NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
The 3-year-old client has been admitted to the pediatric unit.
Which task should the nurse instruct the unlicensed assistive
personnel (UAP) to perform first?
Correct - 1.The first intervention after the child is ad- mitted to
the unit is to orient the parents and child to the room, the call
system, and the hospital rules, such as not leaving the child
alone in the room.
The clinic nurse is preparing to administer an intramuscular
(IM) injection to the 2- year-old toddler. Which intervention
should the nurse implement first?
Correct - 2-The nurse must explain any procedure in words the
child can understand. It does not matter how old the child is.
. The nurse is writing a care plan for the 5-year-old child diagnosed
with gastroenteritis. Which client problem is priority?
Correct - 2-The child diagnosed with gastroenteritis is at high risk
for hypovolemic shock resulting from vomiting and diarrhea;
therefore, maintaining fluid and elec- trolyte homeostasis is
priority.
Which data would warrant immediate intervention from
the pediatric nurse? 1. Proteinuria for the child diagnosed
with nephrotic syndrome.
Correct - 3-Drooling indicates the child is having trouble
swallowing, and the epiglottis is at risk of completely occluding
NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
,NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
the air- way. This warrants immediate interven- tion. The nurse
should notify the HCP and obtain an emergency tracheostomy
tray for the bedside.
Which client should the pediatric nurse assess first after
receiving the a.m. shift report? 4. The 13-month-old child
diagnosed with diarrhea who has sunken eyeballs and
decreased urine
output. Rationale
Correct - 4. Sunken eyeballs and decreased urine out- put are
signs of dehydration, which is a life-threatening complication of
diarrhea; therefore, this child should be assessed first.
The pediatric clinic nurse is triaging telephone calls. Which
client's parent should the nurse call first?
1. The 4-month-old child who had immunizations yesterday and
the parent is report- ing a high-pitched cry and a 103°F fever.
Correct 1-A high fever and high-pitched crying may indicate a
reaction to the immunizations; therefore, this parent needs to be
called first to bring the child to the clinic.
The nurse is working in the emergency department (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
NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
,NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
because he or she may have life- threatening injuries that must
be assessed and treated promptly.
The 8-year-old client diagnosed with a vaso-occlusive sickle cell
crisis is complaining of a severe headache. Which intervention
should the nurse implement first?
Correct - 2-Because the client is complaining of a headache, the
nurse should first rule out cerebrovascular accident (CVA) by
assess- ing the client's neurological status and then determine
whether it is a headache that can be treated with medication.
The 6-year-old client who has undergone abdominal surgery is
attempting to make a pinwheel spin by blowing on it with the
nurse's assistance. The child starts crying because the pinwheel
won't spin. Which action should the nurse implement first?
Correct -1. The nurse should always praise the child for attempts
at cooperation even if the child did not accomplish what the
nurse asked.
The nurse is caring for clients on the pediatric medical unit.
Which client should the nurse assess first?
Correct - 4. A pulse oximeter reading of less than 93% is
significant and indicates hypoxia, which is life threatening;
therefore, this child should be assessed first.
The nurse has received the a.m. shift report for clients on a
pediatric unit. Which medication should the nurse administer
NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
, NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
first?
Correct - 3-Sliding scale insulin is ordered ac, which is before
meals; therefore, this medication must be administered first after
receiving the a.m. shift report.
4-Routine medications have a 1-hour leeway before and after the
scheduled time; therefore, this medication does not have to be
adminis- tered first.
A 5-year-old boy is being admitted to the hospital to have his
tonsils removed. Which information should the nurse collect
before this procedure?
D. Reactions to previous
hospitalizations Rationale
Assess how the child reacted to hospitalization and any
complications. If the child reacted poorly, he or she may be afraid
now and will need special preparation for the examination that is
to follow. The other items are not significant for the procedure
A 6-month-old infant has been brought to the well-child clinic
for a check-up. She is currently sleeping. What should the nurse
do first when beginning the examination?
) Auscultate the lungs and heart while the infant is
still sleeping. Rationale
When the infant is quiet or sleeping is an ideal time to assess the
cardiac, respiratory, and abdominal systems. Assessment of the
NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
The 3-year-old client has been admitted to the pediatric unit.
