away from the patient, resulting in an
flow, and it impedes the observation of increased comfort level.
the patient's nonverbal behavior. D) Note-taking allows the nurse to break eye
contact with the patient, which may increase
his or her level of comfort.
3.
, HESI A2 - Critical Thinking\HESI A2 CRITICAL THINKING V1, V2 AND V3
2024/2025 UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWE
100% CORRECT SOLUTIONS)
Study online at https://quizlet.com/_h8wvmr
Rationale 2. The 8-year-old client diagnosed with a
Correct - 2-Because the client is com- vaso-occlusive sickle cell crisis is complain-
plaining of a headache, the nurse should ing of a severe headache. Which intervention
first rule out cerebrovascular accident should the nurse implement first?
(CVA) by assess- ing the client's neurolog- 1. Administer 6 L of oxygen via nasal cannula.
ical status and then determine whether 2. Assess the client's neurological status.
it is a headache that can be treated with 3. Administer a narcotic analgesic by intra-
medication. venous push (IVP). 4. Increase the client's in-
travenous (IV) rate.
4. D) Open-ended question 2. During an interview, the nurse states, "You
mentioned shortness of breath. Tell me more
Page: 32 The open-ended question asks about that." Which verbal skill is used with this
for narrative information. It states the statement?
topic to be discussed but only in general
terms. The nurse should use it to begin A) Reflection
the interview, to introduce a new section B) Facilitation
of questions, and whenever the person C) Direct question
introduces a new topic. D) Open-ended question
5. Rationale 3. The 6-year-old client who has undergone
abdominal surgery is attempting to make a
Correct -1. The nurse should always pinwheel spin by blowing on it with the nurse's
praise the child for attempts at coopera- assistance. The child starts crying because the
tion even if the child did not accomplish pinwheel won't spin. Which action should the
what the nurse asked. nurse implement first?
1. Praise the child for the attempt to make the
pinwheel spin.
2. Notify the respiratory therapist to imple-
ment incentive spirometry. 3. Encourage the
, HESI A2 - Critical Thinking\HESI A2 CRITICAL THINKING V1, V2 AND V3
2024/2025 UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWE
100% CORRECT SOLUTIONS)
Study online at https://quizlet.com/_h8wvmr
child to turn from side to side and cough.
4. Demonstrate how to make the pinwheel
spin by blowing on it.
6. C) using biased or leading questions. 3. A nurse is taking complete health histo-
ries on all of the patients attending a well-
Page: 36 This is an example of using lead- ness workshop. On the history form, one of
ing or biased questions. Asking, "You the written questions asks, "You don't smoke,
don't smoke, do you?" implies that one drink, or take drugs, do you?" This question is
answer is "better" than another. If the an example of:
person wants to please someone, he or
she is either forced to answer in a way A) talking too much.
corresponding to their implied values or B) using confrontation.
is made to feel guilty when admitting the C) using biased or leading questions.
other answer. D) using blunt language to deal with distaste-
ful topics.
7. Rationale 4. The nurse is caring for clients on the pe-
diatric medical unit. Which client should the
Correct - 4. A pulse oximeter reading of nurse assess first?
less than 93% is significant and indicates 1. The child diagnosed with type 1 diabetes
hypoxia, which is life threatening; there- who has a blood glucose level
fore, this child should be assessed first. of 180 mg/dL.
2. The child diagnosed with pneumonia who
is coughing and has a temperature of
100°F.
3. The child diagnosed with gastroenteritis
who has a potassium (K+) level
of 3.9 mEq/L.
, HESI A2 - Critical Thinking\HESI A2 CRITICAL THINKING V1, V2 AND V3
2024/2025 UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWE
100% CORRECT SOLUTIONS)
Study online at https://quizlet.com/_h8wvmr
4. The child diagnosed with cystic fibrosis who
has a pulse oximeter reading of 90%.
