HESI A2 V1- Critical Thinking Questions& Answers
The Patient: A 65-year-old man.
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?
(Ans- 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 liters of oxygen per minute until late night when he developed severe shortness of breath on the way to the bathroom.
The Question: What action should the nurse take first?
(Ans- 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?
(Ans- Administer a prescribed pain medication.
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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?
(Ans- 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 do obtain information about
which previous occurrence?(Ans- 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?
(Ans- Sponge the patient with cool water.
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