HESI MILESTONE 2 EXAMS BUNDLE 2026
COMPREHENSIVE EXAM FINAL PAPER
WITH VERIFIED DETAILED SOLUTIONS
⩥ Chemo Side Effects. 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. Answer: Inability to express oneself
,⩥ Meningitis First Step. Answer: Broad Spectrum Antibiotics
⩥ Glaucoma Symptoms. 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. 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. 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). 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. 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. 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
COMPREHENSIVE EXAM FINAL PAPER
WITH VERIFIED DETAILED SOLUTIONS
⩥ Chemo Side Effects. 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. Answer: Inability to express oneself
,⩥ Meningitis First Step. Answer: Broad Spectrum Antibiotics
⩥ Glaucoma Symptoms. 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. 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. 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). 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. 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. 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
