HESI MILESTONE #2 VERSION A AND B LATEST 2023-2024 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |AGRADE

HESI MILESTONE #2 VERSION A AND B LATEST 2023-

2024 QUESTIONS AND CORRECT ANSWERS

(VERIFIED ANSWERS)|AGRADE

VERSION A

What teaching should a nurse conduct to a mother who was just diagnosed w

Engorgement? - ANSWER- sandwich technique :grasp her breast by making a "C"

with her thumb and index finger. The thumb stabilizes the top of the breast while

the remaining four fingers support her breast from below.

Massage or pumping the breast may soften and extend the nipple for easier infant

latch-on.

What should a nurse do if her patient Refuses RhoGam? - ANSWER- Consider

culture

Nurses need to respect whatever the mother's decision is.

What is 24 Hour Jaundice? What should be taught to mothers who baby's have

jaundice? - ANSWER- Physiologic jaundice is very common in newborns, with

the majority demonstrating yellowish skin, mucous membranes, and sclera within

the first 3 days of life.

Advise mothers to nurse their infants at least eight to 12 times per day for the first

several days

What are Variable Decelerations? What does it mean? How do we resolve it? -

ANSWER- visually apparent abrupt decreases in FHR below baseline and have an

unpredictable shape on the FHR baseline, possibly demonstrating no consistent

relationship to uterine contractions.

Variable decelerations are associated with cord compression

Turn the client on her left or right lateral, knee-chest, or hands and knees to

increase placental perfusion or relieve cord compression.

What is the Normal Fetal Heart Rate? - ANSWER- 110-160 bpm

What is IUGR? & What are NST Results? - ANSWER- intrauterine growth

restriction

Currently, an NST is recommended twice weekly (after 28 weeks' gestation) for

clients with diabetes and other high-risk conditions,

A nonreactive test has been correlated with a higher incidence of fetal distress

during labor, fetal mortality, and IUGR.

Additional testing, such as a biophysical profile, should be considered

What's the class of Methadone? What's methadone for? - ANSWER- opioid

Symptoms of opioid withdrawal

Onset could be 2 to 4 days, and the symptoms may take 2 weeks to subside.

treat addiction & withdrawl

Methadone can be used as a replacement for opioids, and the dosage is then

decreased over 2 weeks. Substitution of methadone during detoxification reduces

symptoms to no worse than a mild case of flu

What are the signs a Client is in their Termination Phase? - ANSWER- Abandons

old needs

Aspires to new goals

Becomes independent of helping person

Applies new problem-solving skills

Maintains changes in style of communication and interaction

Shows positive changes in view of self

Integrates illness

Exhibits ability to stand alone

What's the role of a Nurse during Termination Phase? - ANSWER- Sustains

relationship as long as client feels necessary

Promotes family interaction to assist with goal planning

Teaches preventive measures

Uses community agencies

Teaches self-care

Terminates nurse-client relationship

Maslow - ANSWER- The most basic needs— met first.

safety and security needs - 2nd level

Love and belonging needs - 3rd

esteem needs - 4th

self-actualization - 5th highest level

Why are Gout patients prescribed Allupurinol - ANSWER- Allopurinol is used to

decrease the about of serum uric acid levels

It is necessary to administer allopurinol after meals to ensure absorption.

What's the overall goal of Osteoarthritis pts? How does this relate to Exercise? -

ANSWER- decrease pain and stiffness and to maintain or, mprove joint mobility.

Exercise, especially in the form of cardiovascular aerobic exercise and lower

extremity strength training, has been found to prevent OA progression and

decrease symptoms of OA

Hypertonic Fluids - ANSWER- When normal saline solution or lactated Ringer

solution contains 5?xtrose, the total osmolality exceeds that of the ECF

Saline 3% or 5%

What should the Rn suspect to be prescribed for Treatment of Rheumatoid

Arthritis Pain? - ANSWER- NSAIDs (ibuprofen (Motrin) and naproxen

(Naprosyn))

COX-2 .

What is important to know about Hypothyroidism? - ANSWER- Levothyroxine

(Synthroid): Used to treat hypothyroidism.

People should take levothyroxine in the morning on an empty stomach.

pulse rate prior to administering the drug is more than 100 beats/min =notify the

prescriber

What's the Theraputic effect of synthroid - ANSWER- Increased energy

Decreased fatigue

What's the Broca's Area control? - ANSWER- Speech

located in a convolution adjoining the middle cerebral artery.

for control of the combinations of muscular movements needed to speak each

word.

What are the Chemo Side Effects? - ANSWER- Nausea

Vomiting

Myelosuppression

SIADH

Cardiac Toxicity

sterility.

Chemotherapy-induced neurotoxicity

Chemo Brain

Fatigue

What is Expressive Aphasia? - ANSWER- Inability to express oneself

What's the first step of a pt is Dx with Meningitis? - ANSWER- Broad Spectrum

Antibiotics

What are the sx of - ANSWER- (may not seek health care until he or she

experiences blurred vision or "halos")

Blurred vision

Halos

difficulty focusing

difficulty adjusting eyes in low lighting

loss of peripheral vision

aching or discomfort around the eyes

headache.

What Assessments should an RN conduct for Guillain Barre syndrome? -

ANSWER- monitored for life-threatening complications (respiratory failure,

cardiac dysrhythmias, VTE [including DVT or PE])

assess the patient's and family's ability to cope

Maintain respiratory function

Enhancing physical mobility

Promote adequate nutrition

Improving communication

Decreasing fear and anxiety

Managing potential complications

How does Multiple Sclerosis relate to 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

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.