HESI CRITICAL THINKING RN NEWEST ACTUAL EXAM WITH 300 QUESTIONS AND ANSWERS WITH RATIONALES (ALREADY GRADED A+)
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Course
HESI CRITICAL THINKING RN
Institution
HESI CRITICAL THINKING RN
HESI CRITICAL THINKING RN NEWEST ACTUAL
EXAM WITH 300 QUESTIONS AND ANSWERS WITH
RATIONALES (ALREADY GRADED A+)
1. A 5-year-old boy is being admitted to the hospital to have his tonsils
removed. Which information should the nurse collect before this
procedure?
A. The child's birth weig...
1. A 5-year-old boy is being admitted to the hospital to have his tonsils
removed. Which information should the nurse collect before this
procedure?
A. The child's birth weight
B. The age at which he crawled
C. Whether he has had the measles
D. Reactions to previous hospitalizations - ANSWER-D. Reactions to
previous hospitalizations
Assess how the child reacted to hospitalization and any
complications. If the child reacted poorly, he or she may be afraid
now and will need special preparation for the examination that is to
follow. The other items are not significant for the procedure.
2. Which newborn should the nurse in the neonatal intensive care unit
(NICU) assign to a new graduate who has just completed an NICU
internship?
1. The 1-day-old infant diagnosed with a myelomeningocele.
,2|Page
2. The 2-week-old infant who was born 6 weeks premature.
3. The 3-hour-old infant who is being evaluated for esophageal atresia. 4.
The 1-week-old infant diagnosed with tetralogy of Fallot. - ANSWER-1-The
newborn with the myelomeningocele has a portion of the spinal cord
and mem- branes protruding through the back and is at risk for
hydrocephalus and meningitis; this client should be assigned to a
more experi- enced nurse.
**2-The new graduate who has completed the NICU internship should
be able to care for a premature infant because care is primarily
supportive.
3-Esophageal atresia, a congenital anomaly in which the esophagus
does not completely develop, is a clinical and surgical emergency. It
puts the newborn at risk for aspiration be- cause the upper
esophagus ends in a blind pouch with the lower part of the
esophagus connected to the trachea. This newborn should be
assigned to a more experienced nurse.
4-Tetralogy of Fallot is a cyanotic, congenital anomaly. It includes a
combination of four defects of the heart, all of which result in
unoxygenated blood being pumped into the systemic circulation. This
newborn must be assigned to an experienced nurse.
3. The nurse is preparing to do a functional assessment. Which statement
best describes the purpose of a functional assessment?
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A. It assesses how the individual is coping with life at home.
B. It determines how children are meeting developmental milestones.
C. It can identify any problems with memory the individual may be
experiencing.
D. It helps to determine how a person is managing day-to-day activities. -
ANSWER-D. It helps to determine how a person is managing day-to-day
activities.
Page: 67. The functional assessment measures how a person
manages day-to-day activities. The other answers do not reflect the
purpose of a functional assessment.
4. The newly hired nurse is working on a pediatric unit and needs the
unlicensed assistive personnel (UAP) to obtain a urine specimen on an 11-
month-old infant. Which statement made to the UAP indicates the nurse
understands the delegation process?
1. "Be sure to weigh the diaper when obtaining the urine specimen."
2. "Do you know how to apply the urine collection bag?"
3. "Use a small indwelling catheter when obtaining the urine specimen." 4.
"I need for you to get a urine specimen on the infa - ANSWER-1-Weighing
the diaper is the procedure for de- termining the infant's urinary
output and is not part of the procedure for obtaining a urine
specimen.
, 4|Page
**2-The NCSBN position paper in 1995 defined delegation as
transferring to a competent individual the authority to perform a
selected nursing task in a se- lected situation. The nurse retains the
accountability for the delegation. The nurse must determine whether
the UAP has the ability and knowledge to perform a task. This
question clarifies whether the UAP has the ability to obtain a urine
specimen.
3-Obtaining a urine specimen with an in- dwelling catheter on an 11-
month-old infant would require more expertise than a UAP would
have on the pediatric unit.
Furthermore, it does not determine whether the UAP understands
how to do the procedure.
4. This statement does not determine whether the UAP understands
how to perform the procedure of obtaining a urine specimen from an
11-month-old infant.
5. The nurse is performing a functional assessment on an 82-year-old
patient who recently had a stroke. Which of these questions would be most
important to ask?
A. "Do you wear glasses?"
B. "Are you able to dress yourself?"
C. "Do you have any thyroid problems?"
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