HESI MILESTONE #2 RETAKE ACTUAL EXAM TEST BANK
200 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% VERIFIED ANSWERS) |
ALREADY GRADED A+
Broca's Area - ANSWER: Speech
The cortical area that is responsible for integrating the myriad pathways required for
the comprehension and formulation of language is called Broca area. It is located in a
convolution adjoining the middle cerebral artery. This area is responsible for control
of the combinations of muscular movements needed to speak each word.
Chemo Side Effects - ANSWER: Nausea
Vomiting
Myelosuppression
SIADH, decrease renal perfusion, precipitate end products after cell lysis, and cause
interstitial nephritis
Cardiac Toxicity
Testicular and ovarian function can be affected by chemotherapeutic agents,
resulting in possible sterility.
Chemotherapy-induced neurotoxicity, a potentially dose-limiting toxicity, can affect
the central nervous system, peripheral nervous system, and/or the cranial nerves
Chemo Brain:
Many patients with cancer experience difficulty with remembering dates,
multitasking, managing numbers and finances, organization, face or object
recognition, inability to follow directions, feeling easily distracted, and motor and
behavioral changes.
Fatigue
Expressive Aphasia - ANSWER: Inability to express oneself
Meningitis First Step - ANSWER: Broad Spectrum Antibiotics
Glaucoma Symptoms - ANSWER: The patient may not seek health care until he or she
experiences blurred vision or "halos" around lights, difficulty focusing, difficulty
adjusting eyes in low lighting, loss of peripheral vision, aching or discomfort around
the eyes, and headache.
Assessments for Guillain Barre - ANSWER: The patient is monitored for life-
threatening complications (respiratory failure, cardiac dysrhythmias, VTE [including
DVT or PE]) so that appropriate intervention can be initiated. Because of the threat
to the patient in this sudden, potentially life-threatening disease, the nurse must
assess the patient's and family's ability to cope and their use of coping strategies.
Maintain respiratory function
Enhancing physical mobility
Promote adequate nutrition
, Improving communication
Decreasing fear and anxiety
Managing potential complications
Multiple Sclerosis & Urinary Retention - ANSWER: A neurogenic bladder results in
urinary retention or leakage. The patient may describe a sensation of bladder
fullness or incomplete bladder emptying. The pharmacological treatment of urinary
retention is administration of a cholinergic agonist
From Google:
Many multiple sclerosis (MS) patients are affected by urinary retention. Common
causes include neurogenic underactive bladder and/or bladder outlet obstruction
from detrusor sphincter dyssynergia
Traction & Assessment
(Blueprint- Fractured Femer Dim Pulses) - ANSWER: After skin traction is applied, the
nurse assesses circulation of the foot within 15 to 30 minutes and then every 1 to 2
hours. Circulatory assessment consists of:
Peripheral pulses, color, capillary refill, and temperature of the fingers or toes.
Manifestations of deep vein thrombosis (DVT), which include unilateral calf
tenderness, warmth, redness, and swelling.
Compartment Syndrome - ANSWER: Diagnosis of compartment syndrome is based
on clinical suspicion, assessment of the 6 P's (pain, poikilothermia, pallor,
paresthesia, pulselessness, and paralysis)
Normal Sinus Rhythm - ANSWER: Electrical conduction that begins in the SA node
generates a sinus rhythm. Normal sinus rhythm occurs when the electrical impulse
starts at a regular rate and rhythm in the SA node and travels through the normal
conduction pathway. Normal sinus rhythm has the following characteristics:
· Ventricular and atrial rate: 60 to 100 bpm in the adult
· Ventricular and atrial rhythm: Regular
· QRS shape and duration: Usually normal, but may be regularly abnormal
· P wave: Normal and consistent shape; always in front of the QRS
· PR interval: Consistent interval between 0.12 and 0.20 seconds
· P:QRS ratio: 1:1
Valve Replacement Teaching - ANSWER: Patients who have undergone surgical
valvuloplasty or valve replacements are admitted to the ICU. Care focuses on
recovery from anesthesia and hemodynamic stability. Vital signs are assessed every
5 to 15 minutes and as needed. After the patient has recovered from anesthesia and
sedation, is hemodynamically stable without IV medications, and has stable physical
assessment parameters, he or she usually is transferred to a telemetry unit, typically
within 24 to 72 hours of surgery. The nurse educates the patient about anticoagulant
therapy, explaining the need for frequent follow-up appointments and blood
laboratory studies.