8. D) uncomfortable talking about his son's 4. During an interview, a parent of a hospital-
treatment. ized child is sitting in an open position. As the
interviewer begins to discuss his son's treat-
Page: 37 Note the person's position. An ment, however, he suddenly crosses his arms
open position with the extension of large against his chest and crosses his legs. This
muscle groups shows relaxation, physi- would suggest that the parent is:
cal comfort, and a willingness to share
information. A closed position with the A) just changing positions.
arms and legs crossed tends to look de- B) more comfortable in this position.
fensive and anxious. Note any change in C) tired and needs a break from the interview.
posture. If a person in a relaxed position D) uncomfortable talking about his son's treat-
suddenly tenses, it suggests possible dis- ment.
comfort with the new topic.
9. Rationale 5. The nurse has received the a.m. shift report
for clients on a pediatric unit. Which medica-
Correct - 3-Sliding scale insulin is ordered tion should the nurse administer first?
ac, which is before meals; therefore, this 1. The third dose of the aminoglycoside antibi-
medication must be administered first otic to the child diagnosed with
after receiving the a.m. shift report. methicillin-resistant Staphylococcus aureus
4-Routine medications have a 1-hour lee- (MRSA).
way before and after the scheduled time; 2. The IVP steroid methylprednisolone
therefore, this medication does not have (Solu-Medrol) to the child diagnosed with
to be adminis- tered first. asthma.
3. The sliding scale insulin to the child diag-
nosed with type 1 diabetes mellitus.
4. The stimulant methylphenidate (Ritalin) to a
2024/2025 UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWE
100% CORRECT SOLUTIONS)
Study online at https://quizlet.com/_h8wvmr
1. Rationale 1. The nurse is working in the emergency de-
partment (ED) of a children's medical center.
Correct - 3-The child hit by a car should Which client should the nurse assess first?
be assessed first because he or she may 1. The 1-month-old infant who has developed
have life- threatening injuries that must colic and is crying.
be assessed and treated promptly. 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.
2. A) Note-taking may impede the nurse's 1. In an interview, the nurse may find it nec-
observation of the patient's nonverbal essary to take notes to aid his or her mem-
behaviors. ory later. Which statement is true regarding
note-taking?
Page: 31 Some use of history forms and
note-taking may be unavoidable. But be A) Note-taking may impede the nurse's obser-
aware that note-taking during the inter- vation of the patient's nonverbal behaviors.
view has disadvantages. It breaks eye B) Note-taking allows the patient to continue
contact too often, and it shifts attention at his or her own pace as the nurse records
away from the patient, which diminish- what is said.
es his or her sense of importance. It C) Note-taking allows the nurse to shift at-
also may interrupt the patient's narrative tention away from the patient, resulting in an
flow, and it impedes the observation of increased comfort level.
the patient's nonverbal behavior. D) Note-taking allows the nurse to break eye
contact with the patient, which may increase
his or her level of comfort.
3.
, HESI A2 - Critical Thinking\HESI A2 CRITICAL THINKING V1, V2 AND V3
2024/2025 UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWE
100% CORRECT SOLUTIONS)
Study online at https://quizlet.com/_h8wvmr
Rationale 2. The 8-year-old client diagnosed with a
Correct - 2-Because the client is com- vaso-occlusive sickle cell crisis is complain-
plaining of a headache, the nurse should ing of a severe headache. Which intervention
first rule out cerebrovascular accident should the nurse implement first?
(CVA) by assess- ing the client's neurolog- 1. Administer 6 L of oxygen via nasal cannula.
ical status and then determine whether 2. Assess the client's neurological status.
it is a headache that can be treated with 3. Administer a narcotic analgesic by intra-
medication. venous push (IVP). 4. Increase the client's in-
travenous (IV) rate.
