NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
Hesi Critical Thinking
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
because he or she may have life- threatening injuries that
must be assessed and treated promptly.
. The nurse enters the client's room and realizes the 9-
month-old infant is not breath- ing. Which interventions
should the nurse implement? Prioritize the nurse's actions
from first (1) to last (5).
Rationale
Correct Answer: 4, 5, 3, 2, 1
The nurse must first
determine the infant's
responsiveness by
thumping the
NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
, NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
baby's feet.
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.
. 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.
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
NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
, NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
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 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.
NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
, NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
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.
NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
Hesi Critical Thinking
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
because he or she may have life- threatening injuries that
must be assessed and treated promptly.
. The nurse enters the client's room and realizes the 9-
month-old infant is not breath- ing. Which interventions
should the nurse implement? Prioritize the nurse's actions
from first (1) to last (5).
Rationale
Correct Answer: 4, 5, 3, 2, 1
The nurse must first
determine the infant's
responsiveness by
thumping the
NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
, NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
baby's feet.
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.
. 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.
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
NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
, NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
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 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.
NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
, NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
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.
NURSING MISCHesi Critical Thinking.
QUESTIONS & ANSWERS (Q&A) LATEST UPDATE
2022/2023 GRADED A+