200 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% VERIFIED ANSWERS) |
ALREADY GRADED A+
Broca's Area - ANSWER: Speech
The cortical area that is responsible for integrating the myriad pathways required for
the comprehension and formulation of language is called Broca area. It is located in a
convolution adjoining the middle cerebral artery. This area is responsible for control
of the combinations of muscular movements needed to speak each word.
Chemo Side Effects - ANSWER: Nausea
Vomiting
Myelosuppression
SIADH, decrease renal perfusion, precipitate end products after cell lysis, and cause
interstitial nephritis
Cardiac Toxicity
Testicular and ovarian function can be affected by chemotherapeutic agents,
resulting in possible sterility.
Chemotherapy-induced neurotoxicity, a potentially dose-limiting toxicity, can affect
the central nervous system, peripheral nervous system, and/or the cranial nerves
Chemo Brain:
Many patients with cancer experience difficulty with remembering dates,
multitasking, managing numbers and finances, organization, face or object
recognition, inability to follow directions, feeling easily distracted, and motor and
behavioral changes.
Fatigue
Expressive Aphasia - ANSWER: Inability to express oneself
Meningitis First Step - ANSWER: Broad Spectrum Antibiotics
Glaucoma Symptoms - ANSWER: The patient may not seek health care until he or she
experiences blurred vision or "halos" around lights, difficulty focusing, difficulty
adjusting eyes in low lighting, loss of peripheral vision, aching or discomfort around
the eyes, and headache.
Assessments for Guillain Barre - ANSWER: The patient is monitored for life-
threatening complications (respiratory failure, cardiac dysrhythmias, VTE [including
DVT or PE]) so that appropriate intervention can be initiated. Because of the threat
to the patient in this sudden, potentially life-threatening disease, the nurse must
assess the patient's and family's ability to cope and their use of coping strategies.
Maintain respiratory function
Enhancing physical mobility
Promote adequate nutrition
, Improving communication
Decreasing fear and anxiety
Managing potential complications
Multiple Sclerosis & Urinary Retention - ANSWER: A neurogenic bladder results in
urinary retention or leakage. The patient may describe a sensation of bladder
fullness or incomplete bladder emptying. The pharmacological treatment of urinary
retention is administration of a cholinergic agonist
From Google:
Many multiple sclerosis (MS) patients are affected by urinary retention. Common
causes include neurogenic underactive bladder and/or bladder outlet obstruction
from detrusor sphincter dyssynergia
Traction & Assessment
(Blueprint- Fractured Femer Dim Pulses) - ANSWER: After skin traction is applied, the
nurse assesses circulation of the foot within 15 to 30 minutes and then every 1 to 2
hours. Circulatory assessment consists of:
Peripheral pulses, color, capillary refill, and temperature of the fingers or toes.
Manifestations of deep vein thrombosis (DVT), which include unilateral calf
tenderness, warmth, redness, and swelling.
Compartment Syndrome - ANSWER: Diagnosis of compartment syndrome is based
on clinical suspicion, assessment of the 6 P's (pain, poikilothermia, pallor,
paresthesia, pulselessness, and paralysis)
Normal Sinus Rhythm - ANSWER: Electrical conduction that begins in the SA node
generates a sinus rhythm. Normal sinus rhythm occurs when the electrical impulse
starts at a regular rate and rhythm in the SA node and travels through the normal
conduction pathway. Normal sinus rhythm has the following characteristics:
· Ventricular and atrial rate: 60 to 100 bpm in the adult
· Ventricular and atrial rhythm: Regular
· QRS shape and duration: Usually normal, but may be regularly abnormal
· P wave: Normal and consistent shape; always in front of the QRS
· PR interval: Consistent interval between 0.12 and 0.20 seconds
· P:QRS ratio: 1:1
Valve Replacement Teaching - ANSWER: Patients who have undergone surgical
valvuloplasty or valve replacements are admitted to the ICU. Care focuses on
recovery from anesthesia and hemodynamic stability. Vital signs are assessed every
5 to 15 minutes and as needed. After the patient has recovered from anesthesia and
sedation, is hemodynamically stable without IV medications, and has stable physical
assessment parameters, he or she usually is transferred to a telemetry unit, typically
within 24 to 72 hours of surgery. The nurse educates the patient about anticoagulant
therapy, explaining the need for frequent follow-up appointments and blood
laboratory studies.
