HESI MILESTONE 2 RETAKE EXAM QUESTIONS AND
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2025/2026
Levels of Health Promotion - ...(ANSWERS)....primary, secondary, tertiary
Application Examples of Levels of Promotion - ...(ANSWERS)....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 - ...(ANSWERS)....promotes health and preventing development of
disease process or injury
Secondary - ...(ANSWERS)....screening for early detection of disease
Tertiary - ...(ANSWERS)....begins after illness is diagnosed and treatment. Aims to
prevent long-term consequences of chronic illnesses or disabilities
Nursing Assessments - ...(ANSWERS)....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 - ...(ANSWERS)....Pre-interaction, beginning, working
(open and close ended questions), closing
Data sources - ...(ANSWERS)....Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation - ...(ANSWERS)....verbal communication, SBAR,
written document
Lifespan Nutritional Considerations - Nutrition: Pregnant Women -
...(ANSWERS)....need additional 300-500 cal/day (whole foods
Lifespan Nutritional Considerations - Nutrition: infants/children -
...(ANSWERS)....infants/children: whole milk for ages 2-5 fat intake-brain
development
Lifespan Nutritional Considerations - Nutrition: Older - ...(ANSWERS)....BMR
declines, Vitamin D supplements, Problems: decreased thirst, increase risk for
osteoarthritis, osteoporosis, dementia, obesity, social isolation
General Survey - ...(ANSWERS)....mental note of overall health
(hygiene/appearance). Assessing pain: documentation, OLDCARTS/OPQRST.
Aggravating and alleviating factors, pain goal and funtional goal
, Assessing Pain - Documentation - ...(ANSWERS)....Acute vs. Chronic-Location
Priority - ...(ANSWERS)....Priority pain: stones (kidney, gallbladder, calcium and/or
struvite), myocardial infarcation (HA), burns and sickle cell
Heart Rate Elevated - ...(ANSWERS)....above 100 beats per minute
Blood Pressure- Normal - ...(ANSWERS)....above systolic- 120-129, diastolic- less
than 80,
Blood Pressure- elevated - ...(ANSWERS)....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? - ...(ANSWERS)....after patient rests for 5 minutues or
30 minutes after caffeine, smoking
Assessment of the Head and Neck - ...(ANSWERS)....Inspect, palpate, auscultate
Infection - ...(ANSWERS)....If nodes are palpable, warm, tender = infection
Assessment of the Ear - Techniques - ...(ANSWERS)....Adults: up and back
Children: down and back
ANSWERS (VERIFIED AND WELL DETAILED
ANSWERS) LATEST UPDATE 2025/2026
Levels of Health Promotion - ...(ANSWERS)....primary, secondary, tertiary
Application Examples of Levels of Promotion - ...(ANSWERS)....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 - ...(ANSWERS)....promotes health and preventing development of
disease process or injury
Secondary - ...(ANSWERS)....screening for early detection of disease
Tertiary - ...(ANSWERS)....begins after illness is diagnosed and treatment. Aims to
prevent long-term consequences of chronic illnesses or disabilities
Nursing Assessments - ...(ANSWERS)....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 - ...(ANSWERS)....Pre-interaction, beginning, working
(open and close ended questions), closing
Data sources - ...(ANSWERS)....Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation - ...(ANSWERS)....verbal communication, SBAR,
written document
Lifespan Nutritional Considerations - Nutrition: Pregnant Women -
...(ANSWERS)....need additional 300-500 cal/day (whole foods
Lifespan Nutritional Considerations - Nutrition: infants/children -
...(ANSWERS)....infants/children: whole milk for ages 2-5 fat intake-brain
development
Lifespan Nutritional Considerations - Nutrition: Older - ...(ANSWERS)....BMR
declines, Vitamin D supplements, Problems: decreased thirst, increase risk for
osteoarthritis, osteoporosis, dementia, obesity, social isolation
General Survey - ...(ANSWERS)....mental note of overall health
(hygiene/appearance). Assessing pain: documentation, OLDCARTS/OPQRST.
Aggravating and alleviating factors, pain goal and funtional goal
, Assessing Pain - Documentation - ...(ANSWERS)....Acute vs. Chronic-Location
Priority - ...(ANSWERS)....Priority pain: stones (kidney, gallbladder, calcium and/or
struvite), myocardial infarcation (HA), burns and sickle cell
Heart Rate Elevated - ...(ANSWERS)....above 100 beats per minute
Blood Pressure- Normal - ...(ANSWERS)....above systolic- 120-129, diastolic- less
than 80,
Blood Pressure- elevated - ...(ANSWERS)....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? - ...(ANSWERS)....after patient rests for 5 minutues or
30 minutes after caffeine, smoking
Assessment of the Head and Neck - ...(ANSWERS)....Inspect, palpate, auscultate
Infection - ...(ANSWERS)....If nodes are palpable, warm, tender = infection
Assessment of the Ear - Techniques - ...(ANSWERS)....Adults: up and back
Children: down and back