HESI MILESTONE 2 ACTUAL EXAM 3 LATEST
VERSIONS (V1, V2 AND V3) EACH VERSION
CONTAINS QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse has provided dietary instructions to a client with coronary artery disease.
Which statement by the client indicates an understanding of the dietary instructions?
1. "I'll need to become a strict vegetarian."
2. "I should use polyunsaturated oils in my diet."
3. "I need to substitute eggs and whole milk for meat."
4. "I should eliminate all cholesterol and fat from my diet." - ANS "I should use
polyunsaturated oils in my diet."
The client with coronary artery disease needs to avoid foods high in saturated fat and
cholesterol such as eggs, whole milk, and red meat. These foods contribute to increases
in low-density lipoproteins. The use of polyunsaturated oils is recommended to control
hypercholesterolemia. It is not necessary to eliminate all cholesterol and fat from the
diet. It is not necessary to become a strict vegetarian.
The home care nurse has taught a client with heart failure and a problem of inadequate
cardiac output about helpful lifestyle adaptations to promote health. Which statement
by the client best demonstrates an understanding of the information provided?
1. "I will try to exercise vigorously to strengthen my heart muscle."
2. "I will eat enough daily fiber to prevent straining during bowel movement."
,3. "I will drink 3000 to 3500 mL of fluid daily to promote good kidney function."
4. "Drinking 2 to 3 oz of liquor each night will promote blood flow by enlarging blood
vessels." - ANS "I will eat enough daily fiber to prevent straining during bowel
movement."
Standard home care instructions for a client with this problem include, among others,
lifestyle changes such as avoiding alcohol intake, avoiding activities that increase the
demands on the heart, instituting a bowel regimen to prevent straining and
constipation, and maintaining fluid and electrolyte balance. Consuming 3000 to 3500 mL
of fluid and exercising vigorously will increase the cardiac workload.
A client with heart failure has been experiencing difficulty with completion of daily
activities, as evidenced by exertional fatigue and increased blood pressure. Which
observation by the nurse best indicates client progress in meeting goals for this
problem?
1. Ambulates 10 feet (3 meters) farther each day
2. Verbalizes the benefits of increasing activity
3. Chooses a healthy diet that meets caloric needs
4. Sleeps without awakening throughout the night - ANS Chooses a healthy diet that
meets caloric needs
Each of the options indicates a positive outcome on the part of the client. Both option 2
and the correct one relate to the client problem of difficulty with completion of daily
activities. However, the question asks about progress. The correct option is more action-
oriented and therefore is the better choice. Option 3 would most likely indicate progress
if the client had a problem of inadequate nutritional intake. Option 4 would be a
satisfactory outcome for a client experiencing difficulty sleeping.
, A client with coronary artery disease is scheduled to have a diagnostic exercise stress
test. Which instruction would the nurse plan to provide to the client about this
procedure?
1. Eat breakfast just before the procedure.
2. Wear firm, rigid shoes, such as work boots.
3. Wear loose clothing with a shirt that buttons in front.
4. Avoid cigarettes for 30 minutes before the procedure. - ANS Wear loose clothing with
a shirt that buttons in front.
The client needs to wear loose, comfortable clothing for the procedure.
Electrocardiogram (ECG) lead placement is enhanced if the client wears a shirt that
buttons in the front. The client needs to receive nothing by mouth after bedtime or for a
minimum of 2 hours before the test. The client would wear rubber-soled, supportive
shoes, such as athletic training shoes. The client needs to avoid smoking, alcohol, and
caffeine on the day of the test. Inadequate or incorrect preparation can interfere with
the test, with the potential for a false-positive result.
A client recovering from pulmonary edema is preparing for discharge. What would the
nurse plan to teach the client to do to manage or prevent recurrent symptoms after
discharge?
1. Weigh self on a daily basis.
2. Sleep with the head of the bed flat.
3. Take a double dose of the diuretic if peripheral edema is noted.
4. Withhold prescribed digoxin if slight respiratory distress occurs. - ANS Weigh self on a
daily basis.
