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LATEST 2023 HESI MILESTONE PRACTICE EXAM WITH SATISFIED QUESTIONS AND ANSWERS $19.99   Add to cart
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LATEST 2023 HESI MILESTONE PRACTICE EXAM WITH SATISFIED QUESTIONS AND ANSWERS

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LATEST 2023 HESI MILESTONE PRACTICE EXAM WITH SATISFIED QUESTIONS AND ANSWERS A client with GERD is being treated with dietary management. The client states, "I like to have a glass of juice everyday." Which juice will the nurse recommend? - ANSWERAnswer: Apple Juice The nurse is caring for...

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  • September 13, 2023
  • 26
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • latest 2023 hesi milestone practice exam with
  • latest 2023 hesi milestone practice
  • hesi milestone practice exam with sati
  • 2023 hesi milestone practice exam with sati
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LATEST 2023 HESI MILESTONE PRACTICE EXAM WITH SATISFIED QUESTIONS AND ANSWERS A client with GERD is being treated with dietary management. The client states, "I like to have a glass of juice everyday." Which juice will the nurse recommend? - ANSWER -
Answer: Apple Ju ice The nurse is caring for a client with a stroke resulting in right -sided paresis and aphasia. The client attempts to use the left hand for feeding and other self -care activities. The spouse becomes frustrated and insists on doing everything for the cli ent. Based on this data, which nursing problem should the nurse document for this client? A. Situational low self -esteem related to functional impairment and change in role function. B. Disabled family coping related to dissonant coping style of significan t person. C. Interrupted family processes related to shift in health status of family member. D. Risk for ineffective therapeutic regimen management related to complexity of care. - ANSWER -B stroke affects the whole family and in this case the spouse prob ably thinks that she is helping and needs to feel that she is contributing to the client's care. Her help is noted as being incongruent with attempts of self -care by the client thereby disabling family coping. An adult client who is hospitalized after sur gery reports sudden onset of chest pain and dyspnea. The client appears anxious, restless, and mildly cyanotic. The nurse should further assess the client for which condition? A. Pulmonary embolism. B. Heart failure. C. Tuberculosis. D. Bronchitis. - ANSWE R-A Post-surgical clients are at an increased risk for deep vein thrombosis (DVT), which may result in pulmonary embolism if the clot breaks off and travels to the lungs. Signs and symptoms of pulmonary embolism include chest pain, dyspnea, anxiety, restle ssness, and - in severe cases - cyanosis. Which physical assessment finding should the nurse anticipate in a client with long -term gastroesophagealreflux disease (GERD)? A. Hoarseness. B. Dry mouth. C. Mouth ulcers. D. Weight loss. - ANSWER -A Dyspepsia (i ndigestion) and regurgitation are the main symptoms of gastroesophageal reflux disease (GERD); however, hoarseness is one of the most common long -term symptoms of GERD due to the irritation of the reflux of gastric secretions. A client presents with chron ic venous insufficiency. Which assessment finding should the nurse anticipate? A. Bilateral lower leg stasis dermatitis. B. Clubbing of fingers and toes. C. Intermittent claudication. D. Peripheral cyanosis. - ANSWER -C Clients who suffer from chronic venou s insufficiency often develop stasis dermatitis in the lower extremities. Stasis dermatitis appear as brownish -red discoloration on the lower extremities at the ankles which can develop into stasis ulcers due to the pooling of the venous blood flow back to the heart. Which statement made by a client with chronic pancreatitis indicates that further education is needed? A. I will cut back on smoking cigarettes daily. B. I will avoid drinking caffeinated beverages. C. I will rest frequently and avoid vigorous exercise. D. I will eat a bland, low -fat, high -protein diet. - ANSWER -A To prevent exacerbations of chronic pancreatitis, clients should be instructed to avoid nicotine entirely. Additional teaching includes avoiding caffeinated beverages, resting frequen tly as needed, and eating a bland diet low fat and high in protein. A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic knowledge about the disease process. Which statement by the client conveys an un derstanding of the etiology of diverticula? A. Over use of laxatives for bowel regularity result in loss of peristaltic tone. B. Inflammation of the colon mucosa cause growths that protrude into the colon lumen. C. Diverticulosis is the result of high fibe r diet and sedentary life style. D. Chronic constipation causes weakening of colon wall which result in out -pouching sacs. - ANSWER -D A client who has chronic constipation often strains to pass constipated stool which increases intestinal pressure that wea kens the intestinal walls and causes out -pouching sacs, called diverticula which commonly occur in the sigmoid. Small bowel obstruction is a condition characterized by which finding? A. Severe fluid and electrolyte imbalances. B. Metabolic acidosis. C. Ri bbon -like stools. D. Intermittent lower abdominal cramping. - ANSWER -A Among the findings characteristic of a small bowel obstruction is the presence of severe fluid and electrolyte imbalances. The nurse is assessing a client with chronic kidney disease ( CKD). Which finding is most important for the nurse to respond to first? A. Potassium 6.0 mEq. B. Daily urine output of 400 ml. C. Peripheral neuropathy. D. Uremic fetor - ANSWER -A When assessing a client with chronic kidney disease (CKD), hyperkalemia (no rmal serum level, 3.5 to 5.5 mEq) is a serious electrolyte disorder that can cause fatal arrhythmias, so the elevation of the potassium level is a nursing priority. The nurse is planning care for a client with newly diagnosed diabetes mellitus that requir es insulin. Which assessment should the nurse identify before beginning the teaching session? A. Present knowledge related to the skill of injection. B. Intelligence and developmental level of the client. C. Willingness of the client to learn the injection sites. D. Financial resources available for the equipment. - ANSWER -C If a client is incapable or does not want to learn, it is unlikely that learning will occur, so motivation is the first factor the nurse should assess before teaching. A client with ga stroesophageal reflux disease (GERD) has been experiencing severe reflux during sleep. Which recommendation by the nurse is most effective to assist the client? A. Losing weight. B. Decreasing caffeine intake C. Avoiding large meals. D. Raising the head of the bed on blocks. - ANSWER -D Raising the head of the bed on blocks (reverse Trendelenburg position) to reduce reflux and subsequent aspiration is the most non -pharmacological effective recommendation for a client experiencing severe gastroesophageal refl ux during sleep. The nurse is assisting a client out of bed for the first time after surgery. Which action should the nurse do first? A. Place a chair at a right angle to the bedside. B. Encourage deep breathing prior to standing. C. Help the client to si t and dangle legs on the side of the bed. D. Allow the client to sit with the bed in a high Fowler's position. - ANSWER -D The first step in assisting a client out of bed for the first time after surgery is to raise the head of the bed to a high Fowler's po sition, which allows venous return to compensate from lying flat and the vasodilation effects of perioperative drugs. This helps prevent the client from becoming light -headed and decreases the chance of a client fall. After checking the urinary drainage s ystem for kinks in the tubing, the nurse determines that a client who has returned from the post -anesthesia care has a dark, concentrated urinary output of 54 mL for the last 2 hours. Which priority nursing action should be implemented?

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