Test Bank for Critical Thinking 2024 Release by Brooke Noel Moore.pdf

HESI A2 Critical Thinking Exam Test Bank b b b b b b




1. The nurse is working in the emergency department (ED) of a children's medical c
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enter. Which client should the nurse assess first?
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1. The 1-month-old infant who has developed colic and is crying.
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2. The 2-year-old toddler who was bitten by another child at the day-care center.
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3. The 6-year-old school-age child who was hit by a car while riding a bicycle.
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4. The 14-year- b



old adolescent whose mother suspects her child is sexually active. (ANS- Rationale
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Correct – 3- b b



The child hit by a car should be assessed first because he or she may have life-
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threatening injuries that must be assessed and treated promptly.
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1. In an interview, the nurse may find it necessary to take notes to aid his or her m
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emory later. Which statement is true regarding note-taking?
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A) Note-
taking may impede the nurse's observation of the patient's nonverbal behaviors.
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B) Note-
taking allows the patient to continue at his or her own pace as the nurse records wh
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at is said.
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C) Note-
taking allows the nurse to shift attention away from the patient, resulting in an incre
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ased comfort level. b b



D) Note-
taking allows the nurse to break eye contact with the patient, which may increase hi
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s or her level of comfort.
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(ANS- A) Note- b b

,taking may impede the nurse's observation of the patient's nonverbal behaviors.
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,Page: 31 Some use of history forms and note-
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taking may be unavoidable. But be aware that note-
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taking during the interview has disadvantages. It breaks eye contact too often, and it
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shifts attention away from the patient, which diminishes his or her sense of importa
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nce. It also may interrupt the patient's narrative flow, and it impedes the observation
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of the patient's nonverbal behavior.
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2. The 8-year-old client diagnosed with a vaso-
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occlusive sickle cell crisis is complaining of a severe headache. Which intervention s
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hould the nurse implement first?
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1. Administer 6 L of oxygen via nasal cannula. b b b b b b b



2. Assess the client's neurological status.
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3. Administer a narcotic analgesic by intravenous push (IVP). 4. Increase the c
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lient's intravenous (IV) rate.
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(ANS-
Correct - 2- b b



Rationale ;
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Because the client is complaining of a headache, the nurse should first rule out cerebr
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ovascular accident (CVA) by assess- b b b b



ing the client's neurological status and then determine whether it is a headache that ca
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n be treated with medication.
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2. During an interview, the nurse states, "You mentioned shortness of breath. Tell m
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e more about that." Which verbal skill is used with this statement?
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A) Reflection
B) Facilitation
C) Direct question b



D) Open-ended question b

, (ANS- D) Open-ended question
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Page: 32 The open-b b b



ended question asks for narrative information. It states the topic to be discussed but o
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nly in general terms. The nurse should use it to begin the interview, to introduce a ne
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w section of questions, and whenever the person introduces a new topic.
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3. The 6-year- b



old client who has undergone abdominal surgery is attempting to make a pinwheel s
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pin by blowing on it with the nurse's assistance. The child starts crying because the p
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inwheel won't spin. Which action should the nurse implement first?
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1. Praise the child for the attempt to make the pinwheel spin.
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2. Notify the respiratory therapist to implement incentive spirometry. 3. Encourage t
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he child to turn from side to side and cough.
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4. Demonstrate how to make the pinwheel spin by blowing on it. (
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ANS-


Correct - b



1. Rationale ;
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The nurse should always praise the child for attempts at cooperation even if the child
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did not accomplish what the nurse asked.
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3. A nurse is taking complete health histories on all of the patients attending a well
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ness workshop. On the history form, one of the written questions asks, "You don't s
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moke, drink, or take drugs, do you?" This question is an example of:
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A) talking too much. b b