Practice Questions Answers

HESI A2 Critical Thinking Practice Questions & Answers 2025, Digital PDF

• The nurse is working in

the emergency department (ED) of a children's medical center. Which client should the nurse assess first?

• The 1-month-old

infant who has developed colic and is crying.

• The 2-year-old toddler who

was bitten by another child at the day-care center. 3.The 6-year-old school-age child who was hit by a car while riding a bicycle.

• The 14-year-old

adolescent whose mother suspects her child is sexually active.

Rationale

Correct - 3-The child hit by a car should be assessed first because he or she may have life- threatening injuries that must be assessed and treated promptly. 1 / 4

• In an interview, the

nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note- taking?

• Note-taking may

impede the nurse's observation of the patient's nonverbal behaviors.

• Note-taking allows

the patient to continue at his or her own pace as the nurse records what is said.

• Note-taking allows the

nurse to shift attention away from the patient, resulting in an increased comfort level.

• Note-taking allows the

nurse to break eye contact with the patient, which may increase his or her level of comfort.

• Note-taking may impede the nurse's observation of

the patient's nonverbal behaviors.

Page: 31 Some use of history forms and note-taking

may be unavoidable. But be aware that note-taking during the interview has disadvantages. It breaks eye contact too often, and it shifts attention away from the patient, which diminishes his or her sense of importance. It also may interrupt the patient's narrative flow, and it impedes the observation of the patient's nonverbal behavior.

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• 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?

• Administer 6 L of

oxygen via nasal cannula.

• Assess the client's

neurological status.

• Administer a narcotic

analgesic by intravenous push (IVP). 4. Increase the client's intravenous (IV) rate.Rationale Correct - 2-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.

• During an interview, the

nurse states, "You mentioned shortness of breath. Tell me more about that." Which verbal skill is used with this statement?

• Reflection
• Facilitation
• Direct question
• Open-ended question
• Open-ended question

Page: 32 The open-ended question asks for narrative

information. It states the topic to be discussed but only in general terms. The nurse should use it to begin the interview, to introduce a new section of questions, and whenever the person introduces a new topic. 3 / 4

• The 6-year-old client

who has undergone abdominal surgery is attempting to make a pinwheel spin by blowing on it with the nurse's assistance. The child starts crying because the pinwheel won't spin.Which action should the nurse implement first?

• Praise the child for the

attempt to make the pinwheel spin.

• Notify the respiratory

therapist to implement incentive spirometry. 3.Encourage the child to turn from side to side and cough.

• Demonstrate how to make

the pinwheel spin by blowing on it.Rationale

Correct -1. The nurse should always praise the child for attempts at cooperation even if the child did not accomplish what the nurse asked.

• A nurse is taking

complete health histories on all of the patients attending a wellness workshop. On the history form, one of the written questions asks, "You don't smoke, drink, or take drugs, do you?" This question is

an example of:

• using biased or leading questions.

Page: 36 This is an example of using leading or biased

questions. Asking, "You don't smoke, do you?" implies that one answer is "better" than another. If the person wants to please someone, he or she is either forced to answer in a way corresponding to their implied values or is made to feel guilty when admitting the other answer.

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