1
HESI MILESTONE 2 EXAM QUESTIONS AND
CORRECT ANSWERS VERIFIED BY
EXPERTS|ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED QUESTIONS AND STUDY
GUIDE| GUARANTEED PASS|ALREADY GRADED
A+|LATEST UPDATE 2024/2025.
-Chemo Side Effects - (answer)o Nausea/vomiting (24-48 hr, can be delayed up
to 1 week)
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
, 2
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!!!
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)
, 3
-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
Domestic violence screening tool - (answer)- Don't probe, write evidence
down verbatim, provide a safe environment
- Increase in violence during pregnancy
- Cycle of violence= tension building, violent, honeymoon
Aggression response - (answer)5-phase cycle= Triggering (event), Escalation
(movement toward a loss of control), Crisis (loss of control), Recovery (regain
control), Postcrisis (reconciliation)
HESI MILESTONE 2 EXAM QUESTIONS AND
CORRECT ANSWERS VERIFIED BY
EXPERTS|ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED QUESTIONS AND STUDY
GUIDE| GUARANTEED PASS|ALREADY GRADED
A+|LATEST UPDATE 2024/2025.
-Chemo Side Effects - (answer)o Nausea/vomiting (24-48 hr, can be delayed up
to 1 week)
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
, 2
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!!!
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)
, 3
-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
Domestic violence screening tool - (answer)- Don't probe, write evidence
down verbatim, provide a safe environment
- Increase in violence during pregnancy
- Cycle of violence= tension building, violent, honeymoon
Aggression response - (answer)5-phase cycle= Triggering (event), Escalation
(movement toward a loss of control), Crisis (loss of control), Recovery (regain
control), Postcrisis (reconciliation)
