Exam (elaborations)
MILESTONE HESI RETAKE QUESTIONS AND ANSWERS
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MILESTONE HESI RETAKE QUESTIONS AND ANSWERS
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MILESTONE HESI RETAKE QUESTIONSAND ANSWERS
Levels6of6Health6Promotion6-6primary,6secondary,6tertiary
Application6Examples6of6Levels6of6Promotion6-6primary-
6weight6loss,6diet,6smoking6cessation
Secondary-6papsmears,6mammograms,6testicular6exams
Tertiary-
6medication6therapy,6surgical6treatment,6physical6therapy,6teaching6foot6care6education6t
o6diabetic6care
Primary6-6promotes6health6and6preventing6development6of6disease6process6or6injury
Secondary6-6screening6for6early6detection6of6disease
Tertiary6-6begins6after6illness6is6diagnosed6and6treatment.6Aims6to6prevent6long-
term6consequences6of6chronic6illnesses6or6disabilities
Nursing6Assessments6-6Comprehensive-
6(Head6to6Toe)6=6Can6be6done6inpatient6and6through6primary6care6(Physical6assessment
-6annual6exam)
Focused-6Health6and6physical6hx6of6specific6problem.-6ex.6Sick6visit
Emergency-
6crisis,6life6threatening.6ex.6airway,6breathing,6injury,6disability,6exposure,6med6reconciliati
on
Phases6of6Interview6process6-6Pre-
interaction,6beginning,6working6(open6and6close6ended6questions),6closing
Data6sources6-6Primary-6individual6patient
Secondary-6chart6info,6family6members
Purposes6of6Documentation6-6verbal6communication,6SBAR,6written6document
Lifespan6Nutritional6Considerations6-6Nutrition:6Pregnant6Women6-6need6additional6300-
5006cal/day6(whole6foods
, Lifespan6Nutritional6Considerations6-6Nutrition:6infants/children6-6infants/
children:6whole6milk6for6ages62-56fat6intake-brain6development
Lifespan6Nutritional6Considerations6-6Nutrition:6Older6-
6BMR6declines,6Vitamin6D6supplements,6Problems:6decreased6thirst,6increase6risk6for6ost
eoarthritis,6osteoporosis,6dementia,6obesity,6social6isolation
General6Survey6-6mental6note6of6overall6health6(hygiene/
appearance).6Assessing6pain:6documentation,6OLDCARTS/
OPQRST.6Aggravating6and6alleviating6factors,6pain6goal6and6funtional6goal
Assessing6Pain6-6Documentation6-6Acute6vs.6Chronic-Location
Priority6-6Priority6pain:6stones6(kidney,6gallbladder,6calcium6and/
or6struvite),6myocardial6infarcation6(HA),6burns6and6sickle6cell
Heart6Rate6Elevated6-6above61006beats6per6minute
Blood6Pressure-6Normal6-6above6systolic-6120-129,6diastolic-6less6than680,
Blood6Pressure-6elevated6-6Hypertension:6Stage61:6130-1396or680-
89,6Stage6Hypertension62:6more6than6140,6or6greater6than6or6equal6to690
When6should6BP6be6taken?6-
6after6patient6rests6for656minutues6or6306minutes6after6caffeine,6smoking
Assessment6of6the6Head6and6Neck6-6Inspect,6palpate,6auscultate
Infection6-6If6nodes6are6palpable,6warm,6tender6=6infection
Assessment6of6the6Ear6-6Techniques6-6Adults:6up6and6back6
Children:6down6and6back
Assessment6of6the6Ear6-6Techniques6Part626-
6observe6behavioral6responses6to6speech,6inspect6ear6formation6(size,6shape6&6any6malf
ormation6to6the6auricle,6condition)6
Perform6whisper6test6&6Rinne6test.6Pt6plug6one6ear6at6a6time
Perform6weber6test6(evaluate6unilateral6hearing6loss
Assessing6the6Chest6-6inspect,6palpate,6percuss,6auscultate
Assessing6Lung6Sounds6-6Technique6-6IPPA-6inspect,6palpate,6percuss,6auscultate
Normal6Lung6Sounds6-
6Normal:6bronchial6(heard6anteriorly)6over6larynx6and6trachea6(INSPIRIATION 6slightly6sh
orter6than6expiration),6
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