HESI A2 CRITICAL THINKING EXAM FINAL
SCRIPT 2026 COMPLETE SOLUTION SET
◉ Validating Data Helps the Nurse Avoid Answer: 1.Making
assumptions 2.Missing key info. 3.Misunderstanding the situation
4.Jumping to conclusions or focusing in the wrong direction
5.Making errors in problem identification
◉ Organizing (Clustering) the Data Answer: -Utilize the human
needs framework and nursing process format
1.Organizes data into meaningful clusters
2.A set of signs or symptoms that are grouped together in a logical
order
3.Helps to focus on the identification of the correct patient problem
4.Cues that alert the nurse to help in the generation of the nursing
diagnosis
5.Use Human Needs Framework for deciding about nursing
concerns
6.Use Maslow for deciding about priorities
◉ Identifying Patterns and Testing First Impressions Answer: -Initial
impression of patterns
-Test the impressions and decide if the patterns really are as they
appear
,-Decide what is relevant and focus assessment to gain more
information
-Ask yourself what relevant information might be missing
◉ Reporting and Recording Data Answer: a.Continuity-
Communicate by reporting what you know
b.Accuracy-Timely reporting will keep you from forgetting-write
your notes as you go
c.Critical Thinking-Reporting key data will help others in this
problem solving process
◉ Reporting and Recording-Guidelines to Follow: Answer: a.When in
doubt, ask your instructor or nurse
b.Report abnormal findings as soon as possible
c.Before reporting make sure you have all necessary info. at hand
d.Write down your report
e.Give precise info.-state the facts not your interpretation
f.USE SBAR
◉ SBAR Answer: S: Situation
B: Background
A: Assessment
R: Recommendation
,◉ Types of Assessment Answer: 1.Initial Assessment
2.Focus Assessment
3.Time-Lapsed Reassessment
4.Emergency Assessment
◉ Initial Assessment Answer: -Admission when client enters
healthcare system
-Purpose to evaluate health status and identify health needs that are
unmet
-Must be documented by registered nurse
-Parts may be delegated to non-licensed personnel
◉ Focus Assessment Answer: To collect data about a problem
already identified. Also includes the appraisal of any new,
overlooked, or misdiagnoses problems
◉ Time-lapsed Reassessment Answer: -Evaluate any changes in
patient's human needs
-Performed when long periods of time have elapsed between
assessments (3-12mo)
-Less comprehensive than initial assessment
, ◉ Emergency Assessment Answer: Life-threatening situations-ABC,
suicidal thoughts, social conflict leading to violent acts
◉ Planning the Interview Answer: -Time: pt should be physically
comfortable and free from pain
-Place: have adequate privacy
-Seating arrangement: 45% angle of bed
-Distance: 3-4 ft away
◉ Stages of the Interview Answer: 1.Opening 2.Body of the
Interview 3. Closing (Termination)
◉ Opening Answer: This is where you will establish rapport, give
orientation to what you will be talking about
◉ Bod of the Interview Answer: This is where you will ask open-
ended questions and gather data for you to be able to give the best
possible nursing care
◉ Closing (Termination) Answer: 1.Offer to answer any further
questions
2.Declare completion of the task
3.State appreciation with what was accomplished
4.Express concern for person's welfare/future
SCRIPT 2026 COMPLETE SOLUTION SET
◉ Validating Data Helps the Nurse Avoid Answer: 1.Making
assumptions 2.Missing key info. 3.Misunderstanding the situation
4.Jumping to conclusions or focusing in the wrong direction
5.Making errors in problem identification
◉ Organizing (Clustering) the Data Answer: -Utilize the human
needs framework and nursing process format
1.Organizes data into meaningful clusters
2.A set of signs or symptoms that are grouped together in a logical
order
3.Helps to focus on the identification of the correct patient problem
4.Cues that alert the nurse to help in the generation of the nursing
diagnosis
5.Use Human Needs Framework for deciding about nursing
concerns
6.Use Maslow for deciding about priorities
◉ Identifying Patterns and Testing First Impressions Answer: -Initial
impression of patterns
-Test the impressions and decide if the patterns really are as they
appear
,-Decide what is relevant and focus assessment to gain more
information
-Ask yourself what relevant information might be missing
◉ Reporting and Recording Data Answer: a.Continuity-
Communicate by reporting what you know
b.Accuracy-Timely reporting will keep you from forgetting-write
your notes as you go
c.Critical Thinking-Reporting key data will help others in this
problem solving process
◉ Reporting and Recording-Guidelines to Follow: Answer: a.When in
doubt, ask your instructor or nurse
b.Report abnormal findings as soon as possible
c.Before reporting make sure you have all necessary info. at hand
d.Write down your report
e.Give precise info.-state the facts not your interpretation
f.USE SBAR
◉ SBAR Answer: S: Situation
B: Background
A: Assessment
R: Recommendation
,◉ Types of Assessment Answer: 1.Initial Assessment
2.Focus Assessment
3.Time-Lapsed Reassessment
4.Emergency Assessment
◉ Initial Assessment Answer: -Admission when client enters
healthcare system
-Purpose to evaluate health status and identify health needs that are
unmet
-Must be documented by registered nurse
-Parts may be delegated to non-licensed personnel
◉ Focus Assessment Answer: To collect data about a problem
already identified. Also includes the appraisal of any new,
overlooked, or misdiagnoses problems
◉ Time-lapsed Reassessment Answer: -Evaluate any changes in
patient's human needs
-Performed when long periods of time have elapsed between
assessments (3-12mo)
-Less comprehensive than initial assessment
, ◉ Emergency Assessment Answer: Life-threatening situations-ABC,
suicidal thoughts, social conflict leading to violent acts
◉ Planning the Interview Answer: -Time: pt should be physically
comfortable and free from pain
-Place: have adequate privacy
-Seating arrangement: 45% angle of bed
-Distance: 3-4 ft away
◉ Stages of the Interview Answer: 1.Opening 2.Body of the
Interview 3. Closing (Termination)
◉ Opening Answer: This is where you will establish rapport, give
orientation to what you will be talking about
◉ Bod of the Interview Answer: This is where you will ask open-
ended questions and gather data for you to be able to give the best
possible nursing care
◉ Closing (Termination) Answer: 1.Offer to answer any further
questions
2.Declare completion of the task
3.State appreciation with what was accomplished
4.Express concern for person's welfare/future
