HESI A2 - CRITICAL THINKING EXAM QUESTIONS

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HESI A2 - CRITICAL THINKING EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: 40. The unit manager has been notified by central supply that many client items are missing from stock and have not been charged to the client. Which action should the nurse manager implement regarding the lost charges?

• Send out a memo telling the staff to follow the charge procedures.
• Form a performance improvement committee to study the problem.
• Determine whether the items in question are being restocked daily.
• Schedule a staff meeting to discuss how to prevent further lost charges.

Answer:

• A written memo does not allow the staff to have input into how to correct the problem. This memo

might lead to blaming and arguments among the staff.

• The performance improvement committee is designed to improve client care, not to address

management issues.

• This is implying that the unit manager does not believe the central supply lost charges. If the unit

manager has this concern, it should be addressed directly with the central supply supervisor.**4. Because the staff is responsible for following the hospital procedure for charging for items used in client care, the unit manager should discuss this with staff to determine what should be done to correct the problem.

Question 2: 22. The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response?

• "Maybe she is just teething."
• "I will check her ear for an ear infection."
• "Are you sure she is really having pain?"
• "Please describe what she is doing to indicate she is having pain."

Answer:

• "Please describe what she is doing to indicate she is having pain."

Page: 60. With a very young child, ask the parent, "How do you know the child is in pain?" Pulling at ears alerts parent to ear pain. The statements about teething and questioning whether the child is really having pain do not explore the symptoms, which should be done before a physical examination.Question 3: 6. The nurse is performing a health interview on a patient who has a language barrier, and no interpreter is available. Which is the best example of an appropriate question for the nurse to ask in this situation?

• "Do you take medicine?"
• "Do you sterilize the bottles?"
• "Do you have nausea and vomiting?"
• "You have been taking your medicine, haven't you?"

Answer:

• "Do you take medicine?"

Page: 46 In a situation where there is a language barrier and no interpreter available, use simple words avoiding medical jargon. Avoid using contractions and pronouns. Use nouns repeatedly and discuss one topic at a time.Question 4: 13. An individual who takes the magicoreligious perspective of illness and disease

is likely to believe that his or her illness was caused by:

• germs and viruses.
• supernatural forces.
• eating imbalanced foods.
• an imbalance within his or her spiritual nature.

Answer:

• supernatural forces.

Page: 21 The basic premise of the magicoreligious perspective is that the world is seen as an arena in which supernatural forces dominate. The fate of the world and those in it depends on the actions of supernatural forces for good or evil. The other answers do not reflect the magicoreligious perspective.Question 5: 32. The nurse is performing a mental status examination. Which statement is true regarding the assessment of mental status?

• Mental status assessment diagnoses specific psychiatric disorders.
• Mental disorders occur in response to everyday life stressors.
• Mental status functioning is inferred through assessment of an individual's behaviors.
• Mental status can be assessed directly, just like other systems of the body (e.g., cardiac and

breath sounds).

Answer:

• Mental status functioning is inferred through assessment of an individual's behaviors.

Page: 71. Mental status functioning is inferred through assessment of an individual's behaviors. It cannot be assessed directly like characteristics of the skin or heart sounds.Question 6: 37. When percussing over the liver of a patient, the nurse notices a dull sound. The

nurse should:

• consider this a normal finding.
• palpate this area for an underlying mass.
• reposition the hands and attempt to percuss in this area again.
• consider this an abnormal finding and refer the patient for additional treatment.

Answer:

• consider this a normal finding.

Pages: 116-117. Percussion over relatively dense organs, such as the liver or spleen, will produce a dull sound. The other responses are not correct.Question 7: 20. The RN and the UAP are caring for clients on a pediatric surgical unit. Which tasks would be most appropriate to delegate to the UAP? Select all that apply.

• Pass dietary trays to the clients.

• Obtain routine vital signs on the clients.
• Complete the preoperative checklist.
• Change linens on the clients' beds.
• Document the clients' intake and output.

Answer:

1, 2, 4, and 5 are correct.

• The UAP can pass the dietary trays to

the clients because it does not require judgment.

• One of the responsibilities of the UAP is

taking routine vital signs on clients.

• The nurse must complete the preoperative checklist because it requires nursing judg- ment to

determine whether the client is ready for surgery.

• One of the responsibilities of the UAP is changing bed linens.

• The UAP can document the client's in- take and output, but the UAP cannot evaluate the numbers.

Question 8: 10. During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather strip around his neck. Which action by the nurse is appropriate?

• Ask the patient about the item and its significance.
• Ask the patient to lock the item with other valuables in the hospital's safe.
• Tell the patient that a family member should take valuables home.
• No action is necessary.

Answer:

• Ask the patient about the item and its significance.

Page: 21 The nurse should inquire about the amulet's meaning. Amulets, such as charms, are often seen as an important means of protection from "evil spirits" by some cultures.