NURSING MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE 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 MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE 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 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
NURSING MISCHesi Critical Thinking. QUESTIONS &
ANSWERS (Q&A) LATEST UPDATE 2022/2023 GRADED A+
, NURSING MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE LATEST UPDATE
2022/2023 GRADED A+
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. 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
NURSING MISCHesi Critical Thinking. QUESTIONS &
ANSWERS (Q&A) LATEST UPDATE 2022/2023 GRADED A+
, NURSING MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE LATEST UPDATE
2022/2023 GRADED 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+
ANSWERS (100+Q&A) AND RATIONALE 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 MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE 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 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
NURSING MISCHesi Critical Thinking. QUESTIONS &
ANSWERS (Q&A) LATEST UPDATE 2022/2023 GRADED A+
, NURSING MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE LATEST UPDATE
2022/2023 GRADED A+
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. 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
NURSING MISCHesi Critical Thinking. QUESTIONS &
ANSWERS (Q&A) LATEST UPDATE 2022/2023 GRADED A+
, NURSING MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE LATEST UPDATE
2022/2023 GRADED 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+