Which task should the nurse instruct the unlicensed assistive
personnel (UAP) to perform first?
Correct - 1.The first intervention after the child is ad- mitted to
the unit is to orient the parents and child to the room, the call
system, and the hospital rules, such as not leaving the child
alone in the room.
The clinic nurse is preparing to administer an intramuscular
(IM) injection to the 2- year-old toddler. Which intervention
should the nurse implement first?
Correct - 2-The nurse must explain any procedure in words the
child can understand. It does not matter how old the child is.
. The nurse is writing a care plan for the 5-year-old child diagnosed
with gastroenteritis. Which client problem is priority?
Correct - 2-The child diagnosed with gastroenteritis is at high risk
for hypovolemic shock resulting from vomiting and diarrhea;
therefore, maintaining fluid and elec- trolyte homeostasis is
priority.
Which data would warrant immediate intervention from
the pediatric nurse? 1. Proteinuria for the child diagnosed
with nephrotic syndrome.
Correct - 3-Drooling indicates the child is having trouble
swallowing, and the epiglottis is at risk of completely occluding
NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
,NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
the air- way. This warrants immediate interven- tion. The nurse
should notify the HCP and obtain an emergency tracheostomy
tray for the bedside.
Which client should the pediatric nurse assess first after
receiving the a.m. shift report? 4. The 13-month-old child
diagnosed with diarrhea who has sunken eyeballs and
decreased urine
output. Rationale
Correct - 4. Sunken eyeballs and decreased urine out- put are
signs of dehydration, which is a life-threatening complication of
diarrhea; therefore, this child should be assessed first.
The pediatric clinic nurse is triaging telephone calls. Which
client's parent should the nurse call first?
1. The 4-month-old child who had immunizations yesterday and
the parent is report- ing a high-pitched cry and a 103°F fever.
Correct 1-A high fever and high-pitched crying may indicate a
reaction to the immunizations; therefore, this parent needs to be
called first to bring the child to the clinic.
The nurse is working in the emergency department (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
NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
,NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
because he or she may have life- threatening injuries that must
be assessed and treated promptly.
The 8-year-old client diagnosed with a vaso-occlusive sickle cell
crisis is complaining of a severe headache. Which intervention
should the nurse implement first?
Correct - 2-Because the client is complaining of a headache, the
nurse should first rule out cerebrovascular accident (CVA) by
assess- ing the client's neurological status and then determine
whether it is a headache that can be treated with medication.
The 6-year-old client who has undergone abdominal surgery is
attempting to make a pinwheel spin by blowing on it with the
nurse's assistance. The child starts crying because the pinwheel
won't spin. Which action should the nurse implement first?
Correct -1. The nurse should always praise the child for attempts
at cooperation even if the child did not accomplish what the
nurse asked.
The nurse is caring for clients on the pediatric medical unit.
Which client should the nurse assess first?
Correct - 4. A pulse oximeter reading of less than 93% is
significant and indicates hypoxia, which is life threatening;
therefore, this child should be assessed first.
The nurse has received the a.m. shift report for clients on a
pediatric unit. Which medication should the nurse administer
NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
, NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
first?
Correct - 3-Sliding scale insulin is ordered ac, which is before
meals; therefore, this medication must be administered first after
receiving the a.m. shift report.
4-Routine medications have a 1-hour leeway before and after the
scheduled time; therefore, this medication does not have to be
adminis- tered first.
A 5-year-old boy is being admitted to the hospital to have his
tonsils removed. Which information should the nurse collect
before this procedure?
D. Reactions to previous
hospitalizations Rationale
Assess how the child reacted to hospitalization and any
complications. If the child reacted poorly, he or she may be afraid
now and will need special preparation for the examination that is
to follow. The other items are not significant for the procedure
A 6-month-old infant has been brought to the well-child clinic
for a check-up. She is currently sleeping. What should the nurse
do first when beginning the examination?
) Auscultate the lungs and heart while the infant is
still sleeping. Rationale
When the infant is quiet or sleeping is an ideal time to assess the
cardiac, respiratory, and abdominal systems. Assessment of the
NURSING MISC HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS BEST GRADED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