The client can best determine fluid status at home by weighing himself or herself on a
daily basis. Increases of 2 to 3 lb (0.9 to 1.4 kg) in a short period are reported to the
VERSIONS (V1, V2 AND V3) EACH VERSION
CONTAINS QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse has provided dietary instructions to a client with coronary artery disease.
Which statement by the client indicates an understanding of the dietary instructions?
1. "I'll need to become a strict vegetarian."
2. "I should use polyunsaturated oils in my diet."
3. "I need to substitute eggs and whole milk for meat."
4. "I should eliminate all cholesterol and fat from my diet." - ANS "I should use
polyunsaturated oils in my diet."
The client with coronary artery disease needs to avoid foods high in saturated fat and
cholesterol such as eggs, whole milk, and red meat. These foods contribute to increases
in low-density lipoproteins. The use of polyunsaturated oils is recommended to control
hypercholesterolemia. It is not necessary to eliminate all cholesterol and fat from the
diet. It is not necessary to become a strict vegetarian.
The home care nurse has taught a client with heart failure and a problem of inadequate
cardiac output about helpful lifestyle adaptations to promote health. Which statement
by the client best demonstrates an understanding of the information provided?
1. "I will try to exercise vigorously to strengthen my heart muscle."
2. "I will eat enough daily fiber to prevent straining during bowel movement."
,3. "I will drink 3000 to 3500 mL of fluid daily to promote good kidney function."
4. "Drinking 2 to 3 oz of liquor each night will promote blood flow by enlarging blood
vessels." - ANS "I will eat enough daily fiber to prevent straining during bowel
movement."
Standard home care instructions for a client with this problem include, among others,
lifestyle changes such as avoiding alcohol intake, avoiding activities that increase the
demands on the heart, instituting a bowel regimen to prevent straining and
constipation, and maintaining fluid and electrolyte balance. Consuming 3000 to 3500 mL
of fluid and exercising vigorously will increase the cardiac workload.
A client with heart failure has been experiencing difficulty with completion of daily
activities, as evidenced by exertional fatigue and increased blood pressure. Which
observation by the nurse best indicates client progress in meeting goals for this
problem?
1. Ambulates 10 feet (3 meters) farther each day
2. Verbalizes the benefits of increasing activity
3. Chooses a healthy diet that meets caloric needs
4. Sleeps without awakening throughout the night - ANS Chooses a healthy diet that
meets caloric needs
Each of the options indicates a positive outcome on the part of the client. Both option 2
and the correct one relate to the client problem of difficulty with completion of daily
activities. However, the question asks about progress. The correct option is more action-
oriented and therefore is the better choice. Option 3 would most likely indicate progress
if the client had a problem of inadequate nutritional intake. Option 4 would be a
satisfactory outcome for a client experiencing difficulty sleeping.
, A client with coronary artery disease is scheduled to have a diagnostic exercise stress
test. Which instruction would the nurse plan to provide to the client about this
procedure?
1. Eat breakfast just before the procedure.
2. Wear firm, rigid shoes, such as work boots.
3. Wear loose clothing with a shirt that buttons in front.
4. Avoid cigarettes for 30 minutes before the procedure. - ANS Wear loose clothing with
a shirt that buttons in front.
The client needs to wear loose, comfortable clothing for the procedure.
Electrocardiogram (ECG) lead placement is enhanced if the client wears a shirt that
buttons in the front. The client needs to receive nothing by mouth after bedtime or for a
minimum of 2 hours before the test. The client would wear rubber-soled, supportive
shoes, such as athletic training shoes. The client needs to avoid smoking, alcohol, and
caffeine on the day of the test. Inadequate or incorrect preparation can interfere with
the test, with the potential for a false-positive result.
A client recovering from pulmonary edema is preparing for discharge. What would the
nurse plan to teach the client to do to manage or prevent recurrent symptoms after
discharge?
1. Weigh self on a daily basis.
2. Sleep with the head of the bed flat.
3. Take a double dose of the diuretic if peripheral edema is noted.
4. Withhold prescribed digoxin if slight respiratory distress occurs. - ANS Weigh self on a
daily basis.
The client can best determine fluid status at home by weighing himself or herself on a
daily basis. Increases of 2 to 3 lb (0.9 to 1.4 kg) in a short period are reported to the
