HESI MILESTONE RETAKE EXAM NEWEST 2024 WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS (DETAILED ANSWERS) ALREADY GRADED A+
100% GUARANTEED TO PASS CONCEPTS!!!
Levels of Health Promotion - -----ANSWER---->primary, secondary, tertiary
Application Examples of Levels of Promotion - -----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 - -----ANSWER---->promotes health and preventing development of disease process or injury
Secondary - -----ANSWER---->screening for early detection of disease
Tertiary - -----ANSWER---->begins after illness is diagnosed and treatment. Aims to prevent long-term
consequences of chronic illnesses or disabilities
Nursing Assessments - -----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 - -----ANSWER---->Pre-interaction, beginning, working (open and close
ended questions), closing
Data sources - -----ANSWER---->Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation - -----ANSWER---->verbal communication, SBAR, written document
Lifespan Nutritional Considerations - Nutrition: Pregnant Women - -----ANSWER---->need additional 300-
500 cal/day (whole foods
Lifespan Nutritional Considerations - Nutrition: infants/children - -----ANSWER---->infants/children:
whole milk for ages 2-5 fat intake-brain development
Lifespan Nutritional Considerations - Nutrition: Older - -----ANSWER---->BMR declines, Vitamin D
supplements, Problems: decreased thirst, increase risk for osteoarthritis, osteoporosis, dementia,
obesity, social isolation
General Survey - -----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 - -----ANSWER---->Acute vs. Chronic-Location
Priority - -----ANSWER---->Priority pain: stones (kidney, gallbladder, calcium and/or struvite), myocardial
infarcation (HA), burns and sickle cell
Heart Rate Elevated - -----ANSWER---->above 100 beats per minute
Blood Pressure- Normal - -----ANSWER---->above systolic- 120-129, diastolic- less than 80,
Blood Pressure- elevated - -----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? - -----ANSWER---->after patient rests for 5 minutues or 30 minutes after
caffeine, smoking
Assessment of the Head and Neck - -----ANSWER---->Inspect, palpate, auscultate
Infection - -----ANSWER---->If nodes are palpable, warm, tender = infection
Assessment of the Ear - Techniques - -----ANSWER---->Adults: up and back
Children: down and back
Assessment of the Ear - Techniques Part 2 - -----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 - -----ANSWER---->inspect, palpate, percuss, auscultate
Assessing Lung Sounds - Technique - -----ANSWER---->IPPA- inspect, palpate, percuss, auscultate
Normal Lung Sounds - -----ANSWER---->Normal: bronchial (heard anteriorly) over larynx and trachea
(INSPIRIATION slightly shorter than expiration),
Bronchiovesicular (heard anteriorly and posteriorly)INSPIRATION AND EXPIRATION EQUAL ,
Vesicular (heard both) lower lungs, low pitch, INSPIRATION GREATER THAN EXPIRATION)
Abnormal lung sounds: Rhonchi - -----ANSWER---->low- heard mainly in expiration when pt is breathing
out (made up of one sound- whistle or whine and high pitch, musical instrument sound MULTIPLE
sounds- mainly heard in expiration CONDITION: PNEUMONIA
abnormal lung sounds: stridor - -----ANSWER---->airway obstruction, high pitch whispering or gas
(CROUP, EMERGENCY, EPIGLOTTIS)
, Abnormal lung sounds: Crackles - -----ANSWER---->coarse(low pitch, wet sound)
fine (high pitch, doesnt clear w/cough, crackling of fire sound) CONDITION:RESPIRATORY
EDEMA/OBSTRUCTIVE DISEASE
Abnormal lung sounds: Pleural Friction Rub - -----ANSWER---->Pleural friction rub (low pitch, harsh
grating sound)
Assessment of the Respiratory System - -----ANSWER---->tachypnea- rapid breathing
bradypnea- slow breathing
Normally, respirations are quiet and nonlabored, and occur at a rate of 12 to 20 times each minute in
healthy adults. Note any flaring of the nostrils, muscular retractions,
Heart Function System - -----ANSWER---->Abnormal size or location of the PMI or the presence of
vibrations can indicate heart failure, myocardial infarction, disease of the heart valves, or other cardiac
diseases.
Abdominal Assessment - -----ANSWER---->Inspect, palpate, auscultate. Nurse assess lumps, masses or
tenderness
Musculoskeletal System - Pronation & Supination - -----ANSWER---->prone- plank (face downward),
supine- on the back,
Disorder: osteoporosis- break down of bone (weight bearing activity is encouraged)
Secondary osteoporosis- steroids' aka bones porous and bone prone to fractures
Compression fracture- changing position slowly, tenderness of palpitation of spine, in pain
Neuro Assessment- Cranial Nerves - -----ANSWER---->Olfactory (smell),Cranial Nerve 2: optic, cranial
nerve 3: oculomotor, cranial nerve 4: Trochlear, cranial nerve 5: Trigeminal nerve, Cranial nerve 6:
abducens cranial nerve 7: facial nerve cranial nerve 8: acoustic, cranial nerve 9: Glossopharyngeal cranial
nerve 10: vagus cranial nerve 11: accessory cranial nerve 12: hypoglossal
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS (DETAILED ANSWERS) ALREADY GRADED A+
100% GUARANTEED TO PASS CONCEPTS!!!
