HESI Milestone 2 Questions With Complete Solutions
ABGs Correct Answer -Arterial Blood Gases
-pH 7.35- 7.45
-HCO3 (Bicarbonate) 22-26 mEq/L
-PaCO2 ( CO2 or carbon dioxide content) 35-45 mm Hg
-PaO2 (oxygen saturation in arteria blood)- 80-100 mm Hg
Acute pancreatitis assessment Correct Answer Serum amylase
& lipase levels increased, severe abdominal pain, back pain,
patient appears acutely ill, rigid or board-like abdomen could
indicate developing disease;
Confusion, N/V, fever, jaundice, confusion, agitation,
hypotension, hypovolemia, hypocalcemia, hyperglycemia,
shock, tachycardia, cyanosis, cold/clammy skin acute renal
failure, respiratory distress, hypoxia, dyspnea, tachypnea,
abnormal ABGs, myocardial disseminated intravascular
coagulation
Acute renal failure priorities Correct Answer -Eliminate
underlying cause
-Maintain and monitor fluid balance (hyperkalemia)
-Avoid fluid excess
-Med dose adjustment
-ABGs (acidosis)
-Dialysis
Addison crisis manifestations Correct Answer -Hypoglycemia,
sudden pain, syncope, shock, hypotension, V/D
ADHD exam Correct Answer -Finishing projects
,-Organizing tasks
-Remembering appointments
-Avoid starting tasks
-Fidget or squirm
-Overly active
-Interrupt others
-Finish sentence for others
-Difficulty taking turns
Aggression response Correct Answer -Inform clients of rule or
limit
-Explain consequences if clients exceed limit
-State expected behavior
-Time out
Alcohol Withdrawal Correct Answer -Usually begin 4-12
hours after cessation
-Symptoms: coarse hand tremors, sweating, elevated pulse and
bp, insomnia, anxiety, nausea/vomiting
-Severe symptoms: hallucinations, seizures, delirium
-Lorazepam, chlordiazepoxide, diazepam
-CIWA
Alcoholic hepatitis teaching Correct Answer -Exclusion of
alcohol from diet
-Alcoholics Anonymous, psych care, counseling, spiritual
advisor
Alzheimer's hallucinations Correct Answer Visual
hallucinations are most common and generally unpleasant.
, Anxiety drug risks Correct Answer -Sedation, fatigue, high
potential for abuse and dependence (Benzos)
-Dizziness, agitation, drowsiness, weakness, nausea, vomiting,
paradoxical excitement or euphoria (nonbenzo)
ARDs findings Correct Answer -Arterial hypoxemia does not
respond to supplemental o2
-CXR: visible bilateral infiltrates that worsen quickly
-Alveolar dead space
-Stiff lungs
-Crackles
-BNP
-Echo
-Pulmonary artery cath
Arterial insufficiency diabetic Correct Answer Distal occlusive
disease is a arterial insufficiency often seen in diabetics
Asthma inhaler Correct Answer Pressurized device that
releases a "puff" of medication for inhalation, one dose at a
time. Beta2-andrenergic agonists (albuterol) and corticosteroids
may be inhaled for asthma
asthma triggers Correct Answer fumes, smoke, dust, dust
mites, roaches, certain types of cloth, pets, horses, detergents,
soaps, certain foods, molds, and pollens
Asthma- Leukotriene modifiers Correct Answer (Montelukast)
Strong chemical mediators of bronchoconstriction and
inflammation; effective in many patients who do not respond to
