HESI Milestone 2 Exam With 100%
Correct Answers 2023
Broca's Area - Correct Answer-Speech
The cortical area that is responsible for integrating the myriad pathways required for the
comprehension and formulation of language is called Broca area. It is located in a
convolution adjoining the middle cerebral artery. This area is responsible for control of
the combinations of muscular movements needed to speak each word.
Chemo Side Effects - Correct Answer-Nausea
Vomiting
Myelosuppression
SIADH, decrease renal perfusion, precipitate end products after cell lysis, and cause
interstitial nephritis
Cardiac Toxicity
Testicular and ovarian function can be affected by chemotherapeutic agents, resulting in
possible sterility.
Chemotherapy-induced neurotoxicity, a potentially dose-limiting toxicity, can affect the
central nervous system, peripheral nervous system, and/or the cranial nerves
Chemo Brain:
Many patients with cancer experience difficulty with remembering dates, multitasking,
managing numbers and finances, organization, face or object recognition, inability to
follow directions, feeling easily distracted, and motor and behavioral changes.
Fatigue
Expressive Aphasia - Correct Answer-Inability to express oneself
Meningitis First Step - Correct Answer-Broad Spectrum Antibiotics
Glaucoma Symptoms - Correct Answer-The patient may not seek health care until he or
she experiences blurred vision or "halos" around lights, difficulty focusing, difficulty
adjusting eyes in low lighting, loss of peripheral vision, aching or discomfort around the
eyes, and headache.
Assessments for Guillain Barre - Correct Answer-The patient is monitored for life-
threatening complications (respiratory failure, cardiac dysrhythmias, VTE [including DVT
or PE]) so that appropriate intervention can be initiated. Because of the threat to the
patient in this sudden, potentially life-threatening disease, the nurse must assess the
patient's and family's ability to cope and their use of coping strategies.
Maintain respiratory function
Enhancing physical mobility
Promote adequate nutrition
Improving communication
, Decreasing fear and anxiety
Managing potential complications
Multiple Sclerosis & Urinary Retention - Correct Answer-A neurogenic bladder results in
urinary retention or leakage. The patient may describe a sensation of bladder fullness or
incomplete bladder emptying. The pharmacological treatment of urinary retention is
administration of a cholinergic agonist
From Google:
Many multiple sclerosis (MS) patients are affected by urinary retention. Common
causes include neurogenic underactive bladder and/or bladder outlet obstruction from
detrusor sphincter dyssynergia
Traction & Assessment
(Blueprint- Fractured Femer Dim Pulses) - Correct Answer-After skin traction is applied,
the nurse assesses circulation of the foot within 15 to 30 minutes and then every 1 to 2
hours. Circulatory assessment consists of:
Peripheral pulses, color, capillary refill, and temperature of the fingers or toes.
Manifestations of deep vein thrombosis (DVT), which include unilateral calf tenderness,
warmth, redness, and swelling.
Compartment Syndrome - Correct Answer-Diagnosis of compartment syndrome is
based on clinical suspicion, assessment of the 6 P's (pain, poikilothermia, pallor,
paresthesia, pulselessness, and paralysis)
Normal Sinus Rhythm - Correct Answer-Electrical conduction that begins in the SA
node generates a sinus rhythm. Normal sinus rhythm occurs when the electrical impulse
starts at a regular rate and rhythm in the SA node and travels through the normal
conduction pathway. Normal sinus rhythm has the following characteristics:
· Ventricular and atrial rate: 60 to 100 bpm in the adult
· Ventricular and atrial rhythm: Regular
· QRS shape and duration: Usually normal, but may be regularly abnormal
· P wave: Normal and consistent shape; always in front of the QRS
· PR interval: Consistent interval between 0.12 and 0.20 seconds
· P:QRS ratio: 1:1
Valve Replacement Teaching - Correct Answer-Patients who have undergone surgical
valvuloplasty or valve replacements are admitted to the ICU. Care focuses on recovery
from anesthesia and hemodynamic stability. Vital signs are assessed every 5 to 15
minutes and as needed. After the patient has recovered from anesthesia and sedation,
is hemodynamically stable without IV medications, and has stable physical assessment
parameters, he or she usually is transferred to a telemetry unit, typically within 24 to 72
hours of surgery. The nurse educates the patient about anticoagulant therapy,
explaining the need for frequent follow-up appointments and blood laboratory studies.
