Milestoner1r-rExamrStudyrGuider– rHesirQuestionsrAndrAnswers

Milestone 1 - Exam Study Guide –
r r r r r r



Hesi Questions And Answers
r r r r




30r-rCORRECTrrANSWER-
BeforerassessingrBPrinrtherarm,rbersurertherpatientrisrcalmrandrrelaxedrandrhasrnotreaten,r
smoked,rorrexercisedrforr___minutesrbeforerthermeasurement.rminutesrbeforerthermeasur
ement.

5r-rCORRECTrrANSWER-
Itrisrbestrtorallowrtherpatientrtorrestrforratrleastr__minutesrbeforerassessingrBP

Ardullrsoundrindicatesr-rCORRECTrrANSWER-
therpresencerofrarsolidrmassrunderrthersurface

Abdominalrinspectionr-rCORRECTrrANSWER--rskinr
-rcontourr
-rmusclertoner&rsymmetryr
-rumbilicusr
-rvisiblerperistalsisr
-rpulsationsr
-rsignsrofrpain

Abdominalrpalpationr-rCORRECTrrANSWER-
onerfinger,rlight,rdeep,rmasses,rreboundrwithrquickrrelease,rCVArtenderness

ACErInhibitorsr-rCORRECTrrANSWER--BlocksrACE
-ReducerlevelsrofrangiotensinrII
-Increaserlevelsrofrbradykininr(vasodilator)

ACErINHIBITORSr-rCORRECTrrANSWER-
lowerrtherlevelsrofraldosterone,rtherebyrpromotingrpotassiumrretentionrinrtherkidneysrandrb
loodstream.

ACErInhibitorsr-rCORRECTrrANSWER-Monitorrrenalrfunctionrwithrthis.

ACErmostrcommonrs/er-rCORRECTrrANSWER-Cough

ACErmostrdangerousrs/er-rCORRECTrrANSWER-Angioedema

ADLrassessmentr-rCORRECTrrANSWER-
Typicallyrassessesrtasksrincludingrshopping,rmealrpreparation,rhousekeeping,rlaundry,rm
anagingrfinances,rtakingrmedicationsrandrusingrtransportation

,AlbuminrLevel--rnormalrranger-rCORRECTrrANSWER-3.5-5.0rg/dL

Alchoholr-rCORRECTrrANSWER-7rcalsrperrgram

Allergicrreactionr-rCORRECTrrANSWER--Immunerresponse
-
Determinedrprimarilyrbyrtherdegreerofrsensitizationrofrtherimmunersystemrratherrthanrbyrdr
ugrdosage
-Patient'srsensitivityrtorardrugrcanrchangeroverrtime

Allergicrreactionr-rCORRECTrrANSWER-
Documentrthroatrswellingrandrdifficultyrbreathingrasran

AllergiesrAssessmentr-rCORRECTrrANSWER-
essentialrtornoterthertyperofrresponse,rsuchrasrrash,rthroatrswelling,rdifficultyrbreathing,rorr
anaphylacticrshock

AmbulationrTolerancer-rCORRECTrrANSWER-
Therabilityrtortheract,raction,rorranrinstancerofrmovingraboutrorrwalking

Aminotransferasesrorrtransaminasesr-rCORRECTrrANSWER-
grouprofrenzymesrthatrcatalyzertherinterconversionroframinoracidsrandroxoacidsrbyrtransfe
rroframinorgroups.rWhenrhighrcanrcauserliverrdamage

Angiotensin-ConvertingrEnzymerInhibitorsr-rCORRECTrrANSWER-ACE

Antihistamine-actionr-rCORRECTrrANSWER-H1randrH2rantagonist

AntihypertensiverOrthostaticrHypotensionr-rCORRECTrrANSWER--BetarBlockers,r
-CalciumrChannelrBlockers,r
-ACErinhibitors,r
-Diuretics.
-Nitrates
-α-ReceptorrBlockers
-β-Blockers

AntitussiverEvaluationr-rCORRECTrrANSWER-
Ensurerthatrtherdrugrisrnotrtakenranyrlongerrthanrrecommendedrtorpreventrseriousradverser
effectsrandrseverityrrespiratoryrtractrproblems.rAssessrunderlyingrproblems

AssessrPulser-rCORRECTrrANSWER-rate,rrhythm,rforce

Atonyr-rCORRECTrrANSWER-Lackrofrnormalrmusclertonerorrstrength

AuscultaterthercarotidrarteryrPurposer-rCORRECTrrANSWER-Enablesrtherhearingrofrbruits

, Barrelrchestr-rCORRECTrrANSWER-arconditionrcharacterizedrbyrincreasedranterior-
posteriorrchestrdiameterrcausedrbyrincreasedrfunctionalrresidualrcapacityrduertorairrtrappin
grfromrsmallrairwayrcollapse.rArbarrelrchestrisrfrequentlyrseenrinrpatientsrwithrCOPD,rsuchr
asrchronicrbronchitisrandremphysema.

benzodiazepinesrpregnancyr-rCORRECTrrANSWER-‣rmainlyrpregnancyrcategoryrD.r
‣rcontraindicatedrexceptrforrrarerexceptionsrwhenrtheirrbenefitsroutweighrfetalr&rneonatalrri
sks.r
‣rMayr↑edrriskrofroralrcleft,rpretermrlabor,r&rfetalrgrowthrrestriction.r"Floppyrbabyrsyndrome
"r(lackrofrtone,rsluggishness,r&rdifficultyrw/rthersuckingrreflex)rimmediatelyrafterrbirthr&rnew
bornrwithdrawalruprtorthreermonthsrarerconcernsrasrwell.r
‣rLong-
termreffectsrofrexposureronrchildr&radultrdevelopmentrarerunknownr&rshouldrberavoided.

BradenrScaler-rCORRECTrrANSWER--
Sensoryrperception,rmoisture,ractivity,rmobility,rnutrition,rfrictionrandrshear
-Therhigherrthernumberrthergreaterrtherrisk

Bright-redrsanguineousr-rCORRECTrrANSWER-
drainagerisrindicativerofrfreshrbleeding,rwhereasrdarkerrdrainagerindicatesrolderrbleeding.

Bronchialrbreathrsoundsr-rCORRECTrrANSWER-arerloud,rhigh-
pitched,randrfoundroverrthertrachearandrlarynx.rDurationrduringrinspiration.rQualityrisrcoars
erorrtubular.

CalciumrChannelrBlockersr-rCORRECTrrANSWER--Vasoconstriction
-Decreasercontractility
-DecreaserConductivityrofrtherheart

CalciumrChannelrBlockersrTherapeuticrdosesr-rCORRECTrrANSWER-
•rSelectivelyractronrperipheralrarteriolesrandrarteriesrandrarteriolesrofrtherheart
•rNorsignificantreffectronrveins

Carbs/Starchr-rCORRECTrrANSWER-4rcalsrperrgram

Cardiacrpercussionr-rCORRECTrrANSWER-
isrperformedrstartingratrtherveryrleftrofrtherchest,randrpercussingrfromrresonancertowardrcar
diacrdullnessrinrther3rd,r4th,randr5th,randrperhapsr6thrinterspaces,rfromrtherleftraxillaryrtorth
errightraxillaryrlines.

CarotidrArteriesrassessmentr-rCORRECTrrANSWER-
Haverpatientrliersupinerandrexamineronerarteryratrartimerandrinspectrforrpulsations

CarotidrArteriesrstepsr-rCORRECTrrANSWER-Inspection
Palpation