HESI MILESTONE 2 PRACTICE
QUESTION
A patron with GERD is being dealt with with dietary management. The patron states, "I like to
have a glass of juice normal." Which juice will the nurse advocate?
Answer: Apple Juice
A number one healthcare company prescribes a low-sodium, excessive-potassium eating
regimen for purchaser with Cushing Syndrome. Which rationalization must the nurse provide to
the consumer about the need to comply with this food plan?
Answer: "Excessive aldosterone and cortisone motive retention of sodium and loss of
potassium."
Two customers with polydipsia and polyuria arrived on the health center. Both have been having
comparable symptoms but were diagnosed with one-of-a-kind types of diabetes insipidus.
Which assessment locating helped to differentiate the diagnosis?
Answer: Urine Osmolarity
A patron has a history of GERD. Why must the nurse reveal the customer for medical
manifestation of heart sickness?
Esophageal pain might also imitate the symptoms of a heart attack
A nurse is teaching a fifteen-year-vintage adolescent with newly recognized type 1 diabetes
approximately self-care. What is the primary lengthy-term aim this nurse and consumer must
agree on?
Maintaining normoglycemia
The nurse is caring for a customer earlier than, during and without delay after surgical
treatment. Which type of care is supplied to the customer?
Care that supports homeostatic regulation
,A 15-year-antique with cystic fibrosis (CF) is admitted with a breathing infection. The nurse
determines that the adolescent is cyanotic, has a barrel-fashioned chest, and is within the tenth
percentile for each top and weight. What is the priority nursing intervention?
Performing postural drainage
A nurse is making plans to educate a college-elderly child with newly recognized kind 1 diabetes
approximately self-care. After an assessment of what the child is aware of approximately
diabetes, what is the following nursing intervention?
Developing a chain of desires with the child and mother and father.
The nurse concludes that a patron with glaucoma needs education whilst the consumer makes
which statement?
"It is risky for me to apply sedatives."
Sedatives don't have any impact on intraocular strain
A mom reviews feeding her little one immediately earlier than arriving within the emergency
department. After finishing the assessment, the nurse reports which locating without delay to the
primary healthcare provider as it probably indicated pyloric stenosis?
Peristaltic waves that transverse the epigastrium.
The registered nurse is teaching a scholar nurse the points to be included whilst educating a
customer on cortisol replacement therapy approximately self-management. Which statement
supplied by using the scholar nurse shows the need for further teaching?
"I will advise the client to take the medicine earlier than meals."
Two customers with polydipsia and polyuria arrived at the medical institution. Both were having
similar symptoms however have been identified with specific forms of diabetes insipidus. Which
assessment locating helped to distinguish the diagnosis?
Urine osmolarity
A customer with a completed ischemic stroke has a blood strain of a hundred and eighty/90
mmHg. Which action need to the nurse put into effect?
A. Position the head of the bed (HOB) flat.
B. Withhold intravenous fluids.
C. Administer a bolus of IV fluids.
D. Give an antihypertensive medication.
D
,Most ischemic strokes occur at some point of sleep whilst baseline blood pressure declines or
blood viscosity increases because of minimal fluid consumption. Completed strokes normally
produce neurologic deficits inside an hour, and the consumer's modern elevated blood pressure
calls for antihypertensive remedy.
A consumer has been hospitalized with a femur fracture and is being dealt with with traction.
Which action by the nurse is the concern whilst being concerned for this patron?
A. Assess neurovascular popularity.
B. Change the client's position.
C. Inspect the traction gadget.
D. Review ache medicine orders.
A
The use of traction for long bone fractures reduces the potential for harm to the surrounding
tissues. Reports of increased ache may also suggest circulatory compromise or tissue harm
(compartment syndrome). Assessing the patron's neurovascular status is the nurse's highest
priority.
A center-elderly male client with diabetes maintains to eat an abundance of meals which can be
excessive in sugar and fat. According to the Health Belief Model, which event is maximum
probable to growth the consumer's willingness to turn out to be compliant with the prescribed
diet?
A. He visits his diabetic brother who just had surgical procedure to amputate an infected foot.
B. He is supplied with the most modern-day statistics about the dangers of untreated diabetes.
C. He remarks at the network service bulletins about preventing complications associated with
diabetes.
D. His wife expresses a sincere willingness to put together food that are inside his prescribed
weight loss program.
A
The loss of a limb because of diabetes by means of a family member need to be the strongest
event or "cue to motion" and is most probably to growth the client's perceived seriousness of the
disorder.
A patron who has coronary heart failure is admitted with a serum potassium stage of 2.Nine
mEq/L (2.Nine mmol/L). Which motion is maximum critical for the nurse to put into effect?
