HESI MILESTONE 2 2026 EXAM PREPARATION
PACK KEY CLINICAL CONCEPTS AND SAMPLE
QUESTIONS WITH EXPLANATIONS
◉ A nurse is preparing a client for the termination phase of the
nurse-client relationship. The nurse prepares to implement which
nursing task appropriate for this phase? Answer: Making
appropriate referrals
◉ Which action should the nurse implement during the termination
phase of the nurse-client relationship? Answer: Help summarize
accomplishments.
◉ Which features are prominent in anorexia nervosa? Answer:
Amenorrhea for 3 cycles; Perfectionism; Powerlessness; Rigid food
rituals
◉ After receiving treatment for anorexia, a student asks the school
nurse
for permission to work in the school cafeteria as part of the school's
work study program. What action should the nurse take? Answer:
Recommend assignment to the receptionist's office.
,◉ Bizarre social behavior Answer: assess physical needs, suicide
risk, ensure safety at all time
- sit w/ client, silence, tell when leaving
- limit stimuli / 1-1 interaction
◉ Which assessment finding should indicate to the nurse that a
client with arterial HTN is experiencing a cardiac complication?
Answer: Shortness of breath on exertion
◉ When discussing recent onset of feelings of sadness and
depression in a client with hypothyroidism, the nurse should inform
the client that these feelings are Answer: Most likely related to low
thyroid hormone levels and will improve with treatment.
◉ Diverticulosis signs and symptoms Answer: LLQ abdominal pain
(descending/sigmoid colon)
Bloating/Gas
Fever
Nausea/Vomiting
Constipation alt. w/ diarrhea
Anorexia
◉ A patient is ordered by the physician to take allopurinol
(Zyloprim) for treatment of gout. You've provided education to the
, patient about this medication. Which statement by the patient
requires you to re-educate them about this medication? Answer:
"This medication will help relieve the inflammation and pain during
an acute attack"
◉ Allopurinol Answer: -take after meals
- avoid alcohol
- purine-rich foods (red meat/shellfish/fructose drinks)
- increase fluids
- reduce stress
◉ DM poor compliance Answer: Check feet
Check visual acuity
Check sensation
◉ During discharge teaching, the nurse discusses the parameters for
weight monitoring with a client who was recently diagnosed with
heart failure (HF). Which information is most important for the
client to acknowledge Answer: Report weight gain of 2 pounds
(0.9kg) in 24 hours
◉ A male pt calls the clinic and complains because he can't tie his
shoes? What should the nurse do next? Answer: Ask if the pt has
gained weight in the past few days
PACK KEY CLINICAL CONCEPTS AND SAMPLE
QUESTIONS WITH EXPLANATIONS
◉ A nurse is preparing a client for the termination phase of the
nurse-client relationship. The nurse prepares to implement which
nursing task appropriate for this phase? Answer: Making
appropriate referrals
◉ Which action should the nurse implement during the termination
phase of the nurse-client relationship? Answer: Help summarize
accomplishments.
◉ Which features are prominent in anorexia nervosa? Answer:
Amenorrhea for 3 cycles; Perfectionism; Powerlessness; Rigid food
rituals
◉ After receiving treatment for anorexia, a student asks the school
nurse
for permission to work in the school cafeteria as part of the school's
work study program. What action should the nurse take? Answer:
Recommend assignment to the receptionist's office.
,◉ Bizarre social behavior Answer: assess physical needs, suicide
risk, ensure safety at all time
- sit w/ client, silence, tell when leaving
- limit stimuli / 1-1 interaction
◉ Which assessment finding should indicate to the nurse that a
client with arterial HTN is experiencing a cardiac complication?
Answer: Shortness of breath on exertion
◉ When discussing recent onset of feelings of sadness and
depression in a client with hypothyroidism, the nurse should inform
the client that these feelings are Answer: Most likely related to low
thyroid hormone levels and will improve with treatment.
◉ Diverticulosis signs and symptoms Answer: LLQ abdominal pain
(descending/sigmoid colon)
Bloating/Gas
Fever
Nausea/Vomiting
Constipation alt. w/ diarrhea
Anorexia
◉ A patient is ordered by the physician to take allopurinol
(Zyloprim) for treatment of gout. You've provided education to the
, patient about this medication. Which statement by the patient
requires you to re-educate them about this medication? Answer:
"This medication will help relieve the inflammation and pain during
an acute attack"
◉ Allopurinol Answer: -take after meals
- avoid alcohol
- purine-rich foods (red meat/shellfish/fructose drinks)
- increase fluids
- reduce stress
◉ DM poor compliance Answer: Check feet
Check visual acuity
Check sensation
◉ During discharge teaching, the nurse discusses the parameters for
weight monitoring with a client who was recently diagnosed with
heart failure (HF). Which information is most important for the
client to acknowledge Answer: Report weight gain of 2 pounds
(0.9kg) in 24 hours
◉ A male pt calls the clinic and complains because he can't tie his
shoes? What should the nurse do next? Answer: Ask if the pt has
gained weight in the past few days