Correct Answers 2023
Broca's Area - Correct Answer-Speech
The cortical area that is responsible for integrating the myriad pathways required for the
comprehension and formulation of language is called Broca area. It is located in a
convolution adjoining the middle cerebral artery. This area is responsible for control of
the combinations of muscular movements needed to speak each word.
Chemo Side Effects - Correct Answer-Nausea
Vomiting
Myelosuppression
SIADH, decrease renal perfusion, precipitate end products after cell lysis, and cause
interstitial nephritis
Cardiac Toxicity
Testicular and ovarian function can be affected by chemotherapeutic agents, resulting in
possible sterility.
Chemotherapy-induced neurotoxicity, a potentially dose-limiting toxicity, can affect the
central nervous system, peripheral nervous system, and/or the cranial nerves
Chemo Brain:
Many patients with cancer experience difficulty with remembering dates, multitasking,
managing numbers and finances, organization, face or object recognition, inability to
follow directions, feeling easily distracted, and motor and behavioral changes.
Fatigue
Expressive Aphasia - Correct Answer-Inability to express oneself
Meningitis First Step - Correct Answer-Broad Spectrum Antibiotics
Glaucoma Symptoms - Correct Answer-The patient may not seek health care until he or
she experiences blurred vision or "halos" around lights, difficulty focusing, difficulty
adjusting eyes in low lighting, loss of peripheral vision, aching or discomfort around the
eyes, and headache.
Assessments for Guillain Barre - Correct Answer-The patient is monitored for life-
threatening complications (respiratory failure, cardiac dysrhythmias, VTE [including DVT
or PE]) so that appropriate intervention can be initiated. Because of the threat to the
patient in this sudden, potentially life-threatening disease, the nurse must assess the
patient's and family's ability to cope and their use of coping strategies.
Maintain respiratory function
Enhancing physical mobility
Promote adequate nutrition
Improving communication
, Decreasing fear and anxiety
Managing potential complications
Multiple Sclerosis & Urinary Retention - Correct Answer-A neurogenic bladder results in
urinary retention or leakage. The patient may describe a sensation of bladder fullness or
incomplete bladder emptying. The pharmacological treatment of urinary retention is
administration of a cholinergic agonist
From Google:
Many multiple sclerosis (MS) patients are affected by urinary retention. Common
causes include neurogenic underactive bladder and/or bladder outlet obstruction from
detrusor sphincter dyssynergia
Traction & Assessment
(Blueprint- Fractured Femer Dim Pulses) - Correct Answer-After skin traction is applied,
the nurse assesses circulation of the foot within 15 to 30 minutes and then every 1 to 2
hours. Circulatory assessment consists of:
Peripheral pulses, color, capillary refill, and temperature of the fingers or toes.
Manifestations of deep vein thrombosis (DVT), which include unilateral calf tenderness,
warmth, redness, and swelling.
Compartment Syndrome - Correct Answer-Diagnosis of compartment syndrome is
based on clinical suspicion, assessment of the 6 P's (pain, poikilothermia, pallor,
paresthesia, pulselessness, and paralysis)
Normal Sinus Rhythm - Correct Answer-Electrical conduction that begins in the SA
node generates a sinus rhythm. Normal sinus rhythm occurs when the electrical impulse
starts at a regular rate and rhythm in the SA node and travels through the normal
conduction pathway. Normal sinus rhythm has the following characteristics:
· Ventricular and atrial rate: 60 to 100 bpm in the adult
· Ventricular and atrial rhythm: Regular
· QRS shape and duration: Usually normal, but may be regularly abnormal
· P wave: Normal and consistent shape; always in front of the QRS
· PR interval: Consistent interval between 0.12 and 0.20 seconds
· P:QRS ratio: 1:1
Valve Replacement Teaching - Correct Answer-Patients who have undergone surgical
valvuloplasty or valve replacements are admitted to the ICU. Care focuses on recovery
from anesthesia and hemodynamic stability. Vital signs are assessed every 5 to 15
minutes and as needed. After the patient has recovered from anesthesia and sedation,
is hemodynamically stable without IV medications, and has stable physical assessment
parameters, he or she usually is transferred to a telemetry unit, typically within 24 to 72
hours of surgery. The nurse educates the patient about anticoagulant therapy,
explaining the need for frequent follow-up appointments and blood laboratory studies.
