NURSING MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE LATEST UPDATE
2022/2023 GRADED A+
NURSING MISCHesi Critical Thinking.
... [Show More] QUESTIONS &
ANSWERS (Q&A) LATEST UPDATE 2022/2023 GRADED A+
Hesi Critical Thinking
The nurse is working in the emergency department (ED) of a
children's medicalcenter. Which client should the nurse assess
first?
Correct - 3-The child hit by a car should be assessed first because he
or she may havelife- threatening injuries that must be assessed and
treated promptly.
. The nurse enters the client's room and realizes the 9-month-old infant
is not breath- ing. Which interventions should the nurse implement?
Prioritize the nurse's actions fromfirst (1) to last (5).
Rationale
Correct Answer: 4, 5, 3, 2, 1
The nurse must first
determine the infant's
responsiveness by thumping
the
NURSING MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE LATEST UPDATE
2022/2023 GRADED A+
NURSING MISCHesi Critical Thinking. QUESTIONS &
ANSWERS (Q&A) LATEST UPDATE 2022/2023 GRADED A+
baby's feet.
The nurse should then open the child's
airway using the head-tilt chin-lift tech- nique, with care taken not to
hyperextend theneck. Then the nurse should look, listen, and feel for
respirations.
. The nurse then administers quick puffs of air while covering the
child's mouth andnose, preferably with a rescue mask.
2. The nurse should determine whether the infant has a pulse by
checking the brachialartery.
1. If the infant has no pulse, the nurse should begin chest
compressions using twofingers at a rate of 30:2.
The 3-year-old client has been admitted to the pediatric unit.
Which task should thenurse instruct the unlicensed assistive
personnel (UAP) to perform first?
Correct - 1.The first intervention after the child is ad- mitted to the
unit is to orient theparents and child to the room, the call system,
and the hospital rules, such as not leaving the child alone in the
room.
The clinic nurse is preparing to administer an intramuscular (IM)
injection to the 2-year-old toddler. Which intervention should the
nurse implement first?
Correct - 2-The nurse must explain any procedure in words the child
can understand. Itdoes not matter how old the child is.
. The nurse is writing a care plan for the 5-year-old child diagnosed
NURSING MISC Hesi Critical Thinking QUESTIONS &
ANSWERS (100+Q&A) AND RATIONALE LATEST UPDATE
2022/2023 GRADED A+
NURSING MISCHesi Critical Thinking. QUESTIONS &
ANSWERS (Q&A) LATEST UPDATE 2022/2023 GRADED A+
with gastroenteritis.Which client problem is priority?
Correct - 2-The child diagnosed with gastroenteritis is at high risk for
hypovolemic shockresulting from vomiting and diarrhea; therefore,
maintaining fluid and elec- trolyte homeostasis is priority.
Which data would warrant immediate intervention from the
pediatric nurse? 1.Proteinuria for the child diagnosed with
nephrotic syndrome.
Correct - 3-Drooling indicates the child is having trouble swallowing,
and the epiglottis isat risk of completely occluding the air- way. This
warrants immediate interven- tion. Thenurse should notify the HCP
and obtain an emergency tracheostomy tray for the bedside.
Which client should the pediatric nurse assess first after
receiving the a.m. shift report? 4. The 13-month-old child
diagnosed with diarrhea who has sunken eyeballsand
decreased urin [Show Less]