MILESTONE HESI RETAKE EXAM 2025 QUESTIONS AND ANSWERS UPDATE.

MILESTONE HESI RETAKE EXAM 2025 QUESTIONS AND ANSWERS UPDATE.MILESTONE HESI RETAKE EXAM 2025 QUESTIONS AND ANSWERS UPDATE. Levels of Health Promotion - CORRECT ANSWER - primary, secondary, tertiary Application Examples of Levels of Promotion - CORRECT ANSWER - primary- weight loss, diet, smoking cessation Secondary- papsmears, mammograms, testicular exams Tertiary- medication therapy, surgical treatment, physical therapy, teaching foot care education to diabetic care Primary - CORRECT ANSWER - promotes health and preventing development of disease process or injury Secondary - CORRECT ANSWER - screening for early detection of disease Tertiary - CORRECT ANSWER - begins after illness is diagnosed and treatment. Aims to prevent long-term consequences of chronic illnesses or disabilities Nursing Assessments - CORRECT ANSWER - Comprehensive- (Head to Toe) = Can be done inpatient and through primary care (Physical assessment- annual exam) Focused- Health and physical hx of specific problem.- ex. Sick visit Emergency- crisis, life threatening. ex. airway, breathing, injury, disability, exposure, med reconciliation Phases of Interview process - CORRECT ANSWER - Pre-interaction, beginning, working (open and close ended questions), closing Data sources - CORRECT ANSWER - Primary- individual patient Secondary- chart info, family members Purposes of Documentation - CORRECT ANSWER - verbal communication, SBAR, written document Lifespan Nutritional Considerations - Nutrition: Pregnant Women - CORRECT ANSWER - need additional 300-500 cal/day (whole foods Lifespan Nutritional Considerations - Nutrition: infants/children - CORRECT ANSWER - infants/children: whole milk for ages 2-5 fat intake-brain development Lifespan Nutritional Considerations - Nutrition: Older - CORRECT ANSWER - BMR declines, Vitamin D supplements, Problems: decreased thirst, increase risk for osteoarthritis, osteoporosis, dementia, obesity, social isolation General Survey - CORRECT ANSWER - mental note of overall health (hygiene/appearance). Assessing pain: documentation, OLDCARTS/OPQRST. Aggravating and alleviating factors, pain goal and funtional goal Assessing Pain - Documentation - CORRECT ANSWER - Acute vs. Chronic-Location Priority - CORRECT ANSWER - Priority pain: stones (kidney, gallbladder, calcium and/or struvite), myocardial infarcation (HA), burns and sickle cell Heart Rate Elevated - CORRECT ANSWER - above 100 beats per minute Blood Pressure- Normal - CORRECT ANSWER - above systolic- 120-129, diastolic- less than 80, Blood Pressure- elevated - CORRECT ANSWER - Hypertension: Stage 1: 130-139 or 80-89, Stage Hypertension 2: more than 140, or greater than or equal to 90 When should BP be taken? - CORRECT ANSWER - after patient rests for 5 minutues or 30 minutes after caffeine, smoking Assessment of the Head and Neck - CORRECT ANSWER - Inspect, palpate, auscultate Infection - CORRECT ANSWER - If nodes are palpable, warm, tender = infection Assessment of the Ear - Techniques - CORRECT ANSWER - Adults: up and back Children: down and back Assessment of the Ear - Techniques Part 2 - CORRECT ANSWER - observe behavioral responses to speech, inspect ear formation (size, shape & any malformation to the auricle, condition) Perform whisper test & Rinne test. Pt plug one ear at a time Perform weber test (evaluate unilateral hearing loss Assessing the Chest - CORRECT ANSWER - inspect, palpate, percuss, auscultate Assessing Lung Sounds - Technique - CORRECT ANSWER - IPPA- inspect, palpate, percuss, auscultate Normal Lung Sounds - CORRECT ANSWER - Normal: bronchial (heard anteriorly) over larynx and trachea (INSPIRIATION slightly shorter than expiration), Bronchiovesicular (heard anteriorly and posteriorly)INSPIRATION AND EXPIRATION EQUAL , Vesicular (heard both) lower lungs, low pitch, INSPIRATION GREATER THAN EXPIRATION) Abnormal lung sounds: Rhonchi - CORRECT ANSWER - low- heard mainly in expiration when pt is breathing out (made up of one sound- whistle or whine and high pitch, musical instrument sound MULTIPLE sounds- mainly heard in expiration CONDITION: PNEUMONIA abnormal lung sounds: stridor - CORRECT ANSWER - airway obstruction, high pitch whispering or gas (CROUP, EMERGENCY, EPIGLOTTIS) Abnormal lung sounds: Crackles - CORRECT ANSWER - coarse(low pitch, wet sound) fine (high pitch, doesnt clear w/cough, crackling of fire sound) CONDITION:RESPIRATORY EDEMA/OBSTRUCTIVE DISEASE