HESI CRITICAL THINKING RN LATEST 2024 UPDATED WITH VERIFIED QUESTIONS AND DETAILED ANSWERS WITH RATIONALES (GRADED A+)

HESI CRITICAL THINKING RN LATEST 2024
UPDATED WITH VERIFIED QUESTIONS AND
DETAILED ANSWERS WITH RATIONALES
(GRADED A+)
18. The nurse on a pediatric unit has received the a.m. shift report
and tells the unli- censed assistive personnel (UAP) to keep the 2-
year-old child NPO for a procedure. At 0830, the nurse observes
the mother feeding the child. Which action should the nurse
implement first?
Determine what the UAP did not understand about the instruction.
Tell the HCP the UAP did not follow the nurse's direction.
Ask the mother why she was feeding her child if the child was
NPO.
Notify the dietary department to hold the child's meal trays. -
ANSWER-Rationale Correct - 1.Communication to the UAP must
be clear, concise, correct, and complete. The nurse must
determine why there was a lack of communication, which resulted
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in the child receiving food; therefore, this action should be
implemented first.
19. The charge nurse on the six-bed pediatric burn unit is making
shift assignments and has one registered nurse (RN), one scrub
technician, one unlicensed assistive
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personnel (UAP), and a unit secretary. Which client care
assignment indicates the best use of the hospital personnel?
The RN performs daily whirlpool dressing changes.
The unit secretary transcribes the HCP's orders.
The scrub technician medicates the client prior to dressing
changes. 4. The UAP places the current laboratory results on the
chart. - ANSWER-1-The scrub technician is assigned to perform
daily whirlpool dressing changes, which is a lengthy procedure.
Therefore, assigning the one RN to this task would be
inappropriate because he or she cannot be unavailable for an
extended period of time.
**2-One of the responsibilities of the unit secretary is to transcribe
the HCP's orders, but the licensed nurse retains total responsibility
for the correctness and accuracy of the transcribed orders.
The scrub technician cannot administer medications.
The unit secretary and laboratory personnel are responsible for
posting laboratory data into the client's charts. The UAP should be
on the unit taking care of the clients.
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20. The RN and the UAP are caring for clients on a pediatric
surgical unit. Which tasks would be most appropriate to delegate to
the UAP? Select all that apply.
Pass dietary trays to the clients.
Obtain routine vital signs on the clients.
Complete the preoperative checklist.
Change linens on the clients' beds.
Document the clients' intake and output. - ANSWER-1, 2, 4, and 5
are correct.
The UAP can pass the dietary trays to the clients because it does
not require judgment.
One of the responsibilities of the UAP is taking routine vital signs
on clients.
The nurse must complete the preoperative checklist because it
requires nursing judg- ment to determine whether the client is
ready for surgery.
One of the responsibilities of the UAP is changing bed linens.
The UAP can document the client's in- take and output, but the
UAP cannot evaluate the numbers.
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21. Which client should the charge nurse on the pediatric unit
assign to the most experienced nurse?
The 4-year-old child diagnosed with hemophilia receiving factor
VIII.
The 8-year-old child with headaches who is scheduled for a CT
scan.
The 6-year-old child recovering from a sickle cell crisis.
The 11-year-old child newly diagnosed with rheumatoid arthritis. -
ANSWER-1-The administration of blood products does not require
the most experienced nurse.
Preparing a child for a routine procedure does not require the most
experienced nurse.
The child recovering from a sickle cell crisis would not require the
most experienced nurse.