HESI Milestone Retake Exam with Questions
and Answers (Completed August 2023) (Best
Revision-Studying Material)
Levels of Health Promotion --------- CORRECT ANSWER ----- primary, secondary,
tertiary
Application Examples of Levels of Promotion --------- CORRECT ANSWER ----- primary-
weight loss, diet, smoking cessation
Secondary- papsmears, mammograms, testicular exams
Tertiary- medication therapy, surgical treatment, physical therapy, teaching foot care
education to diabetic care
Primary --------- CORRECT ANSWER ----- promotes health and preventing development
of disease process or injury
Secondary --------- CORRECT ANSWER ----- screening for early detection of disease
Tertiary --------- CORRECT ANSWER ----- begins after illness is diagnosed and
treatment. Aims to prevent long-term consequences of chronic illnesses or disabilities
Nursing Assessments --------- CORRECT ANSWER ----- Comprehensive- (Head to Toe)
= Can be done inpatient and through primary care (Physical assessment- annual exam)
Focused- Health and physical hx of specific problem.- ex. Sick visit
Emergency- crisis, life threatening. ex. airway, breathing, injury, disability, exposure,
med reconciliation
Phases of Interview process --------- CORRECT ANSWER ----- Pre-interaction,
beginning, working (open and close ended questions), closing
Data sources --------- CORRECT ANSWER ----- Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation --------- CORRECT ANSWER ----- verbal communication,
SBAR, written document
Lifespan Nutritional Considerations - Nutrition: Pregnant Women --------- CORRECT
ANSWER ----- need additional 300-500 cal/day (whole foods
Lifespan Nutritional Considerations - Nutrition: infants/children --------- CORRECT
ANSWER ----- infants/children: whole milk for ages 2-5 fat intake-brain development
, Lifespan Nutritional Considerations - Nutrition: Older --------- CORRECT ANSWER -----
BMR declines, Vitamin D supplements, Problems: decreased thirst, increase risk for
osteoarthritis, osteoporosis, dementia, obesity, social isolation
General Survey --------- CORRECT ANSWER ----- mental note of overall health
(hygiene/appearance). Assessing pain: documentation, OLDCARTS/OPQRST.
Aggravating and alleviating factors, pain goal and funtional goal
Assessing Pain - Documentation --------- CORRECT ANSWER ----- Acute vs. Chronic-
Location
Priority --------- CORRECT ANSWER ----- Priority pain: stones (kidney, gallbladder,
calcium and/or struvite), myocardial infarcation (HA), burns and sickle cell
Heart Rate Elevated --------- CORRECT ANSWER ----- above 100 beats per minute
Blood Pressure- Normal --------- CORRECT ANSWER ----- above systolic- 120-129,
diastolic- less than 80,
Blood Pressure- elevated --------- CORRECT ANSWER ----- Hypertension: Stage 1:
130-139 or 80-89, Stage Hypertension 2: more than 140, or greater than or equal to 90
When should BP be taken? --------- CORRECT ANSWER ----- after patient rests for 5
minutues or 30 minutes after caffeine, smoking
Assessment of the Head and Neck --------- CORRECT ANSWER ----- Inspect, palpate,
auscultate
Infection --------- CORRECT ANSWER ----- If nodes are palpable, warm, tender =
infection
Assessment of the Ear - Techniques --------- CORRECT ANSWER ----- Adults: up and
back
Children: down and back
Assessment of the Ear - Techniques Part 2 --------- CORRECT ANSWER ----- observe
behavioral responses to speech, inspect ear formation (size, shape & any malformation
to the auricle, condition)
Perform whisper test & Rinne test. Pt plug one ear at a time
Perform weber test (evaluate unilateral hearing loss
Assessing the Chest --------- CORRECT ANSWER ----- inspect, palpate, percuss,
auscultate
Assessing Lung Sounds - Technique --------- CORRECT ANSWER ----- IPPA- inspect,
