HESI MILESTONE 2 REMEDIATION
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ Patient having to get treated for benzodiazepine and methadone
overdose. What do
you use?
Answer: Narcan
◉ When preparing to administer a domestic violence screening tool
to a female client,
which statement should the nurse provide?
Answer: all clients are screened for domestic abuse because it is
common in our society
◉ a mental health care worker caring for a client with escalating
aggressive behavior.
What action by the mental healthcare worker wards immediate
interventions?
Answer: -attempting to physically restrain patient
◉ Violence handling
,Answer: - Engage in dialogue to prevent escalation, intervene early
in the cycle
- Approach as non threatening, calm manner and convey empathy
- Encourage the client to express their anger, build trust, anticipate
need for meds,
be consistent
◉ a 30 year old sales manager tells the nurse "i am thinking
about a job change. i don't feel like i am living
up to my potential." which of maslows developmental stages is
the sales manager attempting to achieve
Answer: self actualization:
◉ A client is admitted to the mental health unit and reports taking
extra anti anxiety
medication because, "I'm so stressed out. I just want to go to sleep."
The RN should
plan one-on-one observation of the client based on which
statement?
Answer: "I don't want to walk. Nothing matters anymore."
◉ What is the most important goal for a client diagnosed with major
depression who has
been receiving an antidepressant medication for two weeks?
,Answer: not attempt to commit suicide
◉ The nurse is obtaining the medical histories of new clients at a
community-based
primary care clinic. Which individual has the highest risk for
experiencing elder
abuse?
Answer: A 78 year old female on a fixed income who lives with her
relatives
◉ Who is most prone to being abused (elder abuse)?
Answer: Females over 75 living with their families.
◉ While caring for an older client, the RN observes multiple bruises
in Over the client's legs, arms, back, and gluteal areas. When the RN
suspects elder abuse. What action should the RN take?
Answer: Measure and document size, shape and color of the bruised
areas.
◉ Grief priority
Answer: Priority should be based on SHOCK!
◉ When checking a third grader's height and weight the school
nurse notes that these measurements have not changed in the last
, year. The child is currently taking daily vitamins, albuterol, and
methylphenidate for attention deficit hyperactivity disorder
(ADHD). Which intervention should the nurse implement?
Answer: Refer child to the family healthcare provider
◉ A middle school male student was recently diagnosed with
Attention-Deficit Hyperactivity Disorder (ADHD) and is having
trouble with his grades. He is referred to the school nurse by the
teacher because he continues to have learning problems. Which
action should the school nurse take?
Answer: • Refer the child to the school counselor for educational
testing
◉ A female client with obsessive compulsive personality disorder is
admitted to the hospital for a cardiac catheterization. The afternoon
before the procedure, the client begins to keep detailed notes of the
nursing care she is receiving, and reports her findings to the RN at
bedtime. What action should the nurse implement?
Answer: Encourage the client to express her feelings regarding the
upcoming procedure.
◉ When preparing to administer a domestic violence screening tool
to a female client, which statement should the nurse provide
Answer: all clients are screened for domestic abuse because it is
common in our society
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ Patient having to get treated for benzodiazepine and methadone
overdose. What do
you use?
Answer: Narcan
◉ When preparing to administer a domestic violence screening tool
to a female client,
which statement should the nurse provide?
Answer: all clients are screened for domestic abuse because it is
common in our society
◉ a mental health care worker caring for a client with escalating
aggressive behavior.
What action by the mental healthcare worker wards immediate
interventions?
Answer: -attempting to physically restrain patient
◉ Violence handling
,Answer: - Engage in dialogue to prevent escalation, intervene early
in the cycle
- Approach as non threatening, calm manner and convey empathy
- Encourage the client to express their anger, build trust, anticipate
need for meds,
be consistent
◉ a 30 year old sales manager tells the nurse "i am thinking
about a job change. i don't feel like i am living
up to my potential." which of maslows developmental stages is
the sales manager attempting to achieve
Answer: self actualization:
◉ A client is admitted to the mental health unit and reports taking
extra anti anxiety
medication because, "I'm so stressed out. I just want to go to sleep."
The RN should
plan one-on-one observation of the client based on which
statement?
Answer: "I don't want to walk. Nothing matters anymore."
◉ What is the most important goal for a client diagnosed with major
depression who has
been receiving an antidepressant medication for two weeks?
,Answer: not attempt to commit suicide
◉ The nurse is obtaining the medical histories of new clients at a
community-based
primary care clinic. Which individual has the highest risk for
experiencing elder
abuse?
Answer: A 78 year old female on a fixed income who lives with her
relatives
◉ Who is most prone to being abused (elder abuse)?
Answer: Females over 75 living with their families.
◉ While caring for an older client, the RN observes multiple bruises
in Over the client's legs, arms, back, and gluteal areas. When the RN
suspects elder abuse. What action should the RN take?
Answer: Measure and document size, shape and color of the bruised
areas.
◉ Grief priority
Answer: Priority should be based on SHOCK!
◉ When checking a third grader's height and weight the school
nurse notes that these measurements have not changed in the last
, year. The child is currently taking daily vitamins, albuterol, and
methylphenidate for attention deficit hyperactivity disorder
(ADHD). Which intervention should the nurse implement?
Answer: Refer child to the family healthcare provider
◉ A middle school male student was recently diagnosed with
Attention-Deficit Hyperactivity Disorder (ADHD) and is having
trouble with his grades. He is referred to the school nurse by the
teacher because he continues to have learning problems. Which
action should the school nurse take?
Answer: • Refer the child to the school counselor for educational
testing
◉ A female client with obsessive compulsive personality disorder is
admitted to the hospital for a cardiac catheterization. The afternoon
before the procedure, the client begins to keep detailed notes of the
nursing care she is receiving, and reports her findings to the RN at
bedtime. What action should the nurse implement?
Answer: Encourage the client to express her feelings regarding the
upcoming procedure.
◉ When preparing to administer a domestic violence screening tool
to a female client, which statement should the nurse provide
Answer: all clients are screened for domestic abuse because it is
common in our society
