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. 1 / 3
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 2 / 3
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.
- / 3