HESI Milestone 2 Retake
Study online at https://quizlet.com/_fj037w
A patient who has a TURP was receiving
continuous bladder irrigation, the nurse
notices that there were more clots build-
ing up in the bag. What should the nurse
do?
Turn up the irrigation
A. Turn up the irrigation
B. Turn down the irrigation
C. Keep the irrigation rate as it is now
D. Notify the HCP
How do you test for urethritis?
A. Clean catch urine sample
B. Testing for sexually transmitted infec-
test for sexually transmitted infections
tions
C. Straight Catheterize the patient
D. Place a foley catheter in the patient
The patient indicates that they were
not surprised they developed calculi be-
cause their mother had it as well. What
should the nurse teach the patient?
A. Educate that calculi doesn't have a
family history risk factor Educate that one of the risk factors for
B. Educate that calculi happens to every- calculi is family history
one at least once in their life time
C. Educate that one of the risk factors for
calculi is family history
D. Educate that calculi only happens in
males
A patient with calculi is complaining of
pain. What is the nurses #1 priority?
A. administer prescribed pain medica-
tions
B. contact the HCP that the patient is
administer prescribed pain medications
worsening
C. advise the patient that calculi doesn't
get pain relief from pain medication
D. advise the patient to participate in
nonpharmacologic pain remedies
, HESI Milestone 2 Retake
Study online at https://quizlet.com/_fj037w
Which of the following is contraindicated
with Imitrex?
A. GERD
CAD
B. peptic ulcer
C. broken femur
D. CAD
A patient is having a seizure, the nurse
walks in and notices the mother is restri-
aning the patient. What action should the
nurse take?
A. remove the mother from the room place a pillow between the patient and
B. insert a padded tongue blade in the the side rails
patients mouth
C. place a pillow between the patient and
the side rails
D. call a code
A patient who has Myasthenia Graves is
having signs of eye bulging. What is the
nurses priority action?
A. nothing because this is a normal find-
ing assess for signs of increased cranial
B. notify the HCP of this new develop- pressure
ment
C. assess for signs of increased cranial
pressure
D. assess the patients thyroid gland
A patient with diabetes comes into a clin-
ic, what patient teaching would you give
the client about foot care?
A. that they don't have to wear shoes
even on hard surfaces
explain that it's ok if the patient doesn't
B. that they can only wear socks when
wear shoes if they are walking on soft
walking around outside
carpet
C. they should only clean their feet twice
a week
D. explain that it's ok if the patient doesn't
wear shoes if they are walking on soft
carpet
, HESI Milestone 2 Retake
Study online at https://quizlet.com/_fj037w
A bilingual nurse receives consent form
a patient who only speaks spanish and is
about to have a full hysterectomy. When
explaining the procedure she tells the
patient that she will no longer be able
to have children after this. The patient
begins screaming "NO", what should the
nurse do? notify surgery to postpone the procedure
A. Ask the patient to describe how they and notify the HCP
are feeling
B. stay with the patient to provide com-
fort
C. notify surgery to postpone the proce-
dure and notify the HCP
D. call the patients family over to her
room
An OR nurse is in surgery with a pa-
tient when she begins to notice signs of
malignant hyperthermia, what should the
nurse do next?
A. prepare to end the surgery and anes- prepare to end the surgery and anesthe-
thesia sia
B. Do nothing
C. let the surgeon known so they can
decide to stop the surgery or not
D. notify the family
A post op patient states that he is in a
lot of pain and has not received any pain
medications since 2 hours ago. What
should the nurse do next?
A. give the patient pain medication check and see when the last dose was
B. check the patients vital signs given and review the order to determine
C. check and see when the last dose was if another dose can be given
given and review the order to determine
if another dose can be given
D. explain to the patient that you cannot
give him anymore pain medications at
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