3/3/26, 8:17
PM
HESI A2 - CRITICAL THINKING EXAM WITH CORRECT ANSWERED QUESTIONS 20226/2027 UPDATE.
1. The
nurse is working in the emergency
department
Rationale (ED) of a children's medical
center. Which client should
the nurse assess first? Correct - 3-The child hit by a car should be assessed
first because he or she
1. The 1-month-old infant who has developed
colic and may have life- threatening injuries that must be
assessed and treated promptly. 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.
1. In an interview, the nurse may find it necessary
to take A) Note-taking may impede the nurse's observation
of the patient's nonverbal notes to aid his or her memory later. Which statement is
behaviors.
true regarding note-taking?
Page: 31 Some use of history forms and note-taking
may be unavoidable. But
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A) Note-taking may impede the nurse's observation of be aware that note-taking
during the interview has disadvantages. It breaks eye the patient's nonverbal behaviors.
contact too often, and it shifts attention away from the patient, which diminishes
B) Note-taking allows the patient to continue at his or his or her sense of
importance. It also may interrupt the patient's narrative flow, her own pace as the nurse
records what is said. and it impedes the observation of the patient's
nonverbal behavior.
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.
2. The 8-year-old client diagnosed with a vaso- Rationale
occlusive sickle cell crisis is complaining of a severe Correct - 2-Because the client is
complaining of a headache, the nurse should headache. Which intervention should the
nurse first rule out cerebrovascular accident (CVA) by
assess- ing the client's
implement first? neurological status and then determine whether it is a
headache that can be
1. Administer 6 L of oxygen via nasal cannula. treated
with medication.
2. Assess the client's neurological status.
3. Administer a narcotic analgesic by
intravenous push (IVP). 4. Increase
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the client's intravenous (IV) rate.
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2. During an interview, the nurse states, "You
mentioned D) Open-ended
question shortness of breath. Tell me more about
that." Which
verbal skill is used with this statement? 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
A) Reflection begin the interview, to introduce a new section of
questions, and whenever the
B) Facilitation person introduces a new topic.
C) Direct question
D) Open-ended question
3. The 6-year-old client who has
undergone abdominal
Rationale surgery is attempting to make a
pinwheel spin by
blowing on it with the nurse's assistance. The child starts Correct -1. The nurse
should always praise the child for attempts at cooperation crying because the pinwheel
won't spin. Which action even if the child did not accomplish what the
nurse asked.
should the nurse implement first?
1. Praise the child for the attempt
to make the pinwheel spin.
2. Notify the respiratory
https://quizlet.com/438369198/hesi-a2-critical-thinking- 4/80
flash-cards/
PM
HESI A2 - CRITICAL THINKING EXAM WITH CORRECT ANSWERED QUESTIONS 20226/2027 UPDATE.
1. The
nurse is working in the emergency
department
Rationale (ED) of a children's medical
center. Which client should
the nurse assess first? Correct - 3-The child hit by a car should be assessed
first because he or she
1. The 1-month-old infant who has developed
colic and may have life- threatening injuries that must be
assessed and treated promptly. 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.
1. In an interview, the nurse may find it necessary
to take A) Note-taking may impede the nurse's observation
of the patient's nonverbal notes to aid his or her memory later. Which statement is
behaviors.
true regarding note-taking?
Page: 31 Some use of history forms and note-taking
may be unavoidable. But
https://quizlet.com/438369198/hesi-a2-critical-thinking- 1/80
flash-cards/
,3/3/26, 8:17
PM
A) Note-taking may impede the nurse's observation of be aware that note-taking
during the interview has disadvantages. It breaks eye the patient's nonverbal behaviors.
contact too often, and it shifts attention away from the patient, which diminishes
B) Note-taking allows the patient to continue at his or his or her sense of
importance. It also may interrupt the patient's narrative flow, her own pace as the nurse
records what is said. and it impedes the observation of the patient's
nonverbal behavior.
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.
2. The 8-year-old client diagnosed with a vaso- Rationale
occlusive sickle cell crisis is complaining of a severe Correct - 2-Because the client is
complaining of a headache, the nurse should headache. Which intervention should the
nurse first rule out cerebrovascular accident (CVA) by
assess- ing the client's
implement first? neurological status and then determine whether it is a
headache that can be
1. Administer 6 L of oxygen via nasal cannula. treated
with medication.
2. Assess the client's neurological status.
3. Administer a narcotic analgesic by
intravenous push (IVP). 4. Increase
https://quizlet.com/438369198/hesi-a2-critical-thinking- 2/80
flash-cards/
,3/3/26, 8:17
PM
the client's intravenous (IV) rate.
https://quizlet.com/438369198/hesi-a2-critical-thinking- 3/80
flash-cards/
, 3/3/26, 8:17
PM
2. During an interview, the nurse states, "You
mentioned D) Open-ended
question shortness of breath. Tell me more about
that." Which
verbal skill is used with this statement? 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
A) Reflection begin the interview, to introduce a new section of
questions, and whenever the
B) Facilitation person introduces a new topic.
C) Direct question
D) Open-ended question
3. The 6-year-old client who has
undergone abdominal
Rationale surgery is attempting to make a
pinwheel spin by
blowing on it with the nurse's assistance. The child starts Correct -1. The nurse
should always praise the child for attempts at cooperation crying because the pinwheel
won't spin. Which action even if the child did not accomplish what the
nurse asked.
should the nurse implement first?
1. Praise the child for the attempt
to make the pinwheel spin.
2. Notify the respiratory
https://quizlet.com/438369198/hesi-a2-critical-thinking- 4/80
flash-cards/
