HESI MILESTONE TESTS COMPILATION
BUNDLE ACTUAL EXAM PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
⩥ 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 20,000/mm3,
petechiae can appear, along with nasal and gingival bleeding, excessive
menstrual bleeding, and excessive bleeding after surgery or dental
extractions. When the platelet count is less than 5000/mm3,
, spontaneous, potentially fatal central nervous system or GI hemorrhage
can occur
⩥ Sickle cell first sign of crisis Answer: pain
- fatigue
- swollen hands and feet
- dehydration
**give oxygen, fluids, pain med, infection prevention
⩥ A child with possible Duchenne muscular dystrophy ( MD) undergoes
an electromyogram (EMG). Following the procedure, the child's parents
tell the nurse that the child is complaining of sore muscle. How should
the nurse respond? Answer: Offer reassurance that muscle soreness
following this procedures is temporary and does not indicate a problem
⩥ The parents of a 3-year old boy who has Duchenne muscular
dystrophy ask, "How can our son have this disease? We are wondering if
we should have any more children." What information should the nurse
provide to parents? Answer: This is an inherited X-linked recessive
disorder, which primarily affects male children in the family
⩥ A 4-year-old boy was recently diagnosed with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important
for the nurse to focus on during the initial teaching? Answer: Lower legs
become progressively weaker, causing waddling, unsteady gait
BUNDLE ACTUAL EXAM PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
GRADED A+
⩥ 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 20,000/mm3,
petechiae can appear, along with nasal and gingival bleeding, excessive
menstrual bleeding, and excessive bleeding after surgery or dental
extractions. When the platelet count is less than 5000/mm3,
, spontaneous, potentially fatal central nervous system or GI hemorrhage
can occur
⩥ Sickle cell first sign of crisis Answer: pain
- fatigue
- swollen hands and feet
- dehydration
**give oxygen, fluids, pain med, infection prevention
⩥ A child with possible Duchenne muscular dystrophy ( MD) undergoes
an electromyogram (EMG). Following the procedure, the child's parents
tell the nurse that the child is complaining of sore muscle. How should
the nurse respond? Answer: Offer reassurance that muscle soreness
following this procedures is temporary and does not indicate a problem
⩥ The parents of a 3-year old boy who has Duchenne muscular
dystrophy ask, "How can our son have this disease? We are wondering if
we should have any more children." What information should the nurse
provide to parents? Answer: This is an inherited X-linked recessive
disorder, which primarily affects male children in the family
⩥ A 4-year-old boy was recently diagnosed with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important
for the nurse to focus on during the initial teaching? Answer: Lower legs
become progressively weaker, causing waddling, unsteady gait
