HESI MILESTONE 2 2026 FINAL REVIEW PACK
COMPLETE QUESTION SET AND CORE
CONCEPT SUMMARY
◉ The registered nurse (RN) is educating a new RN about the use of
oxygen for clients with angina pectoris. Which statement by the new
nurse indicates that the teaching has been effective?
1. "Oxygen has a calming effect."
2. "Oxygen will prevent the development of any thrombus."
3. "The pain of angina pectoris occurs because of a decreased oxygen
supply to heart cells."
4. "Oxygen dilates the blood vessels so that they can supply more
nutrients to the heart muscle.". Answer: "The pain of angina pectoris
occurs because of a decreased oxygen supply to heart cells."
The pain associated with angina results from ischemia of myocardial
cells. The pain often is precipitated by activity that places more
oxygen demand on heart muscle. Supplemental oxygen will help
meet the added demands on the heart muscle. Oxygen does not
dilate blood vessels or prevent thrombus formation and does not
directly calm the client.
,◉ The nurse has provided dietary instructions to a client with
coronary artery disease. Which statement by the client indicates an
understanding of the dietary instructions?
1. "I'll need to become a strict vegetarian."
2. "I should use polyunsaturated oils in my diet."
3. "I need to substitute eggs and whole milk for meat."
4. "I should eliminate all cholesterol and fat from my diet.". Answer:
"I should use polyunsaturated oils in my diet."
The client with coronary artery disease needs to avoid foods high in
saturated fat and cholesterol such as eggs, whole milk, and red meat.
These foods contribute to increases in low-density lipoproteins. The
use of polyunsaturated oils is recommended to control
hypercholesterolemia. It is not necessary to eliminate all cholesterol
and fat from the diet. It is not necessary to become a strict
vegetarian.
◉ The home care nurse has taught a client with heart failure and a
problem of inadequate cardiac output about helpful lifestyle
adaptations to promote health. Which statement by the client best
demonstrates an understanding of the information provided?
1. "I will try to exercise vigorously to strengthen my heart muscle."
,2. "I will eat enough daily fiber to prevent straining during bowel
movement."
3. "I will drink 3000 to 3500 mL of fluid daily to promote good
kidney function."
4. "Drinking 2 to 3 oz of liquor each night will promote blood flow by
enlarging blood vessels.". Answer: "I will eat enough daily fiber to
prevent straining during bowel movement."
Standard home care instructions for a client with this problem
include, among others, lifestyle changes such as avoiding alcohol
intake, avoiding activities that increase the demands on the heart,
instituting a bowel regimen to prevent straining and constipation,
and maintaining fluid and electrolyte balance. Consuming 3000 to
3500 mL of fluid and exercising vigorously will increase the cardiac
workload.
◉ A client with heart failure has been experiencing difficulty with
completion of daily activities, as evidenced by exertional fatigue and
increased blood pressure. Which observation by the nurse best
indicates client progress in meeting goals for this problem?
1. Ambulates 10 feet (3 meters) farther each day
2. Verbalizes the benefits of increasing activity
3. Chooses a healthy diet that meets caloric needs
, 4. Sleeps without awakening throughout the night. Answer: Chooses
a healthy diet that meets caloric needs
Each of the options indicates a positive outcome on the part of the
client. Both option 2 and the correct one relate to the client problem
of difficulty with completion of daily activities. However, the
question asks about progress. The correct option is more action-
oriented and therefore is the better choice. Option 3 would most
likely indicate progress if the client had a problem of inadequate
nutritional intake. Option 4 would be a satisfactory outcome for a
client experiencing difficulty sleeping.
◉ A client with coronary artery disease is scheduled to have a
diagnostic exercise stress test. Which instruction would the nurse
plan to provide to the client about this procedure?
1. Eat breakfast just before the procedure.
2. Wear firm, rigid shoes, such as work boots.
3. Wear loose clothing with a shirt that buttons in front.
4. Avoid cigarettes for 30 minutes before the procedure.. Answer:
Wear loose clothing with a shirt that buttons in front.