palpate, percuss, auscultate
and Answers (Completed August 2023) (Best
Revision-Studying Material)
Levels of Health Promotion --------- CORRECT ANSWER ----- primary, secondary,
tertiary
Application Examples of Levels of Promotion --------- CORRECT ANSWER ----- primary-
weight loss, diet, smoking cessation
Secondary- papsmears, mammograms, testicular exams
Tertiary- medication therapy, surgical treatment, physical therapy, teaching foot care
education to diabetic care
Primary --------- CORRECT ANSWER ----- promotes health and preventing development
of disease process or injury
Secondary --------- CORRECT ANSWER ----- screening for early detection of disease
Tertiary --------- CORRECT ANSWER ----- begins after illness is diagnosed and
treatment. Aims to prevent long-term consequences of chronic illnesses or disabilities
Nursing Assessments --------- CORRECT ANSWER ----- Comprehensive- (Head to Toe)
= Can be done inpatient and through primary care (Physical assessment- annual exam)
Focused- Health and physical hx of specific problem.- ex. Sick visit
Emergency- crisis, life threatening. ex. airway, breathing, injury, disability, exposure,
med reconciliation
Phases of Interview process --------- CORRECT ANSWER ----- Pre-interaction,
beginning, working (open and close ended questions), closing
Data sources --------- CORRECT ANSWER ----- Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation --------- CORRECT ANSWER ----- verbal communication,
SBAR, written document
Lifespan Nutritional Considerations - Nutrition: Pregnant Women --------- CORRECT
ANSWER ----- need additional 300-500 cal/day (whole foods
Lifespan Nutritional Considerations - Nutrition: infants/children --------- CORRECT
ANSWER ----- infants/children: whole milk for ages 2-5 fat intake-brain development
, Lifespan Nutritional Considerations - Nutrition: Older --------- CORRECT ANSWER -----
BMR declines, Vitamin D supplements, Problems: decreased thirst, increase risk for
osteoarthritis, osteoporosis, dementia, obesity, social isolation
General Survey --------- CORRECT ANSWER ----- mental note of overall health
(hygiene/appearance). Assessing pain: documentation, OLDCARTS/OPQRST.
Aggravating and alleviating factors, pain goal and funtional goal
Assessing Pain - Documentation --------- CORRECT ANSWER ----- Acute vs. Chronic-
Location
Priority --------- CORRECT ANSWER ----- Priority pain: stones (kidney, gallbladder,
calcium and/or struvite), myocardial infarcation (HA), burns and sickle cell
Heart Rate Elevated --------- CORRECT ANSWER ----- above 100 beats per minute
Blood Pressure- Normal --------- CORRECT ANSWER ----- above systolic- 120-129,
diastolic- less than 80,
Blood Pressure- elevated --------- CORRECT ANSWER ----- Hypertension: Stage 1:
130-139 or 80-89, Stage Hypertension 2: more than 140, or greater than or equal to 90
When should BP be taken? --------- CORRECT ANSWER ----- after patient rests for 5
minutues or 30 minutes after caffeine, smoking
Assessment of the Head and Neck --------- CORRECT ANSWER ----- Inspect, palpate,
auscultate
Infection --------- CORRECT ANSWER ----- If nodes are palpable, warm, tender =
infection
Assessment of the Ear - Techniques --------- CORRECT ANSWER ----- Adults: up and
back
Children: down and back
Assessment of the Ear - Techniques Part 2 --------- CORRECT ANSWER ----- observe
behavioral responses to speech, inspect ear formation (size, shape & any malformation
to the auricle, condition)
Perform whisper test & Rinne test. Pt plug one ear at a time
Perform weber test (evaluate unilateral hearing loss
Assessing the Chest --------- CORRECT ANSWER ----- inspect, palpate, percuss,
auscultate
Assessing Lung Sounds - Technique --------- CORRECT ANSWER ----- IPPA- inspect,
palpate, percuss, auscultate
