Hesi Milestone 2 Exam (2023/ 2024) | 150 Questions and Verified Answers| 100% Correct

Hesi Milestone 2 Exam (2023/ 2024) | 150 Questions and Verified Ans wers| 100% Correct Q: 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? Answer: Making appropriate referrals Q: Which action should the nurse implement during the termination phase of the nurse -client relationship? Answer: Help summarize accomplishments. Q: Which features are prominent in anorexia nervosa? Answer: Amenorrhea for 3 cycles; Perfectionism; Powerlessness; Rigid food rituals Q: After receiving treatment for anorexia, a student asks the school nurse for permission to work in the school cafeteria as part of the school's work study program. What action should the nurse take? Answer: Recommend assignment to the receptionist's office. Q: Bizarre social behavior Answer: assess physical needs, suicide risk, ensure safety at all time - sit w/ client, silence, tell when leaving - limit stimuli / 1 -1 interaction Q: Which assessment finding should indicate to the nurse that a client with arterial HTN is experiencing a cardiac complication? Answer: Shortness of breath on exertion Q: When discussing recent onset of feelings of sadness and depression in a client with hypothyroidism, the nurse should inform the client that these feelings are Answer: Most likely related to low thyroid hormone levels and will improve with treatment. Q: Diverticulosis signs and symptoms Answer: LLQ abdominal pain (descending/sigmoid colon) Bloating/Gas Fever Nausea/Vomiting Constipation alt. w/ diarrhea Anorexia Q: A patient is ordered by the physician to take allopurinol (Zyloprim) for treatment of gout. You've provided education to the patient about this medication. Which statement by the patient requires you to re -educate them about this medication? Answer: "This medication will help relieve the inflammation and pain during an acute attack" Q: Allopurinol Answer: -take after meals - avoid alcohol - purine -rich foods (red meat/shellfish/fructose drinks) - increase fluids - reduce stress Q: DM poor compliance Answer: Check feet Check visual acuity Check sensation Q: During discharge teaching, the nurse discusses the parameters for weight monitoring with a client who was recently diagnosed with heart failure (HF). Which information is most important for the client to acknowledge Answer: Report weight gain of 2 pou nds (0.9kg) in 24 hours Q: A male pt calls the clinic and complains because he can't tie his shoes? What should the nurse do next? Answer: Ask if the pt has gained weight in the past few days Q: Osteoarthritis exercise Answer: Aquatic exercise —improves function, decreases pain Remind client that excessive use of the involved joint aggravates pain and may accelerate degeneration Q: The nurse is assessing a middle -aged adult who is diagnosed with osteoarthritis. Which factor i n this client's history is a contributor to osteoarthritis? Answer: Long distance runner since high school. Q: A client with a small bowel obstruction is experiencing frequent vomiting. Which instructions are most important for the nurse to provide to the UAP who is completing morning care for this client? Answer: Maintain a quiet environment Q: The nurse is caring for a client with a small bowel obstruction. The client is vomiting foul smelling fecal -like material. Which action should the nurse i mplement? Answer: Give IV fluids with electrolytes. Q: The nurse is assessing a client with a small bowel obstruction who was hospitalized 24 hours ago. Which assessment finding should the nurse report immediately to the healthcare provider?