The client needs to wear loose, comfortable clothing for the
procedure. Electrocardiogram (ECG) lead placement is enhanced if
the client wears a shirt that buttons in the front. The client needs to
COMPLETE QUESTION SET AND CORE
CONCEPT SUMMARY
◉ The registered nurse (RN) is educating a new RN about the use of
oxygen for clients with angina pectoris. Which statement by the new
nurse indicates that the teaching has been effective?
1. "Oxygen has a calming effect."
2. "Oxygen will prevent the development of any thrombus."
3. "The pain of angina pectoris occurs because of a decreased oxygen
supply to heart cells."
4. "Oxygen dilates the blood vessels so that they can supply more
nutrients to the heart muscle.". Answer: "The pain of angina pectoris
occurs because of a decreased oxygen supply to heart cells."
The pain associated with angina results from ischemia of myocardial
cells. The pain often is precipitated by activity that places more
oxygen demand on heart muscle. Supplemental oxygen will help
meet the added demands on the heart muscle. Oxygen does not
dilate blood vessels or prevent thrombus formation and does not
directly calm the client.
,◉ The nurse has provided dietary instructions to a client with
coronary artery disease. Which statement by the client indicates an
understanding of the dietary instructions?
1. "I'll need to become a strict vegetarian."
2. "I should use polyunsaturated oils in my diet."
3. "I need to substitute eggs and whole milk for meat."
4. "I should eliminate all cholesterol and fat from my diet.". Answer:
"I should use polyunsaturated oils in my diet."
The client with coronary artery disease needs to avoid foods high in
saturated fat and cholesterol such as eggs, whole milk, and red meat.
These foods contribute to increases in low-density lipoproteins. The
use of polyunsaturated oils is recommended to control
hypercholesterolemia. It is not necessary to eliminate all cholesterol
and fat from the diet. It is not necessary to become a strict
vegetarian.
◉ The home care nurse has taught a client with heart failure and a
problem of inadequate cardiac output about helpful lifestyle
adaptations to promote health. Which statement by the client best
demonstrates an understanding of the information provided?
1. "I will try to exercise vigorously to strengthen my heart muscle."
,2. "I will eat enough daily fiber to prevent straining during bowel
movement."
3. "I will drink 3000 to 3500 mL of fluid daily to promote good
kidney function."
4. "Drinking 2 to 3 oz of liquor each night will promote blood flow by
enlarging blood vessels.". Answer: "I will eat enough daily fiber to
prevent straining during bowel movement."
Standard home care instructions for a client with this problem
include, among others, lifestyle changes such as avoiding alcohol
intake, avoiding activities that increase the demands on the heart,
instituting a bowel regimen to prevent straining and constipation,
and maintaining fluid and electrolyte balance. Consuming 3000 to
3500 mL of fluid and exercising vigorously will increase the cardiac
workload.
◉ A client with heart failure has been experiencing difficulty with
completion of daily activities, as evidenced by exertional fatigue and
increased blood pressure. Which observation by the nurse best
indicates client progress in meeting goals for this problem?
1. Ambulates 10 feet (3 meters) farther each day
2. Verbalizes the benefits of increasing activity
3. Chooses a healthy diet that meets caloric needs
, 4. Sleeps without awakening throughout the night. Answer: Chooses
a healthy diet that meets caloric needs
Each of the options indicates a positive outcome on the part of the
client. Both option 2 and the correct one relate to the client problem
of difficulty with completion of daily activities. However, the
question asks about progress. The correct option is more action-
oriented and therefore is the better choice. Option 3 would most
likely indicate progress if the client had a problem of inadequate
nutritional intake. Option 4 would be a satisfactory outcome for a
client experiencing difficulty sleeping.
◉ A client with coronary artery disease is scheduled to have a
diagnostic exercise stress test. Which instruction would the nurse
plan to provide to the client about this procedure?
1. Eat breakfast just before the procedure.
2. Wear firm, rigid shoes, such as work boots.
3. Wear loose clothing with a shirt that buttons in front.
4. Avoid cigarettes for 30 minutes before the procedure.. Answer:
Wear loose clothing with a shirt that buttons in front.
The client needs to wear loose, comfortable clothing for the
procedure. Electrocardiogram (ECG) lead placement is enhanced if
the client wears a shirt that buttons in the front. The client needs to
