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Hesi Nursing Critical Thinking Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A patient reports shortness of breath while lying flat. What is the best initial nursing action?

• Encourage deep breathing exercises

✔✔B. Elevate the head of the bed

• Administer IV fluids
• Ask the patient to ambulate

A nurse finds a patient’s IV has infiltrated. What should be done first?

• Apply a warm compress

✔✔B. Stop the infusion immediately

• Reinsert IV in same arm
• Document and continue medication

A patient refuses a medication that was prescribed. What should the nurse do first?✔✔A. Ask the patient for the reason of refusal

• Notify the physician immediately 1 / 3

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• Document the refusal only
• Hide the medication in food

While caring for a confused patient, the nurse sees them attempting to climb out of bed. What is the priority action?

• Restrain the patient’s arms

✔✔B. Stay with the patient and ensure safety

• Lower the bed to the ground
• Call security

A patient’s urine output is 20 mL/hr for the last 2 hours. What should the nurse do first?

• Document the finding

✔✔B. Assess for signs of decreased perfusion

• Restrict fluids
• Administer a diuretic

The nurse hears another nurse share patient details loudly in the hallway. What is the best action?

• Ignore the situation 2 / 3

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✔✔B. Remind the nurse about confidentiality

• Report directly to the family
• Post the rules on the wall

During a shift handoff, which information is most important?

• The patient’s family concerns

✔✔B. Current vital signs and recent changes

• Nurse’s personal opinion of patient behavior
• Patient’s social history

A nurse receives a new medication order. What is the first step before administration?✔✔A. Verify the order with the patient’s chart

• Check the drug manual
• Ask another nurse for advice
• Administer immediately

A patient reports severe chest pain. What is the nurse’s immediate action?✔✔A. Provide oxygen and assess vital signs

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