HESI MILESTONE 2 ACTUAL EXAM PAPER 2026
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ IBD - peritonitis Answer: - Fluid, colloid, and electrolyte
replacement is the major focus
- Antibiotic therapy
◉ The mother of a child recently diagnosed with asthma asks the
nurse how to help protect her child from having asthmatic attacks.
To avoid triggers for asthmatic attacks, which instructions should
the nurse provide the mother? (Select all that apply) Answer: Close
car windows and use air conditioner
Avoid sudden changes in temperature
Keep away from pets with long hair
Stay indoors when grass is being cut
◉ Ulcerative colitis bloody diarrhea Answer: Patients with ulcerative
colitis may experience as many as 10-20 liquid, bloody stools per
day
◉ Arterial insufficiency diabetic Answer: arterial insufficiency
symptoms
,-weak pedal pulses
-shiny and cool skin
-intermittent claudication
- aching/cramping
- induced fatigue
◉ Which of the following instructions should the nurse include in
the teaching plan for a client who is experiencing gastroesophageal
reflux disease (GERD)? Answer: The nurse should instruct the client
to not lie down for about 2 hours after eating to prevent reflux.
Minimize symptoms by wearing loose and comfortable clothes
◉ Pre op labs which is abnormal Answer: WBC count higher than
5,000-10,000/mm3 = possible infection
◉ Seizure unconscious patient Answer: Make sure suction is
available
◉ While monitoring a client during a seizure, which interventions
should the nurse implement? (Select all that apply) Answer: a. Move
obstacle away from client
b. Monitor physical movements
d. Observe for a patent airway
, e. Record the duration of the seizure
◉ A pt is preparing for discharge after lithotripsy. Which
intervention should
the nurse include in the client's postoperative discharge
instructions? Answer: monitor urinary stream for decrease in
urinary output
◉ A patient returns to the medical-surgical unit after having
extracorporeal shock wave lithotripsy (ESWL). What is an
appropriate nursing intervention for the postprocedural care of this
patient? Answer: Strain the urine to monitor the passage of stone
fragments
◉ General anesthesia - post anesthesia car Answer: systolic under
90 = immediately reportable unless baseline!!
◉ Thrombocytopenia labs Answer: under 50,000 /LOW PLATELET
COUNT
normal PT/PTT
prolonged Bleeding time
Thrombocytopenia: Low platelet count
Bleeding and petechiae usually do not occur with platelet counts
greater than 50,000/mm3, although excessive bleeding can follow
surgery or other trauma. When the platelet count drops to less than
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ IBD - peritonitis Answer: - Fluid, colloid, and electrolyte
replacement is the major focus
- Antibiotic therapy
◉ The mother of a child recently diagnosed with asthma asks the
nurse how to help protect her child from having asthmatic attacks.
To avoid triggers for asthmatic attacks, which instructions should
the nurse provide the mother? (Select all that apply) Answer: Close
car windows and use air conditioner
Avoid sudden changes in temperature
Keep away from pets with long hair
Stay indoors when grass is being cut
◉ Ulcerative colitis bloody diarrhea Answer: Patients with ulcerative
colitis may experience as many as 10-20 liquid, bloody stools per
day
◉ Arterial insufficiency diabetic Answer: arterial insufficiency
symptoms
,-weak pedal pulses
-shiny and cool skin
-intermittent claudication
- aching/cramping
- induced fatigue
◉ Which of the following instructions should the nurse include in
the teaching plan for a client who is experiencing gastroesophageal
reflux disease (GERD)? Answer: The nurse should instruct the client
to not lie down for about 2 hours after eating to prevent reflux.
Minimize symptoms by wearing loose and comfortable clothes
◉ Pre op labs which is abnormal Answer: WBC count higher than
5,000-10,000/mm3 = possible infection
◉ Seizure unconscious patient Answer: Make sure suction is
available
◉ While monitoring a client during a seizure, which interventions
should the nurse implement? (Select all that apply) Answer: a. Move
obstacle away from client
b. Monitor physical movements
d. Observe for a patent airway
, e. Record the duration of the seizure
◉ A pt is preparing for discharge after lithotripsy. Which
intervention should
the nurse include in the client's postoperative discharge
instructions? Answer: monitor urinary stream for decrease in
urinary output
◉ A patient returns to the medical-surgical unit after having
extracorporeal shock wave lithotripsy (ESWL). What is an
appropriate nursing intervention for the postprocedural care of this
patient? Answer: Strain the urine to monitor the passage of stone
fragments
◉ General anesthesia - post anesthesia car Answer: systolic under
90 = immediately reportable unless baseline!!
◉ Thrombocytopenia labs Answer: under 50,000 /LOW PLATELET
COUNT
normal PT/PTT
prolonged Bleeding time
Thrombocytopenia: Low platelet count
Bleeding and petechiae usually do not occur with platelet counts
greater than 50,000/mm3, although excessive bleeding can follow
surgery or other trauma. When the platelet count drops to less than
