CRITICAL THINKING
ASSESSMENT FOR
NURSING STUDENTS
QNS & ANS
2023/2024
, 1. 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? -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
2. The nurse is caring for clients on the pediatric medical unit. Which client should the nurse assess
first? A pulse oximeter reading of less than 93% is significant and indicates hypoxia, which is life
threatening; therefore, this child should be assessed first.
3. 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? Reactions to previous hospitalizations
4. 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? 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
5. The nurse is writing a care plan for the 5-year-old child diagnosed with gastroenteritis. Which client
problem is priority? -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
6. . Which client should the pediatric nurse assess first after receiving the a.m. shift report? 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.
ASSESSMENT FOR
NURSING STUDENTS
QNS & ANS
2023/2024
, 1. 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? -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
2. The nurse is caring for clients on the pediatric medical unit. Which client should the nurse assess
first? A pulse oximeter reading of less than 93% is significant and indicates hypoxia, which is life
threatening; therefore, this child should be assessed first.
3. 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? Reactions to previous hospitalizations
4. 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? 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
5. The nurse is writing a care plan for the 5-year-old child diagnosed with gastroenteritis. Which client
problem is priority? -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
6. . Which client should the pediatric nurse assess first after receiving the a.m. shift report? 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.
