1
HESI MILESTONE RETAKE EXAM Questions
and Answers Latest Versions 2025 GRADED
A+
A patient with borderline personality disorder comes in
demonstrating impulsive behaviors. What is the nurses main priority?
A. to decrease the patients suicide precautions
B. to increase the patients suicide precautions
C. to explore the patients feelings
D. remove all other patients out of this patients way
to increase the patients suicide precautions
Which statement made by a patient demonstrates persecutory
delusions?
A. the voices are telling me to kill the next person I see
B. the nurses are trying to poison me
C. there are black snakes all over the walls
D. I can hear little kids screaming the nurses are trying to poison
me
A pregnant woman states that her husband is abusive. What should
the nurse do?
A. help her create a GO plan
B. tell the husband the patient stated this.
C. provide her with information and resources to get help
D. tell your charge nruse
provide her with information and resources to get help
, 2
A patient who was sexually assaulted keeps blaming herself. What
stage of maslow does this demonstrate?
A. self esteem
B. love and belonging
C. safety and security
D. food and shelter self esteem
A nurse sees a patient who has signs of dehydration, malnutrition, is
confused, fatigues, and has multiple bruises. What should the nurse
do?
A. call the police
B. call the HCP
C. call the charge nurse
D. establish trust with patient establish trust with patient
A teacher states she only sees affects in one of her students after he
takes his noon dose of ADHD medication. What should the nurse do?
A. nothing as this is normal
B. call the police for abuse
C. call the parents to determine if the child is taking the morning
dose
D. call the HCP and express the need to lower the childs dose
call the parents to determine if the child is taking the morning dose
In milieu what should the nurse do when a patient has tangential
speech?
A. instruct the patient to stay quiet
B. instruct the patient to speak louder
C. tell the patient to head to the HCP
D. instruct the patient to slow down and focus on what they want
, 3
to say
instruct the patient to slow down and focus on what they want to say
A patient is coming in who has a known diagnoses of bipolar disorder.
What should the nurse do?
A. place the patient with a roommate
B. do not place the patient with a roommate
C. place the patient under suicide precautions
D. keep the patient far away from the nurses station place the
patient under suicide precautions
What lab should you check in a patient suspected of having water
intoxication?
A. sodium
B. calcium
C. PH
D. phosphate sodium
A patients PR interval is 0.16 seconds, how should you proceed?
A. report this to the HCP ASAP
B. call a stoke alert
C. call a rapid response
D. document as normal findings document as normal findings
A patient comes in with cardiomyopathy, what should the nurse do?
A. give lidocaine
B. give acetaminophen
C. give nitro
D. ambulate the patient give nitro
A patient with impaired cardiac output is on a tele med surg floor,
HESI MILESTONE RETAKE EXAM Questions
and Answers Latest Versions 2025 GRADED
A+
A patient with borderline personality disorder comes in
demonstrating impulsive behaviors. What is the nurses main priority?
A. to decrease the patients suicide precautions
B. to increase the patients suicide precautions
C. to explore the patients feelings
D. remove all other patients out of this patients way
to increase the patients suicide precautions
Which statement made by a patient demonstrates persecutory
delusions?
A. the voices are telling me to kill the next person I see
B. the nurses are trying to poison me
C. there are black snakes all over the walls
D. I can hear little kids screaming the nurses are trying to poison
me
A pregnant woman states that her husband is abusive. What should
the nurse do?
A. help her create a GO plan
B. tell the husband the patient stated this.
C. provide her with information and resources to get help
D. tell your charge nruse
provide her with information and resources to get help
, 2
A patient who was sexually assaulted keeps blaming herself. What
stage of maslow does this demonstrate?
A. self esteem
B. love and belonging
C. safety and security
D. food and shelter self esteem
A nurse sees a patient who has signs of dehydration, malnutrition, is
confused, fatigues, and has multiple bruises. What should the nurse
do?
A. call the police
B. call the HCP
C. call the charge nurse
D. establish trust with patient establish trust with patient
A teacher states she only sees affects in one of her students after he
takes his noon dose of ADHD medication. What should the nurse do?
A. nothing as this is normal
B. call the police for abuse
C. call the parents to determine if the child is taking the morning
dose
D. call the HCP and express the need to lower the childs dose
call the parents to determine if the child is taking the morning dose
In milieu what should the nurse do when a patient has tangential
speech?
A. instruct the patient to stay quiet
B. instruct the patient to speak louder
C. tell the patient to head to the HCP
D. instruct the patient to slow down and focus on what they want
, 3
to say
instruct the patient to slow down and focus on what they want to say
A patient is coming in who has a known diagnoses of bipolar disorder.
What should the nurse do?
A. place the patient with a roommate
B. do not place the patient with a roommate
C. place the patient under suicide precautions
D. keep the patient far away from the nurses station place the
patient under suicide precautions
What lab should you check in a patient suspected of having water
intoxication?
A. sodium
B. calcium
C. PH
D. phosphate sodium
A patients PR interval is 0.16 seconds, how should you proceed?
A. report this to the HCP ASAP
B. call a stoke alert
C. call a rapid response
D. document as normal findings document as normal findings
A patient comes in with cardiomyopathy, what should the nurse do?
A. give lidocaine
B. give acetaminophen
C. give nitro
D. ambulate the patient give nitro
A patient with impaired cardiac output is on a tele med surg floor,
