HESI Milestone 2 Exam Questions with Verified
Answers Latest Update 2025
Meningitis first step - ✔✔ANSWER ✔✔-o Antibiotics - penicillin
(ampicillin) AND cephalosporin
o Corticosteroids
Multiple sclerosis and urinary retention - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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!!!
-Chemo Side Effects - ✔✔ANSWER ✔✔-o Nausea/vomiting (24-48
hr, can be delayed up to 1 week)
Cancer intractable pain plan of care - ✔✔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 - ✔✔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 - ✔✔ANSWER ✔✔-Allow the 5
steps of grieving (DABDA), active listening and offer a supportive
presence
Dementia action refusing ADLs - ✔✔ANSWER ✔✔-Encourage
finger foods, distraction, speak therapeutically
Alcohol withdrawal - ✔✔ANSWER ✔✔-- Needs to be done under
medical supervision b/c can be deadly
- VS Q4, onset of symptoms 4-6 hours after last drink, give
lorazepam, reduce temp.
- Tremors, nausea, vomiting
Methadone overdose - ✔✔ANSWER ✔✔-S&S= constricted pupils,
resp. depression, circul. depression, LOC decreased
Give naloxone
Answers Latest Update 2025
Meningitis first step - ✔✔ANSWER ✔✔-o Antibiotics - penicillin
(ampicillin) AND cephalosporin
o Corticosteroids
Multiple sclerosis and urinary retention - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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!!!
-Chemo Side Effects - ✔✔ANSWER ✔✔-o Nausea/vomiting (24-48
hr, can be delayed up to 1 week)
Cancer intractable pain plan of care - ✔✔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 - ✔✔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 - ✔✔ANSWER ✔✔-Allow the 5
steps of grieving (DABDA), active listening and offer a supportive
presence
Dementia action refusing ADLs - ✔✔ANSWER ✔✔-Encourage
finger foods, distraction, speak therapeutically
Alcohol withdrawal - ✔✔ANSWER ✔✔-- Needs to be done under
medical supervision b/c can be deadly
- VS Q4, onset of symptoms 4-6 hours after last drink, give
lorazepam, reduce temp.
- Tremors, nausea, vomiting
Methadone overdose - ✔✔ANSWER ✔✔-S&S= constricted pupils,
resp. depression, circul. depression, LOC decreased
Give naloxone
