HESI A2 CRITICAL THINKING 2026 CLINICAL
JUDGMENT DRILL PACK ANSWER SHEET
◉ Standard 1: Assessment
Answer: "The nurse collects pt health data-the nurse continuously
collects data about health status to monitor for evidence of health
problems and risk factors that may contribute to health problems"
◉ Assessment Standard 1
Answer: 1.Obtain a health history
2.Perform Physical assessment
3.Review records, chart, lab data
4.Interview support systems
5.Review literature
6.Validate assessment data
◉ Standard 2: Diagnosis/Analysis
Answer: "The nurse analyzes the assessment data in determining
diagnosis-the nurse analyzes data to clearly identify actual and/or
potential health problems, risk factors, and strengths."
◉ Standard 3-Outcome Identification
,Answer: "The nurse identifies expected outcomes individualized to
the pt-These include pt goals and identifying interventions to
achieve the outcomes"
◉ Standard 3-Outcome Identification Cont.
Answer: -Mutually formulated with the pt and family
-Attainable with the resources available
-Measurable
-Include a time limit for attainment
◉ Standard 4-Planning
Answer: "The nurse develops a plan of care that prescribes
interventions to attain expected outcomes"
◉ Planning Standard 4
Answer: -Set priorities with the patient
-Develop a long-term or short-term goal
-Select nursing interventions
-Consult with other health care professionals
-Communicate the plan (written, computerized, care map,
interdisciplinary)
◉ Standard 5-Implementation
,Answer: "the nurse implements the interventions identified in the
plan of care"
◉ Implementation
Answer: -Interventions are implemented in a safe and timely
manner
-Interventions are documented
-Patient is continually assessed
◉ Standard 6-Evaluation
Answer: "The nurse evaluates the patient's progress toward
attainment of outcomes-The nurse determines how well the
outcomes have been met and decides whether changes need to be
made."
◉ Evaluation-Standard 6
Answer: -Collect data on the patient's response to interventions
-Compare the patient's response to outcome criteria
-Analyze the reasons for outcomes
-Modify the care plan
◉ Why do nursing care plans?
Answer: Helps us apply the nursing process
, ◉ Philosophy Statement Of Nursing Care Plan
Answer: "The faculty believes professional nursing...through the
diagnosis and treatment of the responses to actual or potential
threats to health and through facilitating human need fulfillment"
◉ Criteria of a Profession
Answer: Enlarge a systematic body of knowledge and improve
education and service through the use of the scientific method
-Nursing process
-Nursing research
-Quality improvement
◉ Directed by the Nurse Practice Act
Answer: -Article 217.11-Standards of Professional Practice
◉ Nurse Practice Act-Shall use a systematic approach to provide
individualized, goal-directed nursing care by:
Answer: a)Performing nursing assessments
b)Making nursing diagnoses which serve as the strategy of care
c)Developing a plan of care based on the assessment and nursing
diagnosis
d)Implementing nursing care
JUDGMENT DRILL PACK ANSWER SHEET
◉ Standard 1: Assessment
Answer: "The nurse collects pt health data-the nurse continuously
collects data about health status to monitor for evidence of health
problems and risk factors that may contribute to health problems"
◉ Assessment Standard 1
Answer: 1.Obtain a health history
2.Perform Physical assessment
3.Review records, chart, lab data
4.Interview support systems
5.Review literature
6.Validate assessment data
◉ Standard 2: Diagnosis/Analysis
Answer: "The nurse analyzes the assessment data in determining
diagnosis-the nurse analyzes data to clearly identify actual and/or
potential health problems, risk factors, and strengths."
◉ Standard 3-Outcome Identification
,Answer: "The nurse identifies expected outcomes individualized to
the pt-These include pt goals and identifying interventions to
achieve the outcomes"
◉ Standard 3-Outcome Identification Cont.
Answer: -Mutually formulated with the pt and family
-Attainable with the resources available
-Measurable
-Include a time limit for attainment
◉ Standard 4-Planning
Answer: "The nurse develops a plan of care that prescribes
interventions to attain expected outcomes"
◉ Planning Standard 4
Answer: -Set priorities with the patient
-Develop a long-term or short-term goal
-Select nursing interventions
-Consult with other health care professionals
-Communicate the plan (written, computerized, care map,
interdisciplinary)
◉ Standard 5-Implementation
,Answer: "the nurse implements the interventions identified in the
plan of care"
◉ Implementation
Answer: -Interventions are implemented in a safe and timely
manner
-Interventions are documented
-Patient is continually assessed
◉ Standard 6-Evaluation
Answer: "The nurse evaluates the patient's progress toward
attainment of outcomes-The nurse determines how well the
outcomes have been met and decides whether changes need to be
made."
◉ Evaluation-Standard 6
Answer: -Collect data on the patient's response to interventions
-Compare the patient's response to outcome criteria
-Analyze the reasons for outcomes
-Modify the care plan
◉ Why do nursing care plans?
Answer: Helps us apply the nursing process
, ◉ Philosophy Statement Of Nursing Care Plan
Answer: "The faculty believes professional nursing...through the
diagnosis and treatment of the responses to actual or potential
threats to health and through facilitating human need fulfillment"
◉ Criteria of a Profession
Answer: Enlarge a systematic body of knowledge and improve
education and service through the use of the scientific method
-Nursing process
-Nursing research
-Quality improvement
◉ Directed by the Nurse Practice Act
Answer: -Article 217.11-Standards of Professional Practice
◉ Nurse Practice Act-Shall use a systematic approach to provide
individualized, goal-directed nursing care by:
Answer: a)Performing nursing assessments
b)Making nursing diagnoses which serve as the strategy of care
c)Developing a plan of care based on the assessment and nursing
diagnosis
d)Implementing nursing care
