2024 /2025 |© copyright | This work may not be copied for profit gain | Excell!
HESI Milestone #2 Questions & 100% Correct
Answers- Latest Test | Graded A+ | Passed
-Chemo Side Effects
✓ -:- o Nausea/vomiting (24-48 hr, can be delayed up to 1 week)
Meningitis first step
✓ -:- o Antibiotics - penicillin (ampicillin) AND cephalosporin
o Corticosteroids
Multiple sclerosis and urinary retention
✓ -:- o Sensation of void heeded immediately (bed pan/urinal @
bedside)
o Voiding schedule (start 1/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after w/ timer
o Self-catherization
Acute renal failure priority
✓ -:- o Maintain fluids
o Avoid fluid excess
o Renal replacement therapy
1|Page | Grade A+| 2024/2025
,2024 /2025 |© copyright | This work may not be copied for profit gain | Excell!
o Reduce metabolic rate
o Promote pulmonary function
Acute Respiratory distress priority findings
✓ -:- o Hypoxia
o Intercostal retractions
o Crackles
o BNP levels
(alveoli collapse because small airways are narrowed due to interstitial fluid and
bronchial obstruction)
End of life plan of care
✓ -:- o Signs and symptoms of impending death are recognized and
communicated in developmentally appropriate language for children
and patients with cognitive disabilities with respect to family
preference. Care appropriate to this phase of illness is proved to the
patient and the family
Cushing Syndrome
2|Page | Grade A+| 2024/2025
,2024 /2025 |© copyright | This work may not be copied for profit gain | Excell!
✓ -:- o Can result from corticosteroids
***Attempt to reduce/taper medication while still treating underlying disease
o Alternate day therapy decrease symptoms and allows adrenal glands to
recover
Valve replacement teaching
✓ -:- o Anticoagulant therapy (frequent follow-up/lab tests)
§ Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!
Cancer intractable pain plan of care
✓ -:- o Pain, other symptoms and side effects are managed based on
the best available evidence, with attention to disease-specific pain and
symptoms, which are skillfully and systematically applied. ??????
Schizophrenia nursing diagnoses and interventions
3|Page | Grade A+| 2024/2025
, 2024 /2025 |© copyright | This work may not be copied for profit gain | Excell!
✓ -:- - Dx: 2 or more S&S for over 6 mo (Positive= delusions,
hallucinations, disorganized speech or Negative= 6 A's Anhedonia, Flat
Affect, Apathy, Anergia, Algogia, Avolition)
-Establish rapport and trust, ask about hallucinations, distract, lower
environmental stimuli, monitor suicidal ideation, 1st or 2nd generation antipsych
Grief process therapeutic response
✓ -:- Allow the 5 steps of grieving (DABDA), active listening and offer a
supportive presence
Dementia action refusing ADLs
✓ -:- Encourage finger foods, distraction, speak therapeutically
Alcohol withdrawal
✓ -:- - Needs to be done under medical supervision b/c can be deadly
- VS Q4, onset of symptoms 4-6 hours after last drink, give lorazepam, reduce
temp.
- Tremors, nausea, vomiting
Methadone overdose
4|Page | Grade A+| 2024/2025
HESI Milestone #2 Questions & 100% Correct
Answers- Latest Test | Graded A+ | Passed
-Chemo Side Effects
✓ -:- o Nausea/vomiting (24-48 hr, can be delayed up to 1 week)
Meningitis first step
✓ -:- o Antibiotics - penicillin (ampicillin) AND cephalosporin
o Corticosteroids
Multiple sclerosis and urinary retention
✓ -:- o Sensation of void heeded immediately (bed pan/urinal @
bedside)
o Voiding schedule (start 1/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after w/ timer
o Self-catherization
Acute renal failure priority
✓ -:- o Maintain fluids
o Avoid fluid excess
o Renal replacement therapy
1|Page | Grade A+| 2024/2025
,2024 /2025 |© copyright | This work may not be copied for profit gain | Excell!
o Reduce metabolic rate
o Promote pulmonary function
Acute Respiratory distress priority findings
✓ -:- o Hypoxia
o Intercostal retractions
o Crackles
o BNP levels
(alveoli collapse because small airways are narrowed due to interstitial fluid and
bronchial obstruction)
End of life plan of care
✓ -:- o Signs and symptoms of impending death are recognized and
communicated in developmentally appropriate language for children
and patients with cognitive disabilities with respect to family
preference. Care appropriate to this phase of illness is proved to the
patient and the family
Cushing Syndrome
2|Page | Grade A+| 2024/2025
,2024 /2025 |© copyright | This work may not be copied for profit gain | Excell!
✓ -:- o Can result from corticosteroids
***Attempt to reduce/taper medication while still treating underlying disease
o Alternate day therapy decrease symptoms and allows adrenal glands to
recover
Valve replacement teaching
✓ -:- o Anticoagulant therapy (frequent follow-up/lab tests)
§ Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!
Cancer intractable pain plan of care
✓ -:- o Pain, other symptoms and side effects are managed based on
the best available evidence, with attention to disease-specific pain and
symptoms, which are skillfully and systematically applied. ??????
Schizophrenia nursing diagnoses and interventions
3|Page | Grade A+| 2024/2025
, 2024 /2025 |© copyright | This work may not be copied for profit gain | Excell!
✓ -:- - Dx: 2 or more S&S for over 6 mo (Positive= delusions,
hallucinations, disorganized speech or Negative= 6 A's Anhedonia, Flat
Affect, Apathy, Anergia, Algogia, Avolition)
-Establish rapport and trust, ask about hallucinations, distract, lower
environmental stimuli, monitor suicidal ideation, 1st or 2nd generation antipsych
Grief process therapeutic response
✓ -:- Allow the 5 steps of grieving (DABDA), active listening and offer a
supportive presence
Dementia action refusing ADLs
✓ -:- Encourage finger foods, distraction, speak therapeutically
Alcohol withdrawal
✓ -:- - Needs to be done under medical supervision b/c can be deadly
- VS Q4, onset of symptoms 4-6 hours after last drink, give lorazepam, reduce
temp.
- Tremors, nausea, vomiting
Methadone overdose
4|Page | Grade A+| 2024/2025
