HESI Milestone 2 Exam Questions
and Answers | All Graded and Rated
A+ | 2024/2025 Guide
What's the First Sign of a Sickle Cell Crisis
- Correct Answer - swelling of the hands and feet in the infant or
toddler
What are the triggers of a sickle cell crisis
- Correct Answer - any stress or traumatic event, such as
infection, fever, dehydration, physical exertion, excessive cold
exposure, or hypoxia
Hemophilia Safety
- Correct Answer - The primary goal =prevent bleeding.
best accomplished by instructing the child to avoid activities with a
high potential for injury
Muscular Dystrophy: What is it
,- Correct Answer - a group of inherited conditions that result in
progressive muscle weakness and wasting. The muscles affected
are primarily the skeletal (voluntary) muscles
Duchenne muscular dystrophy, the most common neuromuscular
disorder of childhood, results in a shortened life expectancy.
Nursing Management Muscular Dystrophy
- Correct Answer - no cure
use of corticosteroids slow the progression of the disease.
Calcium supplements and vitamin D are prescribed to prevent
osteoporosis
antidepressants may be helpful when depression occurs related
to the chronicity of the disease and/or as an effect of
corticosteroid use.
Beat blockers or ACE inhibitors to decrease the workload of the
heart
Nursing focus on promoting mobility and cardiopulmonary
function
What to teach a pt after SCFE Surgery
- Correct Answer - Surgical intervention may include in situ
pinning
,(pin or screw is inserted percutaneously into the femoral head to
hold it in place).
After in situ pinning, assist the child with crutch walking.
Teach the family that weight bearing is usually resumed about a
week after the surgery and that the pin will be removed later
What is Slipped femoral capital epiphysis (SCFE)
- Correct Answer - Femoral head dislocates at the epiphyseal
plate. The epiphysis slips downward and backward. The left hip is
more often affected
In acute SCFE, the pain is usually sudden in onset and results in
inability to bear weight.
Chronic SCFE may present with an insidious onset of pain and
limp.
!!!!Do not attempt to perform passive range of motion to determine
the extent of limitation in the child with SCFE =worsening
condition.
What should a rn enforce in a or who had a SCFE
- Correct Answer - Enforce bed rest and activity restriction.
, discuss how to keep a child safe during a seizure
provide instruction and demonstration in the administration of
rectal diazepam at the onset of a seizure
Instruct parents when to call their physician
when to take their child to the emergency room.
Reinforce that any recurrent seizure activity will require prompt
medical attention.
What is Hydrocephalus:
- Correct Answer - Hydrocephalus results when there is an
obstruction in the ventricular system or obliteration or malfunction
of the arachnoid villi.
Hydrocephalus Treatment
- Correct Answer - identified early
Treatment needs to be initiated in order to prevent brain tissue
damage that can result from the increased ICP that
hydrocephalus creates
. Specific treatment will depend on the underlying etiology.
Assessment of Cardiomyopathy
- Correct Answer - Vital signs
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