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HESI Milestone 2 Retake Exam -Certified
Nursing Study Guide Questions And
Verified Answers
What is a Lithotripsy? - correct-answer -Electrohydraulic lithotripsy is a similar
method in which an electrical discharge is used to create a hydraulic shock wave
to break up the stone.
A probe is passed through the cystoscope, and the tip of the lithotriptor is placed
near the stone.
This procedure is performed under topical anesthesic
What are the Symptoms of BPH? - correct-answer -urinary frequency
urgency
nocturia
hesitancy in starting urination,
decreased and intermittent force of stream
sensation of incomplete bladder emptying
abdominal straining with urination
a decrease in the volume and force of the urinary stream
dribbling
complications of acute urinary retention
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recurrent UTIs.
What are the risks of BPH? - correct-answer -Estrogens levels = sensitive prostate
tissue and less responsive to DHT.
Smoking
heavy alcohol consumption
obesity
reduced activity level
hypertension
heart disease
diabetes
Western diet (high in animal fat and protein and refined carbohydrates, low in
fiber)
What's the Relation between PAD & Diabetes? - correct-answer -Peripheral
Arterial Occlusion
Diabetes is a risk factor of PAD - specifically speeds it up
Thrombocytopenia Labs - correct-answer -greater than 50,000/mm3 = excessive
bleeding can follow surgery.
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less than 20,000/mm3 = petechiae, nasal and gingival bleeding, excessive
menstrual bleeding, and excessive bleeding after surgery or dental extractions.
less than 5000/mm3 = spontaneous, potentially fatal central nervous system or GI
hemorrhage can occur
What's Thrombocytopenia - correct-answer -Low playlet count
What are the Clinical Manifestations of Digoxin Toxicity? - correct-answer -
anorexia
nausea
visual disturbances
confusion
bradycardia.
serum potassium level is monitored bc could = hypokalemia which can = digoxin
toxicity
When is a patients serum digoxin levels monitored? - correct-answer -renal
function changes
symptoms of toxicity.
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What is the main concern of patients taking Digoxin?? - correct-answer -Pt w/
renal dysfunction and older patients should receive smaller doses of digoxin, as it
is excreted through the kidneys.
A key concern associated with digoxin therapy is digitalis toxicity.
What is digoxin used for - correct-answer -increase heart contractility in HF Pt
Decreased sx of Hf
What are the Sx of Congestion HF? - correct-answer -Dyspnea
Orthopnea
Paroxysmal nocturnal dyspnea
Cough (recumbent or exertional)
Pulmonary crackles that do not clear with cough
Weight gain (rapid)
Dependent edema
Abdominal bloating or discomfort
Ascites
Jugular venous distention
Sleep disturbance (anxiety or air hunger)
Fatigue
HESI Milestone 2 Retake Exam -Certified
Nursing Study Guide Questions And
Verified Answers
What is a Lithotripsy? - correct-answer -Electrohydraulic lithotripsy is a similar
method in which an electrical discharge is used to create a hydraulic shock wave
to break up the stone.
A probe is passed through the cystoscope, and the tip of the lithotriptor is placed
near the stone.
This procedure is performed under topical anesthesic
What are the Symptoms of BPH? - correct-answer -urinary frequency
urgency
nocturia
hesitancy in starting urination,
decreased and intermittent force of stream
sensation of incomplete bladder emptying
abdominal straining with urination
a decrease in the volume and force of the urinary stream
dribbling
complications of acute urinary retention
,2|Page
recurrent UTIs.
What are the risks of BPH? - correct-answer -Estrogens levels = sensitive prostate
tissue and less responsive to DHT.
Smoking
heavy alcohol consumption
obesity
reduced activity level
hypertension
heart disease
diabetes
Western diet (high in animal fat and protein and refined carbohydrates, low in
fiber)
What's the Relation between PAD & Diabetes? - correct-answer -Peripheral
Arterial Occlusion
Diabetes is a risk factor of PAD - specifically speeds it up
Thrombocytopenia Labs - correct-answer -greater than 50,000/mm3 = excessive
bleeding can follow surgery.
,3|Page
less than 20,000/mm3 = petechiae, nasal and gingival bleeding, excessive
menstrual bleeding, and excessive bleeding after surgery or dental extractions.
less than 5000/mm3 = spontaneous, potentially fatal central nervous system or GI
hemorrhage can occur
What's Thrombocytopenia - correct-answer -Low playlet count
What are the Clinical Manifestations of Digoxin Toxicity? - correct-answer -
anorexia
nausea
visual disturbances
confusion
bradycardia.
serum potassium level is monitored bc could = hypokalemia which can = digoxin
toxicity
When is a patients serum digoxin levels monitored? - correct-answer -renal
function changes
symptoms of toxicity.
, 4|Page
What is the main concern of patients taking Digoxin?? - correct-answer -Pt w/
renal dysfunction and older patients should receive smaller doses of digoxin, as it
is excreted through the kidneys.
A key concern associated with digoxin therapy is digitalis toxicity.
What is digoxin used for - correct-answer -increase heart contractility in HF Pt
Decreased sx of Hf
What are the Sx of Congestion HF? - correct-answer -Dyspnea
Orthopnea
Paroxysmal nocturnal dyspnea
Cough (recumbent or exertional)
Pulmonary crackles that do not clear with cough
Weight gain (rapid)
Dependent edema
Abdominal bloating or discomfort
Ascites
Jugular venous distention
Sleep disturbance (anxiety or air hunger)
Fatigue
