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HESI MILESTONE 2 NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| | BRAND NEW!!
Which assessment finding should indicate to the nurse that a client with arterial HTN is experiencing a cardiac complication? - ANSWER - Shortness of breath on exertion
When discussing recent onset of feelings of sadness and depression in a client with hypothyroidism, the nurse should inform the client that these feelings are - ANSWER - Most likely related to low thyroid hormone levels and will improve with treatment.
Diverticulosis signs and symptoms - ANSWER - LLQ abdominal pain (descending/sigmoid colon) Bloating/Gas Fever Nausea/Vomiting Constipation alt. w/ diarrhea Anorexia
During discharge teaching, the nurse discusses the parameters for weight monitoring with a client who was recently diagnosed with heart failure (HF). Which information is most important for the client to acknowledge
- ANSWER - Report weight gain of 2 pounds (0.9kg) in 24 hours 1 / 4
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pg. 2 A male pt calls the clinic and complains because he can't tie his shoes?What should the nurse do next? - ANSWER - Ask if the pt has gained weight in the past few days
Osteoarthritis exercise - ANSWER - Aquatic exercise—improves function, decreases pain Remind client that excessive use of the involved joint aggravates pain and may accelerate degeneration
The nurse is assessing a middle-aged adult who is diagnosed with osteoarthritis. Which factor in this client's history is a contributor to osteoarthritis? - ANSWER - Long distance runner since high school.
A client with a small bowel obstruction is experiencing frequent vomiting. Which instructions are most important for the nurse to provide to the UAP who is completing morning care for this client? - ANSWER
- Maintain a quiet environment
The nurse is caring for a client with a small bowel obstruction. The client is vomiting foul smelling fecal-like material. Which action should the nurse implement? - ANSWER - Give IV fluids with electrolytes.
The nurse is assessing a client with a small bowel obstruction who was hospitalized 24 hours ago. Which assessment finding should the nurse report immediately to the healthcare provider? - ANSWER - Rebound tenderness in the upper quadrants
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pg. 3 The nurse is developing the plan of care for a client with pneumonia and includes the nursing diagnosis of "Ineffective airway clearance related to thick pulmonary secretions." Which intervention is most important for the nurse to include in the client's plan of care? - ANSWER - Increase fluid intake to 3,000 ml/daily
Pneumonia Treatment/Prevention - ANSWER - oxygen therapy, hydration, bed rest, positioning to facilitate breathing, deep breathing, humidified air, chest physiotherapy, suctioning prn,
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen with a Venturi mask at a rate of 3 L/min. Prior to initiating oxygen therapy, the patient appeared anxious with gray skin, a respiratory rate of 24 breaths/min, and an oxygen saturation of 87%.After 15 minutes of oxygen therapy, the nurse observes the patient resting with closed eyes, pink coloration, a respiratory rate of 12 breaths/min, and an oxygen saturation of 95%. Which action by the nurse is correct? - ANSWER - Decrease the oxygen to 2 L/min to improve respiratory rate
What are the nutritional needs of this client throughout recovery? -
ANSWER - Acute phase: NPO, IV fluids
• Recovery phase: no fiber or foods that irritate the bowel
• Maintenance phase: high-fiber diet with bulk-forming laxatives
A client is admitted to the hospital with a diagnosis of severe acute diverticulitis. Which nursing intervention has the highest priority - ANSWER - Place the client on NPO status. 3 / 4
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pg. 4 A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea.Which of the following actions should the nurse take first? - ANSWER - Check the client's vital signs.
The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with congestive heart failure. Which intervention should the nurse implement prior to administering the digoxin? - ANSWER - Assess the serum potassium level
A 77-year-old female client is admitted to the hospital. She is confused and has had no appetite for several days. She has been nauseated and vomited several times prior to admission. She is currently complaining of a headache. Her pulse rate is 43 beats/min. The nurse is most concerned about the client's history related to what medication? - ANSWER - Digitalis (Lanoxin)
The nurse is administering a dose of digoxin to a patient with heart failure (HF). The nurse would become concerned with the possibility of digitalis toxicity if the patient reported which symptom? - ANSWER - Anorexia, nausea, vomiting, blurred or yellow vision, and cardiac dysrhythmias are all signs of digitalis toxicity
IV fluids hypertonic - ANSWER - Hypertonic solutions exert an osmotic pressure greater than that of the ECF.When normal saline solution or lactated Ringer solution contains 5% dextrose, the total osmolality exceeds that of the ECF Saline 3% or 5%
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