A. Give 20 mEq of potassium chloride.
B. Initiate non-stop cardiac monitoring.
C. Arrange a consultation with the dietician.
D. Teach approximately the facet effects of diuretics.
B
Hypokalemia (normal three.Five to 5 mEq/L [3.5 to 5 mmol/L]) reasons adjustments in
myocardial irritability and ECG waveform, so it's miles maximum critical for the nurse to initiate
, non-stop cardiac tracking to identify ventricular ectopy or other existence-threatening
dysrhythmias. After cardiac monitoring is initiated, then the potassium chloride need to be given
so that the outcomes of potassium replacement on the cardiac rhythm may be monitored.
Which description of ache is constant with a prognosis of rheumatoid arthritis?
A. Joint ache is worse in the morning and includes symmetric joints.
B. Joint pain is better within the morning and worsens at some point of the day.
C. Joint pain is consistent in the course of the day and is relieved by using ache medicinal drug.
D. Joint ache is worse throughout the day and includes unilateral joints.
A
Rheumatoid arthritis (RA) is an autoimmune ailment that reasons joint pain and swelling. RA is
characterised by way of pain this is worse whilst bobbing up and involves symmetric joints.
A consumer's susceptibility to ulcerative colitis is most possibly because of which component
inside the customer's history?
A. Jewish European ancestry.
B. H. Pylori bowel contamination.
C. Family history of irritable bowel syndrome.
D. Age between 25 and 55 years.
A
Ulcerative colitis is 4 to five times more not unusual amongst individuals of Jewish European or
Ashkenazi ancestry.
The client is taking digoxin for congestive heart failure. The nurse would be accurate in
withholding a dose of digoxin based on which evaluation?
A. Serum digoxin degree is 1.5.
B. Blood pressure is 104/68.
C. Serum potassium degree is three.
D. Apical pulse is sixty eight/min.
C
Hypokalemia can precipitate digitalis toxicity in men and women receiving digoxin so that it will
boom the risk of risky dysrhythmias (regular potassium degree is three.5 to 5.Five mEq/L).
The registered nurse (RN) is assessing a male patron who arrives at the medical institution with
extreme belly cramping, pain, tenesmus, and dehydration. The RN discovers that the purchaser
has had 14 to 20 free stools with rectal bleeding. When taking the patron's medical records,
which facts is maximum for the nurse to reap?
A. Irritable bowel syndrome.
B. Diverticulitis.
C. Crohn's ailment.
QUESTION
A patron with GERD is being dealt with with dietary management. The patron states, "I like to
have a glass of juice normal." Which juice will the nurse advocate?
Answer: Apple Juice
A number one healthcare company prescribes a low-sodium, excessive-potassium eating
regimen for purchaser with Cushing Syndrome. Which rationalization must the nurse provide to
the consumer about the need to comply with this food plan?
Answer: "Excessive aldosterone and cortisone motive retention of sodium and loss of
potassium."
Two customers with polydipsia and polyuria arrived on the health center. Both have been having
comparable symptoms but were diagnosed with one-of-a-kind types of diabetes insipidus.
Which assessment locating helped to differentiate the diagnosis?
Answer: Urine Osmolarity
A patron has a history of GERD. Why must the nurse reveal the customer for medical
manifestation of heart sickness?
Esophageal pain might also imitate the symptoms of a heart attack
A nurse is teaching a fifteen-year-vintage adolescent with newly recognized type 1 diabetes
approximately self-care. What is the primary lengthy-term aim this nurse and consumer must
agree on?
Maintaining normoglycemia
The nurse is caring for a customer earlier than, during and without delay after surgical
treatment. Which type of care is supplied to the customer?
Care that supports homeostatic regulation
,A 15-year-antique with cystic fibrosis (CF) is admitted with a breathing infection. The nurse
determines that the adolescent is cyanotic, has a barrel-fashioned chest, and is within the tenth
percentile for each top and weight. What is the priority nursing intervention?
Performing postural drainage
A nurse is making plans to educate a college-elderly child with newly recognized kind 1 diabetes
approximately self-care. After an assessment of what the child is aware of approximately
diabetes, what is the following nursing intervention?
Developing a chain of desires with the child and mother and father.
The nurse concludes that a patron with glaucoma needs education whilst the consumer makes
which statement?
"It is risky for me to apply sedatives."
Sedatives don't have any impact on intraocular strain
A mom reviews feeding her little one immediately earlier than arriving within the emergency
department. After finishing the assessment, the nurse reports which locating without delay to the
primary healthcare provider as it probably indicated pyloric stenosis?
Peristaltic waves that transverse the epigastrium.
The registered nurse is teaching a scholar nurse the points to be included whilst educating a
customer on cortisol replacement therapy approximately self-management. Which statement
supplied by using the scholar nurse shows the need for further teaching?
