Hesi Critical Thinking Questions and
Answers 100% Pass
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
...
Hesi Critical Thinking Questions and
Answers 100% Pass
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.
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 litres of oxygen per minute until late last 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.
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.
The Patient: The wife of a wealthy owner of the town's bank.The Situation: The patient and her
husband arrive on the unit. While orienting the patient to the hospital room, the nurse notices that
the patient has placed a large amount of cash and some expensive earrings in the drawer of the
bedside table.
The Question: What is the best action for the nurse to take? ✔✔Answer - Advise the patient to
have her husband take the items home when he leaves.
The Patient: A 45-year-old female who is 5' 2" tall, weighs 200 pounds, and has smoked since
age 21.The Situation: The patient comes to the clinic with a complaint of "leg pain."The
Question: It is most important for the nurse to obtain information about which previous
occurrence? ✔✔Answer - A previous blood clot in the leg.
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.
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.
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 mediation until the patient's prescription is verify.
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.
An 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-years old with pneumonia and shortness of breath.
The Patients:
A 13-year-old female with a kidney infection who reports that there is "lots of
blood" in her urine.
An 18-year-old male with acute alcohol poisoning who is seeing "bugs on the
walls."
A 21-year-old female with inflammatory bowel disease who has soaked a dressing
three hours after surgery.
A 25-year old male who is sobbing in his roo
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