HESI A2 V1- CRITICAL THINKING QUESTIONS EXAM

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HESI A2 V1- CRITICAL THINKING QUESTIONS EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

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-Guarantee passing score -30 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: The Patient: An 80-year-old male who has used continuous oxygen for the past three years.The Situation: While making a home visit, the wife tells the nurse that her husband was doing well on 2 liters of oxygen per minute until late night when he developed severe shortness of breath on the way to the bathroom.

The Question: What action should the nurse take first?

Answer:

Assess the patient's oxygen saturation by pulse oximeter.Question 2: The Patient: A 75-year-old male.The Situation: The family brings the patient to the emergency room because they witnessed him have a seizure. The patient is hallucinating, and loudly cries out the nurse, "Get those dogs out of here!" The nurse places the patient in a cubicle where he can be seen from the nurse's station.

The Question: What action would be best for the nurse to take?

Answer:

Ask the family to remain with the patient.

Question 3: The Patient: A 51-year-old male.The Situation: The patient is pale, has dark circles under his eyes, and responds to questions with a soft, low voice. He tells the nurse that he has not slept well for months, but denies any type of pain.

The Question: What information is most important for the nurse to obtain?

Answer:

The existence of a significant life in the last year the has caused anxiety.Question 4: The Patient: An elderly confused female in a semi-private room on a hospital medical unit.The Situation: The patient is yelling loudly at 3:30am and awakens her roommate, who calls the nurse for assistance.

The Question: What should the nurse do first in this situation?

Answer:

Assess the confused patient for causes of her behavior.Question 5: The Patient: A 54-year-old male who weighs 275 pounds. He is 5'10' tall and has many family members who have died of heart disease.The Situation: He comes to the clinic stating that he has had several episodes of "chest pain" in the last week.

The Question: What is the most important action for the nurse to take?

Answer:

Ask the patient to describe the chest pain.Question 6: The Patient: A 65-year-old man.The Situation- The family brings the patient to the emergency room because he just took an entire bottle of pills.

The Question: What action should the nurse take first?

Answer:

Determine the patient's level of consciousness.Question 7: The Patient:

• A 42-year-old with diabetes who is blind and is asking to get up and moved to a chair.
• An 88-year-old with lower body paralysis who wants to be turned in bed.
• A 17-year-old with asthma who smokes and has been in the bathroom for 30 minutes.
• A 55-year-old with cardiac disease who tells the nurse, "Get the TV fixed or I am leaving this

place."

The Situation: The nurse is caring for these four patients.

The Question: Which patient should the nurse see first?

Answer:

The 17-year-old with asthma who may be smoking in the bathroom.Question 8: The Patient: A 70-year-old male who is relatively healthy.

The Situation: A liquid medication 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 9: The Patient: A 41-year-old male.The 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 10: The Patients:

• A 63-year-old with a burn on the left lower leg who is complaining of pain.
• A 45-year-old with pneumonia, complaining of shortness of breath.
• A 31-year-old with abdominal pain who has just vomited blood.
• A 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: Who should the nurse see first?

Answer:

The 45-year-old with pneumonia and shortness of breath Question 11: 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 (hight 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 12: The Patient: A 75-year-old male who had a heart attack four years ago.The Situation: The patient tells the nurse, "Even though I stopped smoking 10 years ago, I have a terrible cough."

The Question: What action should the nurse take first?

Answer:

Auscultate all lung fields.Question 13: The Patient: A 61-year-old female.The Situation: The patient has a fever of unknown origin. The nurse administered a fever-reducing medication 30 minutes ago. At this time there has been no decrease in the patient's fever.

The Question: What action would be best for the nurse to take?

Answer:

Sponge the patient with cool water.Question 14: The Patient: An older confused male.The Situation: At 3 am the patient, who thinks he is in the bathroom, defecates in the bed. The bed needs to be changed. However, there are no bed sheets on the nursing unit.

The Question: What action should the nurse take first?

Answer:

Ask a nursing assistant to go to another unit and borrow linen.Question 15: 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 16: The Patient: A 70-year-old man dying of prostate cancer.The Situation: Nurse "A," who is charge of a medical unit, notices that a dying patient continues to moan in pain after receiving intravenous injections of morphine whenever 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.