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CRITICAL THINKING - HESI A2 2024 (MINE) EXAM
QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -83 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: 50. During a physical assessment, a female client begins to cry. Which action is best for the nurse to take?
Answer:
Acknowledge the client's distress and tell her it is all right to cry.Question 2: 15. The Patient: A 55-year-old female with a family history of hypertension.The Situation: The patient is concerned about her health and states, "I have had severe headaches for the last six months. I think I might have high blood pressure." The nurse determines that the woman's blood pressure is 138/86 (high normal).
The Question: What action would be best for the nurse to take?
Answer:
Ask the patient about the frequency, timing, and quality of her headaches.Question 3: 8. The Patient: A fifty-eight-year-old female.The Situation: While the nurse is offering the patient her morning medications, she tells the nurse that she does not recall ever taking a pill that was pink-colored.
The Question: What should the nurse do in response to this patient's comment?
Answer:
Withhold the medication until the patient's prescription is verified.
Question 4: 23. The Patient: A 7-year-old child.The Situation: A nurse arrives with an injection containing preoperative sedation that must be given to the child now. The child asks the nurse if the shot will hurt.
The Question: What response should the nurse offer to this child?
Answer:
"Yes, but it won't last very long and soon you will be sleepy" Question 5: 9. The Patients:
- The 63-year-old with a burn on the left lower leg is complaining of pain.
- The 45-year-old with pneumonia, complaining of shortness of breath.
- The 31-year-old with abdominal pain who has just vomited blood.
- The 88-year-old who has right-sided paralysis and wants to be helped to the bathroom
immediately.
The Situation: The nurse is caring for these patients.
The Question: Whom should the nurse see first?
Answer:
The 45-years old with pneumonia and shortness of breath.Question 6: 3. The Patient: A 41-year-old male.he Situation: The patient is complaining of severe stomach pain and states that he has been "vomiting all the time."
The Question: What should the nurse do first?
Answer:
Administer a prescribed pain medication.Question 7: 48. An African-American grandmother tells the nurse that her 4-year-old grandson is suffering with "miseries." Based on this statement, which focused assessment should the nurse conduct?
Answer:
Inquire about the source and type of pain.Question 8: 40. A young mother of three children complains of increased anxiety during her annual physical exam. What information should the nurse obtain first?
Answer:
Nutritional history.
Question 9: 7. The Patient: A 70-year-old male who is relatively healthy.
The Situation: A liquid mediation is prescribed for this patient.
The Question: Prior to administering the prescribed medication, what intervention has the highest priority?
Answer:
Determine if the patient is allergic to the medication.Question 10: 9. The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with a cuff that is too small, but the blood pressure reading obtained is within the client's usual range. What action is most important for the nurse to implement?
Answer:
Reassess the client's blood pressure using a larger cuff.Question 11: 31. After completing an assessment and determining that a client has a problem, which action should the nurse perform next?
Answer:
Determine the etiology of the problem.Question 12: 21. Which action is most important for the nurse to implement when donning sterile gloves?
Answer:
Keep gloved hands above the elbows.Question 13: 24. The Patient: A 35-year-old female.The Situation: The patient is admitted with a diagnosis of abdominal pain and diarrhea.
The Question: Which action should the nurse take first?
Answer:
Initiate Intravenous fluids Question 14: 41. Three days following surgery, a male client observes his colostomy for the first time. He becomes quite upset and tells the nurse that it is much bigger than he expected. What is the best response by the nurse?
Answer:
Instruct the client that the stoma will become smaller when the initial swelling diminishes.
Question 15: 20. The Patient: A 70-year-old man dying of prostate cancer.The Situation: Nurse "A," who is in charge of a medical unit, notices that a dying patient continues to moan in pain after receiving intravenous injections of morphine whenever Nurse "B" is caring for him. Nurse "A" suspects that Nurse "B" may be diluting the patient's dose and taking the morphine to feed an addiction.
The Question: What should Nurse "A" do in this situation?
Answer:
Notify the shift supervisor and unit director of the circumstances before taking action.Question 16: 15. The nurse observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first?
Answer:
Observe the appearance of the skin under the ice pack.Question 17: 24. During the initial morning assessment, a male client denies dysuria but reports that his urine appears dark amber. Which intervention should the nurse implement?
Answer:
Encourage additional oral intake of juices and water.Question 18: 33. A postoperative client will need to perform daily dressing changes after discharge. Which outcome statement best demonstrates the client's readiness to manage his wound care after discharge?
Answer:
The client demonstrates the wound care procedure correctly.Question 19: 13. An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to administering a soap suds enema. Which instruction should the nurse provide the UAP?
Answer:
Reposition in a Sim's position with the client's weight on the anterior ilium.Question 20: 45. An adult male client with a history of hypertension tells the nurse that he is tired of taking antihypertensive medications and is going to try spiritual meditation instead.What should be the nurse's first response?
Answer:
It is important that you continue your medication while learning to meditate.
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