HESI A2 - CRITICAL THINKING EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
Rationale
1. 1. The nurse is working in the
emergency department (ED) Correct - 3-The child hit by a car should be assessed first
of a children's medical center. because he or she may have life- threatening injuries that
Which client should the nurse must be assessed and treated promptly.
assess first?
1. The 1-month-old infant who
has developed colic and is cry-
ing.
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 rid-
ing a bicycle.
4. The 14-year-old adolescent
whose mother suspects her
child is sexually active.
A) Note-taking may impede the nurse's observation of the
2. 1. In an interview, the nurse
patient's nonverbal behaviors.
may find it necessary to take
notes to aid his or her memory Page: 31 Some use of history forms and note-taking may be
later. Which statement is true unavoidable. But be aware that note-taking during the inter-
regarding note-taking? view has disadvantages. It breaks eye contact too often, and
it shifts attention away from the patient, which diminishes his
A) Note-taking may impede
or her sense of importance. It also may interrupt the patient's
the nurse's observation of
the patient's nonverbal behav- narrative flow, and it impedes the observation of the patient's
iors. what is said.
B) Note-taking allows the pa-
tient to continue at his or her
own pace as the nurse records
, HESI A2 - CRITICAL THINKING EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
nonverbal behavior.
, HESI A2 - CRITICAL THINKING EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
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 in-
crease his or her level of com-
fort.
3. 2. The 8-year-old client diag- Rationale
nosed with a vaso-occlusive Correct - 2-Because the client is complaining of a headache,
sickle cell crisis is complaining the nurse should first rule out cerebrovascular accident (CVA)
of a severe headache. Which by assess- ing the client's neurological status and then de-
intervention should the nurse termine whether it is a headache that can be treated with
implement first? medication.
1. Administer 6 L of oxygen via
nasal cannula.
2. Assess the client's neurolog-
ical status.
3. Administer a narcotic anal-
gesic by intravenous push
(IVP). 4. Increase the client's in-
travenous (IV) rate.
4. 2. During an interview, the D) Open-ended question
nurse states, "You mentioned
shortness of breath. Tell me Page: 32 The open-ended question asks for narrative infor-
more about that." Which ver- mation. It states the topic to be discussed but only in general
bal skill is used with this state- terms. The nurse should use it to begin the interview, to in-
ment? troduce a new section of questions, and whenever the person
introduces a new topic.
, HESI A2 - CRITICAL THINKING EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question
5. 3. The 6-year-old client who Rationale
has undergone abdominal
surgery is attempting to make Correct -1. The nurse should always praise the child for at-
a pinwheel spin by blowing tempts at cooperation even if the child did not accomplish
on it with the nurse's assis- what the nurse asked.
tance. The child starts crying
because the pinwheel won't
spin. Which action should the
nurse implement first?
1. Praise the child for the at-
tempt to make the pinwheel
spin.
2. Notify the respiratory ther-
apist 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.
6. 3. A nurse is taking com- C) using biased or leading questions.
plete health histories on all of
the patients attending a well- Page: 36 This is an example of using leading or biased
ness workshop. On the history questions. Asking, "You don't smoke, do you?" implies that
form, one of the written ques- tions asks, "You don't smoke,
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
Rationale
1. 1. The nurse is working in the
emergency department (ED) Correct - 3-The child hit by a car should be assessed first
of a children's medical center. because he or she may have life- threatening injuries that
Which client should the nurse must be assessed and treated promptly.
assess first?
1. The 1-month-old infant who
has developed colic and is cry-
ing.
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 rid-
ing a bicycle.
4. The 14-year-old adolescent
whose mother suspects her
child is sexually active.
A) Note-taking may impede the nurse's observation of the
2. 1. In an interview, the nurse
patient's nonverbal behaviors.
may find it necessary to take
notes to aid his or her memory Page: 31 Some use of history forms and note-taking may be
later. Which statement is true unavoidable. But be aware that note-taking during the inter-
regarding note-taking? view has disadvantages. It breaks eye contact too often, and
it shifts attention away from the patient, which diminishes his
A) Note-taking may impede
or her sense of importance. It also may interrupt the patient's
the nurse's observation of
the patient's nonverbal behav- narrative flow, and it impedes the observation of the patient's
iors. what is said.
B) Note-taking allows the pa-
tient to continue at his or her
own pace as the nurse records
, HESI A2 - CRITICAL THINKING EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
nonverbal behavior.
, HESI A2 - CRITICAL THINKING EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
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 in-
crease his or her level of com-
fort.
3. 2. The 8-year-old client diag- Rationale
nosed with a vaso-occlusive Correct - 2-Because the client is complaining of a headache,
sickle cell crisis is complaining the nurse should first rule out cerebrovascular accident (CVA)
of a severe headache. Which by assess- ing the client's neurological status and then de-
intervention should the nurse termine whether it is a headache that can be treated with
implement first? medication.
1. Administer 6 L of oxygen via
nasal cannula.
2. Assess the client's neurolog-
ical status.
3. Administer a narcotic anal-
gesic by intravenous push
(IVP). 4. Increase the client's in-
travenous (IV) rate.
4. 2. During an interview, the D) Open-ended question
nurse states, "You mentioned
shortness of breath. Tell me Page: 32 The open-ended question asks for narrative infor-
more about that." Which ver- mation. It states the topic to be discussed but only in general
bal skill is used with this state- terms. The nurse should use it to begin the interview, to in-
ment? troduce a new section of questions, and whenever the person
introduces a new topic.
, HESI A2 - CRITICAL THINKING EXAM WITH ALL
CORRECT & VERIFIED ANSWERS (UPDATED TO PASS)
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question
5. 3. The 6-year-old client who Rationale
has undergone abdominal
surgery is attempting to make Correct -1. The nurse should always praise the child for at-
a pinwheel spin by blowing tempts at cooperation even if the child did not accomplish
on it with the nurse's assis- what the nurse asked.
tance. The child starts crying
because the pinwheel won't
spin. Which action should the
nurse implement first?
1. Praise the child for the at-
tempt to make the pinwheel
spin.
2. Notify the respiratory ther-
apist 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.
6. 3. A nurse is taking com- C) using biased or leading questions.
plete health histories on all of
the patients attending a well- Page: 36 This is an example of using leading or biased
ness workshop. On the history questions. Asking, "You don't smoke, do you?" implies that
form, one of the written ques- tions asks, "You don't smoke,