Levels of Health Promotion - -----ANSWER---->primary, secondary, tertiary
Application Examples of Levels of Promotion - -----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 - -----ANSWER---->promotes health and preventing development of disease process or injury
Secondary - -----ANSWER---->screening for early detection of disease
Tertiary - -----ANSWER---->begins after illness is diagnosed and treatment. Aims to prevent long-term
consequences of chronic illnesses or disabilities
Nursing Assessments - -----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 - -----ANSWER---->Pre-interaction, beginning, working (open and close
ended questions), closing
Data sources - -----ANSWER---->Primary- individual patient
Secondary- chart info, family members
Purposes of Documentation - -----ANSWER---->verbal communication, SBAR, written document
Lifespan Nutritional Considerations - Nutrition: Pregnant Women - -----ANSWER---->need additional 300-
500 cal/day (whole foods
Lifespan Nutritional Considerations - Nutrition: infants/children - -----ANSWER---->infants/children:
whole milk for ages 2-5 fat intake-brain development
Lifespan Nutritional Considerations - Nutrition: Older - -----ANSWER---->BMR declines, Vitamin D
supplements, Problems: decreased thirst, increase risk for osteoarthritis, osteoporosis, dementia,
obesity, social isolation
General Survey - -----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 - -----ANSWER---->Acute vs. Chronic-Location
Priority - -----ANSWER---->Priority pain: stones (kidney, gallbladder, calcium and/or struvite), myocardial
infarcation (HA), burns and sickle cell
Heart Rate Elevated - -----ANSWER---->above 100 beats per minute
Blood Pressure- Normal - -----ANSWER---->above systolic- 120-129, diastolic- less than 80,
Blood Pressure- elevated - -----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? - -----ANSWER---->after patient rests for 5 minutues or 30 minutes after
caffeine, smoking
Assessment of the Head and Neck - -----ANSWER---->Inspect, palpate, auscultate
Infection - -----ANSWER---->If nodes are palpable, warm, tender = infection
Assessment of the Ear - Techniques - -----ANSWER---->Adults: up and back
Children: down and back
Assessment of the Ear - Techniques Part 2 - -----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 - -----ANSWER---->inspect, palpate, percuss, auscultate
Assessing Lung Sounds - Technique - -----ANSWER---->IPPA- inspect, palpate, percuss, auscultate
Normal Lung Sounds - -----ANSWER---->Normal: bronchial (heard anteriorly) over larynx and trachea
(INSPIRIATION slightly shorter than expiration),
Bronchiovesicular (heard anteriorly and posteriorly)INSPIRATION AND EXPIRATION EQUAL ,
Vesicular (heard both) lower lungs, low pitch, INSPIRATION GREATER THAN EXPIRATION)
Abnormal lung sounds: Rhonchi - -----ANSWER---->low- heard mainly in expiration when pt is breathing
out (made up of one sound- whistle or whine and high pitch, musical instrument sound MULTIPLE
sounds- mainly heard in expiration CONDITION: PNEUMONIA
abnormal lung sounds: stridor - -----ANSWER---->airway obstruction, high pitch whispering or gas
(CROUP, EMERGENCY, EPIGLOTTIS)
, Abnormal lung sounds: Crackles - -----ANSWER---->coarse(low pitch, wet sound)
fine (high pitch, doesnt clear w/cough, crackling of fire sound) CONDITION:RESPIRATORY
EDEMA/OBSTRUCTIVE DISEASE
Abnormal lung sounds: Pleural Friction Rub - -----ANSWER---->Pleural friction rub (low pitch, harsh
grating sound)
Assessment of the Respiratory System - -----ANSWER---->tachypnea- rapid breathing
bradypnea- slow breathing
Normally, respirations are quiet and nonlabored, and occur at a rate of 12 to 20 times each minute in
healthy adults. Note any flaring of the nostrils, muscular retractions,
Heart Function System - -----ANSWER---->Abnormal size or location of the PMI or the presence of
vibrations can indicate heart failure, myocardial infarction, disease of the heart valves, or other cardiac
diseases.
Abdominal Assessment - -----ANSWER---->Inspect, palpate, auscultate. Nurse assess lumps, masses or
tenderness
Musculoskeletal System - Pronation & Supination - -----ANSWER---->prone- plank (face downward),
supine- on the back,
Disorder: osteoporosis- break down of bone (weight bearing activity is encouraged)
Secondary osteoporosis- steroids' aka bones porous and bone prone to fractures
Compression fracture- changing position slowly, tenderness of palpitation of spine, in pain
Neuro Assessment- Cranial Nerves - -----ANSWER---->Olfactory (smell),Cranial Nerve 2: optic, cranial
nerve 3: oculomotor, cranial nerve 4: Trochlear, cranial nerve 5: Trigeminal nerve, Cranial nerve 6:
abducens cranial nerve 7: facial nerve cranial nerve 8: acoustic, cranial nerve 9: Glossopharyngeal cranial
nerve 10: vagus cranial nerve 11: accessory cranial nerve 12: hypoglossal
