HESI Milestone #2 Exam Questions
and Answers.
Chemo Side Effects ~CORRECT ANSWER~✓✓o Nausea/vomiting (24-
48 hr, can be delayed up to 1 week)
Meningitis first step ~CORRECT ANSWER~✓✓
o Antibiotics - penicillin (ampicillin) AND cephalosporin
o Corticosteroids
Multiple sclerosis and urinary retention ~CORRECT ANSWER~✓✓
o Sensation of void heeded immediately (bed pan/urinal @ bedside)
o Voiding schedule (start 1/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after w/ timer
o Self-catherization
Acute renal failure priority ~CORRECT ANSWER~✓✓
o Maintain fluids
o Avoid fluid excess
o Renal replacement therapy
o Reduce metabolic rate
,o Promote pulmonary function
Acute Respiratory distress priority findings ~CORRECT ANSWER~✓✓
o Hypoxia
o Intercostal retractions
o Crackles
o BNP levels
(alveoli collapse because small airways are narrowed due to interstitial
fluid and bronchial obstruction)
End of life plan of care ~CORRECT ANSWER~✓✓o Signs and
symptoms of impending death are recognized and communicated in
developmentally appropriate language for children and patients with
cognitive disabilities with respect to family preference. Care
appropriate to this phase of illness is proved to the patient and the
family
Cushing Syndrome ~CORRECT ANSWER~✓✓
o Can result from corticosteroids
***Attempt to reduce/taper medication while still treating underlying
disease
o Alternate day therapy decrease symptoms and allows adrenal glands
to recover
, Valve replacement teaching ~CORRECT ANSWER~✓✓
o Anticoagulant therapy (frequent follow-up/lab tests)
§ Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!
Cancer intractable pain plan of care ~CORRECT ANSWER~✓✓o Pain,
other symptoms and side effects are managed based on the best
available evidence, with attention to disease-specific pain and
symptoms, which are skillfully and systematically applied. ??????
Schizophrenia nursing diagnoses and interventions ~CORRECT
ANSWER~✓✓- Dx: 2 or more S&S for over 6 mo (Positive= delusions,
hallucinations, disorganized speech or Negative= 6 A's Anhedonia, Flat
Affect, Apathy, Anergia, Algogia, Avolition)
-Establish rapport and trust, ask about hallucinations, distract, lower
environmental stimuli, monitor suicidal ideation, 1st or 2nd generation
antipsych
Grief process therapeutic response ~CORRECT ANSWER~✓✓Allow the
5 steps of grieving (DABDA), active listening and offer a supportive
presence
and Answers.
Chemo Side Effects ~CORRECT ANSWER~✓✓o Nausea/vomiting (24-
48 hr, can be delayed up to 1 week)
Meningitis first step ~CORRECT ANSWER~✓✓
o Antibiotics - penicillin (ampicillin) AND cephalosporin
o Corticosteroids
Multiple sclerosis and urinary retention ~CORRECT ANSWER~✓✓
o Sensation of void heeded immediately (bed pan/urinal @ bedside)
o Voiding schedule (start 1/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after w/ timer
o Self-catherization
Acute renal failure priority ~CORRECT ANSWER~✓✓
o Maintain fluids
o Avoid fluid excess
o Renal replacement therapy
o Reduce metabolic rate
,o Promote pulmonary function
Acute Respiratory distress priority findings ~CORRECT ANSWER~✓✓
o Hypoxia
o Intercostal retractions
o Crackles
o BNP levels
(alveoli collapse because small airways are narrowed due to interstitial
fluid and bronchial obstruction)
End of life plan of care ~CORRECT ANSWER~✓✓o Signs and
symptoms of impending death are recognized and communicated in
developmentally appropriate language for children and patients with
cognitive disabilities with respect to family preference. Care
appropriate to this phase of illness is proved to the patient and the
family
Cushing Syndrome ~CORRECT ANSWER~✓✓
o Can result from corticosteroids
***Attempt to reduce/taper medication while still treating underlying
disease
o Alternate day therapy decrease symptoms and allows adrenal glands
to recover
, Valve replacement teaching ~CORRECT ANSWER~✓✓
o Anticoagulant therapy (frequent follow-up/lab tests)
§ Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!
Cancer intractable pain plan of care ~CORRECT ANSWER~✓✓o Pain,
other symptoms and side effects are managed based on the best
available evidence, with attention to disease-specific pain and
symptoms, which are skillfully and systematically applied. ??????
Schizophrenia nursing diagnoses and interventions ~CORRECT
ANSWER~✓✓- Dx: 2 or more S&S for over 6 mo (Positive= delusions,
hallucinations, disorganized speech or Negative= 6 A's Anhedonia, Flat
Affect, Apathy, Anergia, Algogia, Avolition)
-Establish rapport and trust, ask about hallucinations, distract, lower
environmental stimuli, monitor suicidal ideation, 1st or 2nd generation
antipsych
Grief process therapeutic response ~CORRECT ANSWER~✓✓Allow the
5 steps of grieving (DABDA), active listening and offer a supportive
presence
