HESI MILESTONE 2
REMEDIATION ACTUAL
EXAM CONTAINS 120
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) |ALREADY
GRADED A+
,HESI MILESTONE 2 REMEDIATION ACTUAL EXAM CONTAINS 120 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
-Chemo Side Effects - correct answers o Nausea/vomiting (24-48 hr, can be delayed up to 1
week)
Meningitis first step - correct answers o Antibiotics - penicillin (ampicillin) AND cephalosporin
o Corticosteroids
Multiple sclerosis and urinary retention - correct answers o Sensation of void heeded
immediately (bed pan/urinal @ bedside)
o Voiding schedule (start 1/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after w/ timer
o Self-catherization
Acute renal failure priority - correct answers o Maintain fluids
o Avoid fluid excess
o Renal replacement therapy
o Reduce metabolic rate
o Promote pulmonary function
Acute Respiratory distress priority findings - correct answers o Hypoxia
o Intercostal retractions
o Crackles
o BNP levels
(alveoli collapse because small airways are narrowed due to interstitial fluid and bronchial
obstruction)
End of life plan of care - correct answers o Signs and symptoms of impending death are
recognized and communicated in developmentally appropriate language for children and
patients with cognitive disabilities with respect to family preference. Care appropriate to this
phase of illness is proved to the patient and the family
Cushing Syndrome - correct answers o Can result from corticosteroids
***Attempt to reduce/taper medication while still treating underlying disease
o Alternate day therapy decrease symptoms and allows adrenal glands to recover
, HESI MILESTONE 2 REMEDIATION ACTUAL EXAM CONTAINS 120 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
Valve replacement teaching - correct answers o Anticoagulant therapy (frequent follow-up/lab
tests)
§ Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!
Cancer intractable pain plan of care - correct answers o Pain, other symptoms and side effects
are managed based on the best available evidence, with attention to disease-specific pain and
symptoms, which are skillfully and systematically applied. ??????
Schizophrenia nursing diagnoses and interventions - correct answers - Dx: 2 or more S&S for
over 6 mo (Positive= delusions, hallucinations, disorganized speech or Negative= 6 A's
Anhedonia, Flat Affect, Apathy, Anergia, Algogia, Avolition)
-Establish rapport and trust, ask about hallucinations, distract, lower environmental stimuli,
monitor suicidal ideation, 1st or 2nd generation antipsych
Grief process therapeutic response - correct answers Allow the 5 steps of grieving (DABDA),
active listening and offer a supportive presence
Dementia action refusing ADLs - correct answers Encourage finger foods, distraction, speak
therapeutically
Alcohol withdrawal - correct answers - Needs to be done under medical supervision b/c can be
deadly
- VS Q4, onset of symptoms 4-6 hours after last drink, give lorazepam, reduce temp.
- Tremors, nausea, vomiting
Methadone overdose - correct answers S&S= constricted pupils, resp. depression, circul.
depression, LOC decreased
Give naloxone
Domestic violence screening tool - correct answers - Don't probe, write evidence down
verbatim, provide a safe environment
- Increase in violence during pregnancy
- Cycle of violence= tension building, violent, honeymoon
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