1. The Patient: A 65-year- old male. 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?
A. Prescribe medicine to induce vomiting.
B. Determine the patient's level of consciousn...
1 the patient a 65 year old male the situation the family brings the patient to the emergency room because he
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Hesi Nursing Critical Thinking 2021-
2022
1. The Patient: A 65-year- old male. 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?
A. Prescribe medicine to induce vomiting.
B. Determine the patient's level of consciousness.
C. Ask the family why he may have taken an entire bottle of pills. -(answer) B.
Determine the patient's level of consciousness.
2. 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 last night when he
developed severe shortness of breath on the way to the bathroom. The Question: What
action should the nurse take first?
A. Assess the patient's oxygen saturation by a pulse oximeter.
B. Ask the patient to lie down and wait to see if it happens again.
C. Begin administering 2.5 liters of oxygen per minute. -(answer) A. Assess the patient's
oxygen saturation by a pulse oximeter.
3. 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?
A. Prescribe an anti-vomiting medication
B. Administer a prescribed pain medication
C. Check for dehydration from vomiting. -(answer) B. Administer a prescribed pain
medication
4. 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?
A. Advise the patient to have her husband take the items home when he leaves.
B. Offer to put the items in a safe downstairs.
C. Offer to put the items in the nurses' station. -(answer) A. Advise the patient to have
her husband take the items home when he leaves.
5. 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?
A. Ask when the patient smoked her last cigarette.
, B. When did her leg hurt last,
C. A previous blood clot in the leg -(answer) C. A previous blood clot in the leg
6. 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?
A. Give the patient more fever-reducing medication.
B. Sponge the patient with cool water.
C. Wait thirty more minutes for the medicine to kick in. -(answer) B. Sponge the patient
with cool water.
7. 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?
A. Determine if the patient is allergic to the medication
B. Ask if the patient has taken any similar medications to that one.
C. Determine the exact dosage needed. -(answer) A. Determine if the patient is allergic
to the medication.
8. 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?
A. Assume she is confused and continue to offer the medication.
B. Withhold the medication until the patient's prescription is verified.
C. Discard the medication. -(answer) B. Withhold the medication until the patient's
prescription is verified.
9. The Patients: 1. A 63-year-old with a burn on the left lower leg is complaining of pain.
2. A 45-year-old with pneumonia, complaining of shortness of breath. 3. A 31-year-old
with abdominal pain who has just vomited blood. 4. 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: Whom should the nurse see first?
A. The 45-years old with pneumonia and shortness of breath.
B. A 63-year-old with a burn on the left lower leg who is complaining of pain.
C. A 31-year-old with abdominal pain who has just vomited blood.
D. . An 88-year-old who has right-sided paralysis and wants to be helped to the
bathroom immediately. -(answer) A. The 45-years old with pneumonia and shortness of
breath.
10. The Patients: 1. A 13-year-old female with a kidney infection reports that there is
"lots of blood" in her urine. 2. An 18-year-old male with acute alcohol poisoning who is
seeing "bugs on the walls." 3. A 21-year-old female with inflammatory bowel disease
who has soaked a dressing three hours after surgery. 4. A 25-year old male is sobbing
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