"I will advise the client to take the medicine earlier than meals."
Two customers with polydipsia and polyuria arrived at the medical institution. Both were having
similar symptoms however have been identified with specific forms of diabetes insipidus. Which
assessment locating helped to distinguish the diagnosis?
Urine osmolarity
A customer with a completed ischemic stroke has a blood strain of a hundred and eighty/90
mmHg. Which action need to the nurse put into effect?
A. Position the head of the bed (HOB) flat.
B. Withhold intravenous fluids.
C. Administer a bolus of IV fluids.
D. Give an antihypertensive medication.
D
,Most ischemic strokes occur at some point of sleep whilst baseline blood pressure declines or
blood viscosity increases because of minimal fluid consumption. Completed strokes normally
produce neurologic deficits inside an hour, and the consumer's modern elevated blood pressure
calls for antihypertensive remedy.
A consumer has been hospitalized with a femur fracture and is being dealt with with traction.
Which action by the nurse is the concern whilst being concerned for this patron?
A. Assess neurovascular popularity.
B. Change the client's position.
C. Inspect the traction gadget.
D. Review ache medicine orders.
A
The use of traction for long bone fractures reduces the potential for harm to the surrounding
tissues. Reports of increased ache may also suggest circulatory compromise or tissue harm
(compartment syndrome). Assessing the patron's neurovascular status is the nurse's highest
priority.
A center-elderly male client with diabetes maintains to eat an abundance of meals which can be
excessive in sugar and fat. According to the Health Belief Model, which event is maximum
probable to growth the consumer's willingness to turn out to be compliant with the prescribed
diet?
A. He visits his diabetic brother who just had surgical procedure to amputate an infected foot.
B. He is supplied with the most modern-day statistics about the dangers of untreated diabetes.
C. He remarks at the network service bulletins about preventing complications associated with
diabetes.
D. His wife expresses a sincere willingness to put together food that are inside his prescribed
weight loss program.
A
The loss of a limb because of diabetes by means of a family member need to be the strongest
event or "cue to motion" and is most probably to growth the client's perceived seriousness of the
disorder.
A patron who has coronary heart failure is admitted with a serum potassium stage of 2.Nine
mEq/L (2.Nine mmol/L). Which motion is maximum critical for the nurse to put into effect?
A. Give 20 mEq of potassium chloride.
B. Initiate non-stop cardiac monitoring.
C. Arrange a consultation with the dietician.
D. Teach approximately the facet effects of diuretics.
B
Hypokalemia (normal three.Five to 5 mEq/L [3.5 to 5 mmol/L]) reasons adjustments in
myocardial irritability and ECG waveform, so it's miles maximum critical for the nurse to initiate
, non-stop cardiac tracking to identify ventricular ectopy or other existence-threatening
dysrhythmias. After cardiac monitoring is initiated, then the potassium chloride need to be given
so that the outcomes of potassium replacement on the cardiac rhythm may be monitored.
Which description of ache is constant with a prognosis of rheumatoid arthritis?
A. Joint ache is worse in the morning and includes symmetric joints.
B. Joint pain is better within the morning and worsens at some point of the day.
C. Joint pain is consistent in the course of the day and is relieved by using ache medicinal drug.
D. Joint ache is worse throughout the day and includes unilateral joints.
A
Rheumatoid arthritis (RA) is an autoimmune ailment that reasons joint pain and swelling. RA is
characterised by way of pain this is worse whilst bobbing up and involves symmetric joints.
A consumer's susceptibility to ulcerative colitis is most possibly because of which component
inside the customer's history?
A. Jewish European ancestry.
B. H. Pylori bowel contamination.
C. Family history of irritable bowel syndrome.
D. Age between 25 and 55 years.
A
Ulcerative colitis is 4 to five times more not unusual amongst individuals of Jewish European or
Ashkenazi ancestry.
The client is taking digoxin for congestive heart failure. The nurse would be accurate in
withholding a dose of digoxin based on which evaluation?
A. Serum digoxin degree is 1.5.
B. Blood pressure is 104/68.
C. Serum potassium degree is three.
D. Apical pulse is sixty eight/min.
C
Hypokalemia can precipitate digitalis toxicity in men and women receiving digoxin so that it will
boom the risk of risky dysrhythmias (regular potassium degree is three.5 to 5.Five mEq/L).
The registered nurse (RN) is assessing a male patron who arrives at the medical institution with
extreme belly cramping, pain, tenesmus, and dehydration. The RN discovers that the purchaser
has had 14 to 20 free stools with rectal bleeding. When taking the patron's medical records,
which facts is maximum for the nurse to reap?
A. Irritable bowel syndrome.
B. Diverticulitis.
C. Crohn's ailment.
