HESI MILESTONE 2 REMEDIATION
CERTIFICATION EVALUATION TESTED
QUESTIONS WITH FULLY SOLVED ANSWERS
◉ What should an rn teach a pt who is undergoing a Valve
Replacement?
Answer: VS are assessed every 5 to 15 minutes / PRN
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.
educates the patient about anticoagulant therapy, explaining the
need for frequent follow-up appointments and blood laboratory
studies.
◉ What teaching should a nurse conduct to a mother who was just
diagnosed w Engorgement?
Answer: sandwich technique :grasp her breast by making a "C" with
her thumb and index finger. The thumb stabilizes the top of the
breast while the remaining four fingers support her breast from
below.
Massage or pumping the breast may soften and extend the nipple for
easier infant latch-on.
,◉ What should a nurse do if her patient Refuses RhoGam?
Answer: Consider culture
Nurses need to respect whatever the mother's decision is.
◉ What is 24 Hour Jaundice? What should be taught to mothers who
baby's have jaundice?
Answer: Physiologic jaundice is very common in newborns, with the
majority demonstrating yellowish skin, mucous membranes, and
sclera within the first 3 days of life.
Advise mothers to nurse their infants at least eight to 12 times per
day for the first several days
◉ What are Variable Decelerations? What does it mean? How do we
resolve it?
Answer: visually apparent abrupt decreases in FHR below baseline
and have an unpredictable shape on the FHR baseline, possibly
demonstrating no consistent relationship to uterine contractions.
Variable decelerations are associated with cord compression
Turn the client on her left or right lateral, knee-chest, or hands and
knees to increase placental perfusion or relieve cord compression.
◉ What is the Normal Fetal Heart Rate?
Answer: 110-160 bpm
, ◉ What is IUGR? & What are NST Results?
Answer: intrauterine growth restriction
Currently, an NST is recommended twice weekly (after 28 weeks'
gestation) for clients with diabetes and other high-risk conditions,
A nonreactive test has been correlated with a higher incidence of
fetal distress during labor, fetal mortality, and IUGR.
Additional testing, such as a biophysical profile, should be
considered
◉ What's the class of Methadone? What's methadone for?
Answer: opioid
Symptoms of opioid withdrawal
Onset could be 2 to 4 days, and the symptoms may take 2 weeks to
subside.
treat addiction & withdrawl
Methadone can be used as a replacement for opioids, and the dosage
is then decreased over 2 weeks. Substitution of methadone during
detoxification reduces symptoms to no worse than a mild case of flu
◉ What are the signs a Client is in their Termination Phase?
Answer: Abandons old needs
CERTIFICATION EVALUATION TESTED
QUESTIONS WITH FULLY SOLVED ANSWERS
◉ What should an rn teach a pt who is undergoing a Valve
Replacement?
Answer: VS are assessed every 5 to 15 minutes / PRN
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.
educates the patient about anticoagulant therapy, explaining the
need for frequent follow-up appointments and blood laboratory
studies.
◉ What teaching should a nurse conduct to a mother who was just
diagnosed w Engorgement?
Answer: sandwich technique :grasp her breast by making a "C" with
her thumb and index finger. The thumb stabilizes the top of the
breast while the remaining four fingers support her breast from
below.
Massage or pumping the breast may soften and extend the nipple for
easier infant latch-on.
,◉ What should a nurse do if her patient Refuses RhoGam?
Answer: Consider culture
Nurses need to respect whatever the mother's decision is.
◉ What is 24 Hour Jaundice? What should be taught to mothers who
baby's have jaundice?
Answer: Physiologic jaundice is very common in newborns, with the
majority demonstrating yellowish skin, mucous membranes, and
sclera within the first 3 days of life.
Advise mothers to nurse their infants at least eight to 12 times per
day for the first several days
◉ What are Variable Decelerations? What does it mean? How do we
resolve it?
Answer: visually apparent abrupt decreases in FHR below baseline
and have an unpredictable shape on the FHR baseline, possibly
demonstrating no consistent relationship to uterine contractions.
Variable decelerations are associated with cord compression
Turn the client on her left or right lateral, knee-chest, or hands and
knees to increase placental perfusion or relieve cord compression.
◉ What is the Normal Fetal Heart Rate?
Answer: 110-160 bpm
, ◉ What is IUGR? & What are NST Results?
Answer: intrauterine growth restriction
Currently, an NST is recommended twice weekly (after 28 weeks'
gestation) for clients with diabetes and other high-risk conditions,
A nonreactive test has been correlated with a higher incidence of
fetal distress during labor, fetal mortality, and IUGR.
Additional testing, such as a biophysical profile, should be
considered
◉ What's the class of Methadone? What's methadone for?
Answer: opioid
Symptoms of opioid withdrawal
Onset could be 2 to 4 days, and the symptoms may take 2 weeks to
subside.
treat addiction & withdrawl
Methadone can be used as a replacement for opioids, and the dosage
is then decreased over 2 weeks. Substitution of methadone during
detoxification reduces symptoms to no worse than a mild case of flu
◉ What are the signs a Client is in their Termination Phase?
Answer: Abandons old needs
