NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
HESI A2 - Critical Thinking- Rationale
. The nurse is working in the emergency department (ED) of a children's
medical center. Which client should the nurse assess first?
1.The 1-month-old infant who has developed colic and is crying.
2.The 2-year-old toddler who was bitten by another child at
the day-care center. 3. The 6-year-old school-age child who
was hit by a car while riding a bicycle.
4. The 14-year-old adolescent whose mother suspects
her child is sexually active. Rationale
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 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?
1. Administer 6 L of oxygen
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
1
,NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
via nasal cannula. 2. Assess
the client's neurological
status.
3. Administer a narcotic analgesic by intravenous push (IVP).
4. Increase the client's intravenous (IV) rate.
Rationale
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?
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.
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
2
,NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
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.
. 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 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;
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
3
, NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
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 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.
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
4
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
HESI A2 - Critical Thinking- Rationale
. The nurse is working in the emergency department (ED) of a children's
medical center. Which client should the nurse assess first?
1.The 1-month-old infant who has developed colic and is crying.
2.The 2-year-old toddler who was bitten by another child at
the day-care center. 3. The 6-year-old school-age child who
was hit by a car while riding a bicycle.
4. The 14-year-old adolescent whose mother suspects
her child is sexually active. Rationale
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 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?
1. Administer 6 L of oxygen
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
1
,NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
via nasal cannula. 2. Assess
the client's neurological
status.
3. Administer a narcotic analgesic by intravenous push (IVP).
4. Increase the client's intravenous (IV) rate.
Rationale
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?
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.
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
2
,NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
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.
. 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 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;
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
3
, NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
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 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.
NURSING MISCCritical Thinking HESI A2 - Critical Thinking- Rationale Q &
As) NEWEST BEST EXAM SOLUTION ALL ANSWERS 100%
CORRECT/VERIFIED SATISFACTION GUARANTEED SUCCESS LATEST
UPDATE 2022/2023 GRADED A+
4
