HESI A2 Critical Thinking Exam with Questions and Verified Solutions

HESI A2 Critical Thinking Exam with Questions and Verified Solutions 56. The nurse is caring for clients in a pediatric emergency department (ED). Which client should the nurse assess first? 1. The child with a dog bite on the left hand who is bleeding. 2. The child who has a laceration on the right side of the forehead. 3. The child with a fractured tibia who will not move the foot. 4. The child who has ingested a bottle of prenatal vitamins. ANSWER 1. A dog bite is an emergency, but it is not life threatening; therefore, this child would not be assessed first. 2. The child with a head laceration must be assessed, but not before a child who might die of medication poisoning. 3. The child with a fractured tibia would not be expected to move the foot. **4. A child who ingested a bottle of prenatal vitamins presents a medication poisoning that is a potentially life-threatening situa- tion. This child must be assessed first to determine how many vitamins were taken, how long ago they were taken, and whether or not the vitamins contained iron. The child's neurological status must also be assessed. 54. A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment, the nurse might expect to see which assessment finding? A) Anasarca B) Scleroderma C) Pedal erythema D) Clubbing of the nails ANSWER D) Clubbing of the nails