Milestone HESI Retake -Expert Strategies| Accurate
Verified Questions & Answers| Guaranteed Success|
2025-2026
Levels of Health Promotion
solution
primary, secondary, tertiary
Application Examples of Levels of Promotion
solution
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
solution
promotes health and preventing development of disease process
or injury
Secondary
solution
screening for early detection of disease
Tertiary
solution
begins after illness is diagnosed and treatment. Aims to prevent
long-term consequences of chronic illnesses or disabilities
Nursing Assessments
solution
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
solution
Pre-interaction, beginning, working (open and close ended
questions), closing
,Data sources
solution
Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation
solution
verbal communication, SBAR, written document
Lifespan Nutritional Considerations - Nutrition: Pregnant Women
solution
need additional 300-500 cal/day (whole foods
Lifespan Nutritional Considerations - Nutrition: infants/children
solution
infants/children: whole milk for ages 2-5 fat intake-brain
development
Lifespan Nutritional Considerations - Nutrition: Older
solution
BMR declines, Vitamin D supplements, Problems: decreased thirst,
increase risk for osteoarthritis, osteoporosis, dementia, obesity,
social isolation
General Survey
solution
mental note of overall health (hygiene/appearance). Assessing
pain: documentation, OLDCARTS/OPQRST. Aggravating and
alleviating factors, pain goal and funtional goal
Assessing Pain - Documentation
solution
Acute vs. Chronic-Location
Priority
solution
Priority pain: stones (kidney, gallbladder, calcium and/or struvite),
myocardial infarcation (HA), burns and sickle cell
Heart Rate Elevated
solution
above 100 beats per minute
, Blood Pressure- Normal
solution
above systolic- 120-129, diastolic- less than 80,
Blood Pressure- elevated
solution
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?
solution
after patient rests for 5 minutues or 30 minutes after caffeine,
smoking
Assessment of the Head and Neck
solution
Inspect, palpate, auscultate
Infection
solution
If nodes are palpable, warm, tender = infection
Assessment of the Ear - Techniques
solution
Adults: up and back
Children: down and back
Assessment of the Ear - Techniques Part 2
solution
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
solution
inspect, palpate, percuss, auscultate
Assessing Lung Sounds - Technique
solution
IPPA- inspect, palpate, percuss, auscultate
Normal Lung Sounds
Verified Questions & Answers| Guaranteed Success|
2025-2026
Levels of Health Promotion
solution
primary, secondary, tertiary
Application Examples of Levels of Promotion
solution
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
solution
promotes health and preventing development of disease process
or injury
Secondary
solution
screening for early detection of disease
Tertiary
solution
begins after illness is diagnosed and treatment. Aims to prevent
long-term consequences of chronic illnesses or disabilities
Nursing Assessments
solution
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
solution
Pre-interaction, beginning, working (open and close ended
questions), closing
,Data sources
solution
Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation
solution
verbal communication, SBAR, written document
Lifespan Nutritional Considerations - Nutrition: Pregnant Women
solution
need additional 300-500 cal/day (whole foods
Lifespan Nutritional Considerations - Nutrition: infants/children
solution
infants/children: whole milk for ages 2-5 fat intake-brain
development
Lifespan Nutritional Considerations - Nutrition: Older
solution
BMR declines, Vitamin D supplements, Problems: decreased thirst,
increase risk for osteoarthritis, osteoporosis, dementia, obesity,
social isolation
General Survey
solution
mental note of overall health (hygiene/appearance). Assessing
pain: documentation, OLDCARTS/OPQRST. Aggravating and
alleviating factors, pain goal and funtional goal
Assessing Pain - Documentation
solution
Acute vs. Chronic-Location
Priority
solution
Priority pain: stones (kidney, gallbladder, calcium and/or struvite),
myocardial infarcation (HA), burns and sickle cell
Heart Rate Elevated
solution
above 100 beats per minute
, Blood Pressure- Normal
solution
above systolic- 120-129, diastolic- less than 80,
Blood Pressure- elevated
solution
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?
solution
after patient rests for 5 minutues or 30 minutes after caffeine,
smoking
Assessment of the Head and Neck
solution
Inspect, palpate, auscultate
Infection
solution
If nodes are palpable, warm, tender = infection
Assessment of the Ear - Techniques
solution
Adults: up and back
Children: down and back
Assessment of the Ear - Techniques Part 2
solution
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
solution
inspect, palpate, percuss, auscultate
Assessing Lung Sounds - Technique
solution
IPPA- inspect, palpate, percuss, auscultate
Normal Lung Sounds
