HESI MILESTONE 2 YEAR 2024/2025 NEWEST !! ACTUAL 3 EXAM
VERSIONS (V1, V2 AND V3) EACH VERSION CONTAINS 100 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
The ambulatory care nurse is working with a client who has been
diagnosed with Prinzmetal's (variant) angina. What would the
nurse plan to teach the client about this type of angina?
1. It is most effectively managed by beta-blocking agents.
2. It has the same risk factors as stable and unstable angina.
3. It can be controlled with a low-sodium, high-potassium diet.
4. Generally it is treated with calcium channel-blocking agents. -
ANSWER Generally it is treated with calcium channel-blocking
agents.
Prinzmetal's angina results from spasm of the coronary vessels
and is treated with calcium channel blockers. Beta blockers are
contraindicated because they may actually worsen the spasm. The
risk factors are unknown, and this type of angina is relatively
unresponsive to nitrates. Diet therapy is not specifically indicated.
,A client with myocardial infarction (MI) has been transferred from
the coronary care unit (CCU) to the general medical unit. What
activity level would the nurse encourage for the client immediately
after transfer?
1. Ad lib activities as tolerated
2. Strict bed rest for 24 hours after transfer
3. Bathroom privileges and self-care activities
4. Unsupervised hallway ambulation for distances up to 200 feet
(60 meters) - ANSWER -Bathroom privileges and self-care
activities
On transfer from CCU to an intermediate care or general medical
unit, the client is allowed self-care activities and bathroom
privileges. Activities ad lib as tolerated is premature at this time
and potentially harmful for this client. It is unnecessary and
possibly harmful to limit the client to bed rest. The client would
ambulate with supervision in the hall for brief distances, with the
distances being gradually increased to 50, 100, and 200 feet (15,
30, and 60 meters).
A client had a colectomy 2 days earlier to remove a bowel tumor
and had a new colostomy created. The client is beginning to pass
,malodorous flatus from the stoma. What is the correct
interpretation by the nurse?
1. This is a normal, expected event.
2. The client is experiencing early signs of ischemic bowel.
3. The client would not have the nasogastric tube removed.
4. This indicates inadequate preoperative bowel preparation. -
ANSWER -This is a normal, expected event.
As peristalsis returns following creation of a colostomy, the client
begins to pass malodorous flatus. This indicates returning bowel
function and is an expected event.
Within 72 hours of surgery, the client would begin passing stool
via the colostomy. Options 2, 3, and 4 are incorrect interpretations.
The home health nurse visits a client with a diagnosis of type 1
diabetes mellitus. The client relates a history of vomiting and
diarrhea and tells the nurse that no food has been consumed for
the last 24 hours. Which additional statement by the client
indicates a need for further teaching?
1. "I need to stop my insulin."
2. "I need to increase my fluid intake."
3. "I need to monitor my blood glucose every 3 to 4 hours."
, 4. "I need to call the primary health care provider (PHCP) because
of these symptoms." - ANSWER -"I need to stop my insulin."
When a client with diabetes mellitus is unable to eat normally
because of illness, the client still needs to take the prescribed
insulin or oral medication. The client would consume additional
fluids and needs to notify the PHCP. The client needs to
monitor the blood glucose level every 3 to 4 hours. The client
would also monitor the urine for ketones during illness.
The nurse is preparing to care for a newborn receiving
phototherapy. Which interventions would be included in the plan
of care? Select all that apply.
1. Avoid stimulation.
2. Decrease fluid intake.
3. Expose all of the newborn's skin.
4. Monitor skin temperature closely.
5. Reposition the newborn every 2 hours.
6. Cover the newborn's eyes with eye shields or patches. -
ANSWER -Monitor skin temperature closely, Reposition the
newborn every 2 hours, Cover the newborn's eyes with eye
shields or patches
VERSIONS (V1, V2 AND V3) EACH VERSION CONTAINS 100 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
The ambulatory care nurse is working with a client who has been
diagnosed with Prinzmetal's (variant) angina. What would the
nurse plan to teach the client about this type of angina?
1. It is most effectively managed by beta-blocking agents.
2. It has the same risk factors as stable and unstable angina.
3. It can be controlled with a low-sodium, high-potassium diet.
4. Generally it is treated with calcium channel-blocking agents. -
ANSWER Generally it is treated with calcium channel-blocking
agents.
Prinzmetal's angina results from spasm of the coronary vessels
and is treated with calcium channel blockers. Beta blockers are
contraindicated because they may actually worsen the spasm. The
risk factors are unknown, and this type of angina is relatively
unresponsive to nitrates. Diet therapy is not specifically indicated.
,A client with myocardial infarction (MI) has been transferred from
the coronary care unit (CCU) to the general medical unit. What
activity level would the nurse encourage for the client immediately
after transfer?
1. Ad lib activities as tolerated
2. Strict bed rest for 24 hours after transfer
3. Bathroom privileges and self-care activities
4. Unsupervised hallway ambulation for distances up to 200 feet
(60 meters) - ANSWER -Bathroom privileges and self-care
activities
On transfer from CCU to an intermediate care or general medical
unit, the client is allowed self-care activities and bathroom
privileges. Activities ad lib as tolerated is premature at this time
and potentially harmful for this client. It is unnecessary and
possibly harmful to limit the client to bed rest. The client would
ambulate with supervision in the hall for brief distances, with the
distances being gradually increased to 50, 100, and 200 feet (15,
30, and 60 meters).
A client had a colectomy 2 days earlier to remove a bowel tumor
and had a new colostomy created. The client is beginning to pass
,malodorous flatus from the stoma. What is the correct
interpretation by the nurse?
1. This is a normal, expected event.
2. The client is experiencing early signs of ischemic bowel.
3. The client would not have the nasogastric tube removed.
4. This indicates inadequate preoperative bowel preparation. -
ANSWER -This is a normal, expected event.
As peristalsis returns following creation of a colostomy, the client
begins to pass malodorous flatus. This indicates returning bowel
function and is an expected event.
Within 72 hours of surgery, the client would begin passing stool
via the colostomy. Options 2, 3, and 4 are incorrect interpretations.
The home health nurse visits a client with a diagnosis of type 1
diabetes mellitus. The client relates a history of vomiting and
diarrhea and tells the nurse that no food has been consumed for
the last 24 hours. Which additional statement by the client
indicates a need for further teaching?
1. "I need to stop my insulin."
2. "I need to increase my fluid intake."
3. "I need to monitor my blood glucose every 3 to 4 hours."
, 4. "I need to call the primary health care provider (PHCP) because
of these symptoms." - ANSWER -"I need to stop my insulin."
When a client with diabetes mellitus is unable to eat normally
because of illness, the client still needs to take the prescribed
insulin or oral medication. The client would consume additional
fluids and needs to notify the PHCP. The client needs to
monitor the blood glucose level every 3 to 4 hours. The client
would also monitor the urine for ketones during illness.
The nurse is preparing to care for a newborn receiving
phototherapy. Which interventions would be included in the plan
of care? Select all that apply.
1. Avoid stimulation.
2. Decrease fluid intake.
3. Expose all of the newborn's skin.
4. Monitor skin temperature closely.
5. Reposition the newborn every 2 hours.
6. Cover the newborn's eyes with eye shields or patches. -
ANSWER -Monitor skin temperature closely, Reposition the
newborn every 2 hours, Cover the newborn's eyes with eye
shields or patches
