HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+
1.
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?
1. Orient the parents and child to the room.
2. Obtain an admission kit for the child.
3. Post the child's height and weight at the HOB. 4. Provide
the child with a meal tray. Rationale
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.
8. The clinic nurse is preparing to administer an intramuscular (IM)
injection to the 2-year-old toddler. Which intervention should the nurse
implement first?
1. Immobilize the child's leg.
2. Explain the procedure to the child.
Cleanse the area with an alcohol swab. 4. Administer the medication in
the thigh.
2.
The nurse enters the client's room and realizes the 9-month-old infant is not
HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+ 1
,HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+
breath- ing. Which interventions should the nurse implement? Prioritize the
nurse's actions from first (1) to last (5).
1. Perform cardiac compression 30:2.
2. Check the infant's brachial pulse. 3. Administer two puffs
to the infant. 4. Determine unresponsiveness.
5. Open the
infant's airway.
Rationale
Correct Answer: 4, 5, 3, 2, 1
4. The nurse must first determine the infant's responsiveness by
thumping the baby's feet.
5. The nurse should then open the child's airway using the head-tilt
chin-lift tech- nique, with care taken not to hyperextend the neck.
Then the nurse should look, listen, and feel for respirations.
3. The nurse then administers quick puffs of air while covering the
child's mouth and nose, preferably with a rescue mask.
2. The nurse should determine whether the infant has a pulse by
checking the brachial artery.
1. If the infant has no pulse, the nurse should begin chest
compressions using two fingers at a rate of 30:2.
HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+ 2
,HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+
.
3. 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?
1. Praise the child for the attempt to make the pinwheel spin.
2. Notify the respiratory therapist 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. Rationale
Correct -1. The nurse should always praise the child for attempts at
cooperation even if the child did not accomplish what the nurse asked.
4. The nurse is caring for clients on the pediatric medical unit. Which client
should the nurse assess first?
1. The child diagnosed with type 1 diabetes who
has a blood glucose level of 180 mg/dL.
2. The child diagnosed with pneumonia who is
coughing and has a temperature of 100°F.
3. The child diagnosed with gastroenteritis who
has a potassium (K+) level of 3.9 mEq/L.
4. The child diagnosed with cystic fibrosis who has a
HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+ 3
, HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+
pulse oximeter reading of 90%. Rationale
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.
5.The nurse has received the a.m. shift report for clients on a pediatric
unit. Which medication should the nurse administer first?
1. The third dose of the aminoglycoside antibiotic
to the child diagnosed with methicillin-resistant
Staphylococcus aureus (MRSA).
2. The IVP steroid methylprednisolone (Solu-Medrol)
to the child diagnosed with asthma.
HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+ 4
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+
1.
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?
1. Orient the parents and child to the room.
2. Obtain an admission kit for the child.
3. Post the child's height and weight at the HOB. 4. Provide
the child with a meal tray. Rationale
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.
8. The clinic nurse is preparing to administer an intramuscular (IM)
injection to the 2-year-old toddler. Which intervention should the nurse
implement first?
1. Immobilize the child's leg.
2. Explain the procedure to the child.
Cleanse the area with an alcohol swab. 4. Administer the medication in
the thigh.
2.
The nurse enters the client's room and realizes the 9-month-old infant is not
HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+ 1
,HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+
breath- ing. Which interventions should the nurse implement? Prioritize the
nurse's actions from first (1) to last (5).
1. Perform cardiac compression 30:2.
2. Check the infant's brachial pulse. 3. Administer two puffs
to the infant. 4. Determine unresponsiveness.
5. Open the
infant's airway.
Rationale
Correct Answer: 4, 5, 3, 2, 1
4. The nurse must first determine the infant's responsiveness by
thumping the baby's feet.
5. The nurse should then open the child's airway using the head-tilt
chin-lift tech- nique, with care taken not to hyperextend the neck.
Then the nurse should look, listen, and feel for respirations.
3. The nurse then administers quick puffs of air while covering the
child's mouth and nose, preferably with a rescue mask.
2. The nurse should determine whether the infant has a pulse by
checking the brachial artery.
1. If the infant has no pulse, the nurse should begin chest
compressions using two fingers at a rate of 30:2.
HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+ 2
,HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+
.
3. 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?
1. Praise the child for the attempt to make the pinwheel spin.
2. Notify the respiratory therapist 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. Rationale
Correct -1. The nurse should always praise the child for attempts at
cooperation even if the child did not accomplish what the nurse asked.
4. The nurse is caring for clients on the pediatric medical unit. Which client
should the nurse assess first?
1. The child diagnosed with type 1 diabetes who
has a blood glucose level of 180 mg/dL.
2. The child diagnosed with pneumonia who is
coughing and has a temperature of 100°F.
3. The child diagnosed with gastroenteritis who
has a potassium (K+) level of 3.9 mEq/L.
4. The child diagnosed with cystic fibrosis who has a
HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+ 3
, HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+
pulse oximeter reading of 90%. Rationale
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.
5.The nurse has received the a.m. shift report for clients on a pediatric
unit. Which medication should the nurse administer first?
1. The third dose of the aminoglycoside antibiotic
to the child diagnosed with methicillin-resistant
Staphylococcus aureus (MRSA).
2. The IVP steroid methylprednisolone (Solu-Medrol)
to the child diagnosed with asthma.
HESI A2 - CRITICAL THINKING- RATIONALE QUESTIONS &
ANSWERS BEST EXAM SOLUTION SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+ 4
