HESI MILESTONE 2 RETAKE LATEST 2025/2026 ACTUAL EXAM
130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ .
Abnormal lung sounds: Pleural Friction Rub - ANSWER-Pleural
friction rub (low pitch, harsh grating sound)
Assessment of the Respiratory System - ANSWER-tachypnea-
rapid breathing bradypnea- slow breathing
Normally, respirations are quiet and nonlabored, and occur at a
rate of 12 to 20 times each minute in healthy adults. Note any
flaring of the nostrils, muscular retractions,
Heparin-Drugs, Related Labs & Antidotes - ANSWER-use:
prevention of deep venous thrombosis, pulmonary embolism, MI
labs: Hematocrit (35-50%). Monitor thrombosis, platelet count
ever 2-3 days Antidote: protamine sulfate
labs: monitor Hct, Hgb, CBC, bleeding, creatinine, BUN, PTT, INR
Enoxaparin (low-molecular-weight heparin) [Lovenox] -
ANSWER-use:
,pulmonary embolism (inpatient) in hip or knee replacement,
unstable angina labs: monitor Hct, Hgb, CBC, bleeding,
creatinine, BUN, PTT, INR
antianxiety drugs - ANSWER-Diazepam (for anxiety) [Valium]
Triazolam (for insomnia) [Halcion]
Chlorpromazine (a low-potency agent) [Thorazine] - ANSWER-
use: mania, psychotic disorders, schizophrenia, anxiety
Nursing Considerations: monitor vital signs (cardiac signs) for
hypotension. Patient remain supine for 30 min. Monitor for
antiemetic effect
Haloperidol (a high-potency agent) [Haldol] - ANSWER-use:
psychotic disorders, control of tics, short term tx of ADHD
Nursing Considerations: mental status,
Extrapyramidal Symptoms: Three of these reactions—acute
dystonia, parkinsonism, and akathisia—occur early in therapy
and can be managed with a variety of drugs.
Sodium Nitroprusside - ANSWER-use: hypertensive
emergencies. used to lower blood pressure rapidly and
controlled hypotension during surgery (to reduce bleeding in the
, surgical field) and for acute decompensated heart failure
extrapyramidal symptoms - ANSWER-EPS are movement
disorders resulting from the effects of antipsychotic drugs on
the extrapyramidal motor system.
Neostigimine-Cholinesterase Inhibitors - ANSWER-USE:
Management of myasthenia gravis. Adverse effect: Excessive
Muscarinic Stimulation- Accumulation of acetylcholine at
muscarinic receptors can result in excessive salivation,
increased gastric secretions, increased tone and motility of the
GI tract, urinary urgency, bradycardia, sweating, miosis, and
spasm of accommodation.
Selective (Alpha1) Adrenergic Antagonist (Alpha Blocker)
Prazosin [Minipress] - ANSWER-use: benign prostatic
hypertrophy to low uterine outflow, hypertension- causes
vasoconstriction of adrenergic receptors
Take at bedtime due to fainting after first dose use
Isoproterenol [Isuprel]- Beta-selective Adrenergic Agonists -
ANSWER-use: bradyarrhythmia, COPD, AV block
- Assess heart rate, ECG, and heart sounds during exercise. Use
inhaler properly. Monitor glucose
130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ .
Abnormal lung sounds: Pleural Friction Rub - ANSWER-Pleural
friction rub (low pitch, harsh grating sound)
Assessment of the Respiratory System - ANSWER-tachypnea-
rapid breathing bradypnea- slow breathing
Normally, respirations are quiet and nonlabored, and occur at a
rate of 12 to 20 times each minute in healthy adults. Note any
flaring of the nostrils, muscular retractions,
Heparin-Drugs, Related Labs & Antidotes - ANSWER-use:
prevention of deep venous thrombosis, pulmonary embolism, MI
labs: Hematocrit (35-50%). Monitor thrombosis, platelet count
ever 2-3 days Antidote: protamine sulfate
labs: monitor Hct, Hgb, CBC, bleeding, creatinine, BUN, PTT, INR
Enoxaparin (low-molecular-weight heparin) [Lovenox] -
ANSWER-use:
,pulmonary embolism (inpatient) in hip or knee replacement,
unstable angina labs: monitor Hct, Hgb, CBC, bleeding,
creatinine, BUN, PTT, INR
antianxiety drugs - ANSWER-Diazepam (for anxiety) [Valium]
Triazolam (for insomnia) [Halcion]
Chlorpromazine (a low-potency agent) [Thorazine] - ANSWER-
use: mania, psychotic disorders, schizophrenia, anxiety
Nursing Considerations: monitor vital signs (cardiac signs) for
hypotension. Patient remain supine for 30 min. Monitor for
antiemetic effect
Haloperidol (a high-potency agent) [Haldol] - ANSWER-use:
psychotic disorders, control of tics, short term tx of ADHD
Nursing Considerations: mental status,
Extrapyramidal Symptoms: Three of these reactions—acute
dystonia, parkinsonism, and akathisia—occur early in therapy
and can be managed with a variety of drugs.
Sodium Nitroprusside - ANSWER-use: hypertensive
emergencies. used to lower blood pressure rapidly and
controlled hypotension during surgery (to reduce bleeding in the
, surgical field) and for acute decompensated heart failure
extrapyramidal symptoms - ANSWER-EPS are movement
disorders resulting from the effects of antipsychotic drugs on
the extrapyramidal motor system.
Neostigimine-Cholinesterase Inhibitors - ANSWER-USE:
Management of myasthenia gravis. Adverse effect: Excessive
Muscarinic Stimulation- Accumulation of acetylcholine at
muscarinic receptors can result in excessive salivation,
increased gastric secretions, increased tone and motility of the
GI tract, urinary urgency, bradycardia, sweating, miosis, and
spasm of accommodation.
Selective (Alpha1) Adrenergic Antagonist (Alpha Blocker)
Prazosin [Minipress] - ANSWER-use: benign prostatic
hypertrophy to low uterine outflow, hypertension- causes
vasoconstriction of adrenergic receptors
Take at bedtime due to fainting after first dose use
Isoproterenol [Isuprel]- Beta-selective Adrenergic Agonists -
ANSWER-use: bradyarrhythmia, COPD, AV block
- Assess heart rate, ECG, and heart sounds during exercise. Use
inhaler properly. Monitor glucose