4. D) Open-ended question 2. During an interview, the nurse states, "You
mentioned shortness of breath. Tell me more
Page: 32 The open-ended question asks about that." Which verbal skill is used with this
for narrative information. It states the statement?
topic to be discussed but only in general
terms. The nurse should use it to begin A) Reflection
the interview, to introduce a new section B) Facilitation
of questions, and whenever the person C) Direct question
introduces a new topic. D) Open-ended question
5. Rationale 3. The 6-year-old client who has undergone
abdominal surgery is attempting to make a
Correct -1. The nurse should always pinwheel spin by blowing on it with the nurse's
praise the child for attempts at coopera- assistance. The child starts crying because the
tion even if the child did not accomplish pinwheel won't spin. Which action should the
what the nurse asked. nurse implement first?
1. Praise the child for the attempt to make the
pinwheel spin.
2. Notify the respiratory therapist to imple-
ment incentive spirometry. 3. Encourage the
, HESI A2 - Critical Thinking\HESI A2 CRITICAL THINKING V1, V2 AND V3
2024/2025 UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWE
100% CORRECT SOLUTIONS)
Study online at https://quizlet.com/_h8wvmr
child to turn from side to side and cough.
4. Demonstrate how to make the pinwheel
spin by blowing on it.
6. C) using biased or leading questions. 3. A nurse is taking complete health histo-
ries on all of the patients attending a well-
Page: 36 This is an example of using lead- ness workshop. On the history form, one of
ing or biased questions. Asking, "You the written questions asks, "You don't smoke,
don't smoke, do you?" implies that one drink, or take drugs, do you?" This question is
answer is "better" than another. If the an example of:
person wants to please someone, he or
she is either forced to answer in a way A) talking too much.
corresponding to their implied values or B) using confrontation.
is made to feel guilty when admitting the C) using biased or leading questions.
other answer. D) using blunt language to deal with distaste-
ful topics.
7. Rationale 4. The nurse is caring for clients on the pe-
diatric medical unit. Which client should the
Correct - 4. A pulse oximeter reading of nurse assess first?
less than 93% is significant and indicates 1. The child diagnosed with type 1 diabetes
hypoxia, which is life threatening; there- who has a blood glucose level
fore, this child should be assessed first. of 180 mg/dL.
2. The child diagnosed with pneumonia who
is coughing and has a temperature of
100°F.
3. The child diagnosed with gastroenteritis
who has a potassium (K+) level
of 3.9 mEq/L.
, HESI A2 - Critical Thinking\HESI A2 CRITICAL THINKING V1, V2 AND V3
2024/2025 UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWE
100% CORRECT SOLUTIONS)
Study online at https://quizlet.com/_h8wvmr
4. The child diagnosed with cystic fibrosis who
has a pulse oximeter reading of 90%.
8. D) uncomfortable talking about his son's 4. During an interview, a parent of a hospital-
treatment. ized child is sitting in an open position. As the
interviewer begins to discuss his son's treat-
Page: 37 Note the person's position. An ment, however, he suddenly crosses his arms
open position with the extension of large against his chest and crosses his legs. This
muscle groups shows relaxation, physi- would suggest that the parent is:
cal comfort, and a willingness to share
information. A closed position with the A) just changing positions.
arms and legs crossed tends to look de- B) more comfortable in this position.
fensive and anxious. Note any change in C) tired and needs a break from the interview.
posture. If a person in a relaxed position D) uncomfortable talking about his son's treat-
suddenly tenses, it suggests possible dis- ment.
comfort with the new topic.
9. Rationale 5. The nurse has received the a.m. shift report
for clients on a pediatric unit. Which medica-
Correct - 3-Sliding scale insulin is ordered tion should the nurse administer first?
ac, which is before meals; therefore, this 1. The third dose of the aminoglycoside antibi-
medication must be administered first otic to the child diagnosed with
after receiving the a.m. shift report. methicillin-resistant Staphylococcus aureus
4-Routine medications have a 1-hour lee- (MRSA).
way before and after the scheduled time; 2. The IVP steroid methylprednisolone
therefore, this medication does not have (Solu-Medrol) to the child diagnosed with
to be adminis- tered first. asthma.
3. The sliding scale insulin to the child diag-
nosed with type 1 diabetes mellitus.
4. The stimulant methylphenidate (Ritalin) to a
