HESI MILESTONE 2 RETAKE EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells the
nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first? - (answer) -Inform the anesthesia care provider
A patient had abdominal surgery and states that after coughing it feels like his guts has spilled out. What
should the nurse do first? - (answer) -Visualize the abdominal area
A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next? -
(answer) -Obtain a doppler
What's Priority for a client with Multiple Sclerosis and has urinary retention? - (answer) -Self-
catheterization
What intervention the nurse should I implement for a patient with CongestiveHeart Failure? - (answer)
-Use bedside commode when needing to void
What to teach a client with GERD? - (answer) -Wear loose clothing
The HCP orders 8200 units and available is 2ml each 1ml. How much to give pt? - (answer) -0.8
What should the HCP order for a client with Hypothyroidism who has depression and can not sleep? -
(answer) -Request PRN sleep med
A 10-year-old who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that they
would like to use a pump instead of insulin injections to manage diabetes. Which assessment is most
important for the nurse to obtain? - (answer) Ability to program the pump for basal insulin with
mealtime boluses
The nurse caring for a client with dysphagia is attempting to insert an NG tube. What action should the
nurse implement to facilitate the NGT passage into the esophagus? - (answer) Flex the client's head
with chin to the chest and insert
CORRECT DETAILED ANSWERS
At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells the
nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first? - (answer) -Inform the anesthesia care provider
A patient had abdominal surgery and states that after coughing it feels like his guts has spilled out. What
should the nurse do first? - (answer) -Visualize the abdominal area
A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next? -
(answer) -Obtain a doppler
What's Priority for a client with Multiple Sclerosis and has urinary retention? - (answer) -Self-
catheterization
What intervention the nurse should I implement for a patient with CongestiveHeart Failure? - (answer)
-Use bedside commode when needing to void
What to teach a client with GERD? - (answer) -Wear loose clothing
The HCP orders 8200 units and available is 2ml each 1ml. How much to give pt? - (answer) -0.8
What should the HCP order for a client with Hypothyroidism who has depression and can not sleep? -
(answer) -Request PRN sleep med
A 10-year-old who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that they
would like to use a pump instead of insulin injections to manage diabetes. Which assessment is most
important for the nurse to obtain? - (answer) Ability to program the pump for basal insulin with
mealtime boluses
The nurse caring for a client with dysphagia is attempting to insert an NG tube. What action should the
nurse implement to facilitate the NGT passage into the esophagus? - (answer) Flex the client's head
with chin to the chest and insert
