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HESI Milestone 2 Exam With Verified Questions And Answers 2024
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HESI Milestone 2 Exam With Verified Questions And Answers 2024
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HESI Milestone 2 Exam With VerifiedQuestions And Answers 2024
A .male .client .with .schizophrenia .is .admitted .to .the .mental .health .unit .after .abruptly
stopping .his .prescription .for .ziprasidone .(Geodon) .one .month .ago. .Which .question .is
most .important .for .the .RN .to .ask .the .client? .- .correct .answer.Do .you .hear .sounds .or
.voices .that .others .do .not .hear?
The .schizophrenic .client .insists .that .he .is .returning .to .his .apartment, .although .the
healthcare .provider .informed .him .that .he .will .be .moving .to .a .boarding .home. .What .is
the .most .important .nursing .diagnosis .for .discharge .planning? .- .correct .answer.Ineffective
.denial .related .to .situational .anxiety
The .nurse .is .interviewing .a .client .with .schizophrenia. .Which .client .behavior .requires
immediate .intervention? .- .correct .answer.Muscle .twitches .in .the .back .and .neck
32-year-old .male .client .is .admitted .with .paranoid .schizophrenia .- .correct
.answer.Reassure .the .client .that .he .is .safe .and .should .rest.
What .is .schizophrenia? .- .correct .answer.it .is .a .chemical .imbalance .in .the .brain .that
.causes .disorganized .thinking:
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 .answer.A. .Encourage .client .to .express
.anger .in .a .supportive, .nonthreatening .environment.
B. .Discourage .rumination.
C. .Assist .client .in .giving .up .idealized .perception .of .deceased; .point .out
misrepresentations.
D. .Encourage .interaction .with .others.
E. .Assist .client .with .identification .of .support .systems.
F. .Consult .spiritual .leader .as .indicated .by .client .need .and .preference.
,G. .Assist .client .toward .a .comfortable, .peaceful .death.
A .resident .of .a .long-term .care .facility, .who .has .moderate .dementia, .is .having
difficulty .eating .in .the .dining .room. .The .client .becomes .frustrated .when .dropping
utensils .on .the .floor .and .then .refuses .to .eat. .What .action .should .the .nurse
implement? .- .correct .answer.Encourage .finger .foods, .distraction, .speak .therapeutically
2 .days .after .admission .from .alcohol .withdrawal .what .should .the .nurse .do? .- .correct
.answer.Monitor .HR .and .BP
which .action .should .the .nurse .implement .first .for .a .client .experiencing .alcohol
withdrawal? .- .correct .answer.prepare .the .environment .to .prevent .self .injury: .self
A .patient .won't .take .oral .meds .that .is .going .through .alcohol .withdrawal. .The .nurse
starts .giving .saline .lock .per .alcohol .protocol .and .thiamine. .What .do .you .tell .them .that
it .will .help .with .recovery? .- .correct .answer.Thiamine .will .replenish .alcohol .effects .on .the
.body .(something .to .do .with .iron)
A .client .comes .in .after .being .in .a .car .accident .and .is .experiencing .alcohol .withdrawal,
magnesium .level .of .1.1, .cardiac .dysrhythmias. .What .would .you .give .first? .- .correct
.answer.Magnesium
Patient .having .to .get .treated .for .benzodiazepine .and .methadone .overdose. .What .do
you .use? .- .correct .answer.Narcan
When .preparing .to .administer .a .domestic .violence .screening .tool .to .a .female .client,
which .statement .should .the .nurse .provide? .- .correct .answer.all .clients .are .screened .for
.domestic .abuse .because .it .is .common .in .our .society
a .mental .health .care .worker .caring .for .a .client .with .escalating .aggressive .behavior.
What .action .by .the .mental .healthcare .worker .wards .immediate .interventions? .- .correct
.answer.-attempting .to .physically .restrain .patient
Violence .handling .- .correct .answer.- .Engage .in .dialogue .to .prevent .escalation, .intervene
.early .in .the .cycle
- .Approach .as .non .threatening, .calm .manner .and .convey .empathy
- .Encourage .the .client .to .express .their .anger, .build .trust, .anticipate .need .for .meds,
be .consistent
a .30 .year .old .sales .manager .tells .the .nurse ."i .am .thinking .about .a .job .change. .i
.don't .feel .like .i .am .living
up .to .my .potential." .which .of .maslows .developmental .stages .is .the .sales .manager
.attempting .to .achieve .- .correct .answer.self .actualization:
A .client .is .admitted .to .the .mental .health .unit .and .reports .taking .extra .anti .anxiety
medication .because, ."I'm .so .stressed .out. .I .just .want .to .go .to .sleep." .The .RN .should
, plan .one-on-one .observation .of .the .client .based .on .which .statement? .- .correct .answer."I
.don't .want .to .walk. .Nothing .matters .anymore."
What .is .the .most .important .goal .for .a .client .diagnosed .with .major .depression .who .has
been .receiving .an .antidepressant .medication .for .two .weeks? .- .correct .answer.not
.attempt .to .commit .suicide
The .nurse .is .obtaining .the .medical .histories .of .new .clients .at .a .community-based
primary .care .clinic. .Which .individual .has .the .highest .risk .for .experiencing .elder
abuse? .- .correct .answer.A .78 .year .old .female .on .a .fixed .income .who .lives .with .her
.relatives
Who .is .most .prone .to .being .abused .(elder .abuse)? .- .correct .answer.Females .over .75
.living . with .their .families.
While .caring .for .an .older .client, .the .RN .observes .multiple .bruises .in .Over .the .client's .legs,
.arms, .back, .and .gluteal .areas. .When .the .RN .suspects .elder .abuse. .What .action .should
.the .RN .take? .- .correct .answer.Measure .and .document .size, .shape .and .color .of .the
.bruised .areas.
Grief .priority .- .correct .answer.Priority .should .be .based .on .SHOCK!
When .checking .a .third .grader's .height .and .weight .the .school .nurse .notes .that .these
.measurements .have .not .changed .in .the .last .year. .The .child .is .currently .taking .daily
.vitamins, .albuterol, .and .methylphenidate .for .attention .deficit .hyperactivity .disorder
.(ADHD). .Which .intervention .should .the .nurse .implement? .- .correct .answer.Refer .child .to
.the .family .healthcare .provider
A .middle .school .male .student .was .recently .diagnosed .with .Attention-Deficit .Hyperactivity
.Disorder .(ADHD) .and .is .having .trouble .with .his .grades. .He .is .referred .to .the .school .nurse
.by .the .teacher .because .he .continues .to .have .learning .problems. .Which .action .should .the
.school .nurse .take? .- .correct .answer.• .Refer .the .child .to .the .school .counselor .for
.educational .testing
A .female .client .with .obsessive .compulsive .personality .disorder .is .admitted .to .the .hospital
.for .a .cardiac .catheterization. .The .afternoon .before .the .procedure, .the .client .begins .to
.keep .detailed .notes .of .the .nursing .care .she .is .receiving, .and .reports .her .findings .to .the
.RN .at .bedtime. .What .action .should .the .nurse .implement? .- .correct .answer.Encourage
.the .client .to .express .her .feelings .regarding .the .upcoming .procedure.
When .preparing .to .administer .a .domestic .violence .screening .tool .to .a .female .client,
.which .statement .should .the .nurse .provide .- .correct .answer.all .clients .are .screened .for
.domestic .abuse .because .it .is .common .in .our .society
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