HESI MILESTONE 2 ACTUAL EXAM 3 LATEST VERSIONS (V1, V2 AND V3) 2023-2024
EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+ 2023/2024
. /-Chemo /Side /Effects /- /ANSo /Nausea/vomiting /(24-48 /hr, /can /be /delayed /up
/to /1 /week)
24 /hour- /Jaundice /- /ANSPhysiologic /jaundice /occurs /from /a /normal /reduction /in /red /blood /cells.
/Pathologic
jaundice /occurs /within /first /24 /hours /of /life / OR /persists / beyond / 7 /days
A /client /with /anorexia /has /her /friend /bring /her /several /cookbooks /so /she /can /plan /a /party /when /she
/is
discharged. /What /nursing /intervention /is /appropriate /in /addressing /this /behavior? /- /ANSDiscuss
/activities
that /don't /involve /food /that /can /take /place /after /discharge. /Discuss /the /cookbooks /with /the /treatment
/team, /
and /if /the /treatment /plan /so /indicates, /take /the /books /from /the /client.
A /nurse /is /preparing /a /client /for /the /termination /phase /of /the /nurse-client /relationship. /The /nurse
/prepares /to /
implement /which /nursing /task /appropriate /for /this /phase? /- /ANSMaking /appropriate /referrals
ABG /findings /- /ANSpH: /7.35 /- /7.45
PCO2: /35 /- /45 /mmHg
HCO3: /22 /- /26 /mmHg
Acute /Pancreatitis /assessment /- /ANSHistory, /ETOH /abuse, /severe /LUQ /pain, /tachy, /restless, /decrease
/bowel, /
jaundice, /grey /turner /or /Cullen /signs, /increase /serum /amylase/lipase /or /WBC, /hyperlipidemia
Acute /renal /failure /priority /- /ANSo /Maintain /fluids
o Avoid /fluid /excess
o Renal /replacement /therapy
o Reduce /metabolic /rate
o Promote /pulmonary /function
Acute /Respiratory /distress /priority /findings /- /ANSo /Hypoxia
,o Intercostal /retractions
o Crackles
o BNP /levels
(alveoli /collapse /because /small /airways /are /narrowed /due /to /interstitial /fluid /and /bronchial /obstruction)
Addison's / Crisis / Hypoglycemia / S/S / - / ANS- / weakness
,- fatigue
- severe /hypotension
- nausea/vomiting
- dehydration
- dysrhythmias
- shock
ADHD /Exam/Assessment /- /ANS- /failure /to /listen/follow /direction
- difficulty /playing /quietly/sitting /still
- disruptive, / impulsive / behavior
- distractibility /to /external /stimuli
- excessive / talking
- shifting /from /one /unfinished /task /to /another
Aggression /response /- /ANS5-phase /cycle= /Triggering /(event), /Escalation /(movement /toward /a /loss /of
/control), /
Crisis /(loss /of /control), /Recovery /(regain /control), /Postcrisis /(reconciliation)
***Hx /= /likely /to /occur /again
Alcohol /withdrawal /- /ANS- /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
Alcoholic /hepatis /teaching /- /ANS- /low /sodium /diet
- small /frequent /meals
- no /alcohol
Anxiety /Suicide /Risks: /- /ANSRestless, /difficulty /concentrating, /irritability
- "Have /you /had /any /suicidal /thoughts /since /starting /bupropion?"
Arterial /Insufficency /- /ANS- /mostly /men
- legs /mostly /affected
arterial /insufficiency /symptoms /- /ANS-weak /pedal /pulses
-shiny /and /cool /skin
-intermittent /claudication
- aching/cramping
- induced /fatigue
Asthma /Triggers: /- /ANSDust, /mites, /roaches, /cloth, /pets, /horses, /detergents, /soaps, /food, /mold, /pollens,
/seasonal
Bizarre /social /behavior /- /ANS- /assess /physical /needs, /suicide /risk, /ensure /safety /at /all /time
- sit /w/ /client, /silence, /tell /when /leaving
- limit /stimuli // /1-1 /interaction
Boggy /Uterus /Actions /- /ANS- /massage /and /administer /uterotonic /to /increase /uterine /contraction.
- give /oxytocin
Cancer /intractable /pain /plan /of /care /- /ANSo /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. /??????
Cardiomyopathy /care /plan /- /ANS○ /Medications- /digoxin, /diuretics, /antidysrhythmic, /antihypertensive
