HESI MILESTONE COMPREHENSIVE EXAM
ONE TEST PAPER 2026 DETAILED
QUESTIONS AND THOROUGHLY
REVIEWED ACCURATE SOLUTIONS
GRADED A+
⩥ decreased serum albumin. Answer: -malnutrition (prolonged protein
depletion)
-malabsorption
⩥ Prealbumin. Answer: 23-43 mg/dL
⩥ decreased prealbumin. Answer: -protein depletion
-malnutrition
⩥ BUN. Answer: 10-20 mg/dL
⩥ Increased BUN. Answer: -Starvation
-severe dehydration
⩥ Decreased BUN. Answer: malnutrition, overhydration
,⩥ Creatinine. Answer: 0.6-1.2 mg/dL
⩥ Increased Creatinine. Answer: dehydration
⩥ decreased creatinine. Answer: -severe malnutrition
-reduction in total muscle mass
⩥ Catheter check for kink. Answer: -prevent tubing from becoming
kinked and urine backing up in tubing
-urine can lead to excoriation of the glans
-position below the bladder
⩥ Pressure ulcer infection. Answer: -thick yellow or green pus
-foul odor
-redness and warm to touch
-swelling
-tenderness
⩥ Infection control-bioharzard. Answer: -red bag marked and used for
disposed trash that contains bodily fluids
-when collecting specimens prevent outside of container from becoming
contaminated body fluids
-place specimens in plastic bags and seal to prevent leakage
, ⩥ nasopharyngeal suction assess. Answer: -measure length from tip of
the nose to the earlobe and then down the xiphoid process
-semi fowler(awake and alert pt)
-assess o2 sat prior to suctioning and throughout
-pre-oxygenate if indicated
-if pt starts gagging/coughing stop and wait then try again
⩥ Smoking effect on sleep. Answer: -nicotine stimulate effect=difficulty
falling asleep
-easily aroused
-not smoking after last meal can improve sleep
-total withdrawal can cause sleep disturbances
-pt who stop smoking report daytime sleepiness and restlessness at night
⩥ dressing change findings. Answer: -note location of wound, nearest
anatomical landmark
-document size of wound, measurements
-assess wound edges and signs of dehiscence or evisceration
-note drainage after cleaning(amount ,color, odor, and consistency)
⩥ serous drainage. Answer: clear, watery plasma
ONE TEST PAPER 2026 DETAILED
QUESTIONS AND THOROUGHLY
REVIEWED ACCURATE SOLUTIONS
GRADED A+
⩥ decreased serum albumin. Answer: -malnutrition (prolonged protein
depletion)
-malabsorption
⩥ Prealbumin. Answer: 23-43 mg/dL
⩥ decreased prealbumin. Answer: -protein depletion
-malnutrition
⩥ BUN. Answer: 10-20 mg/dL
⩥ Increased BUN. Answer: -Starvation
-severe dehydration
⩥ Decreased BUN. Answer: malnutrition, overhydration
,⩥ Creatinine. Answer: 0.6-1.2 mg/dL
⩥ Increased Creatinine. Answer: dehydration
⩥ decreased creatinine. Answer: -severe malnutrition
-reduction in total muscle mass
⩥ Catheter check for kink. Answer: -prevent tubing from becoming
kinked and urine backing up in tubing
-urine can lead to excoriation of the glans
-position below the bladder
⩥ Pressure ulcer infection. Answer: -thick yellow or green pus
-foul odor
-redness and warm to touch
-swelling
-tenderness
⩥ Infection control-bioharzard. Answer: -red bag marked and used for
disposed trash that contains bodily fluids
-when collecting specimens prevent outside of container from becoming
contaminated body fluids
-place specimens in plastic bags and seal to prevent leakage
, ⩥ nasopharyngeal suction assess. Answer: -measure length from tip of
the nose to the earlobe and then down the xiphoid process
-semi fowler(awake and alert pt)
-assess o2 sat prior to suctioning and throughout
-pre-oxygenate if indicated
-if pt starts gagging/coughing stop and wait then try again
⩥ Smoking effect on sleep. Answer: -nicotine stimulate effect=difficulty
falling asleep
-easily aroused
-not smoking after last meal can improve sleep
-total withdrawal can cause sleep disturbances
-pt who stop smoking report daytime sleepiness and restlessness at night
⩥ dressing change findings. Answer: -note location of wound, nearest
anatomical landmark
-document size of wound, measurements
-assess wound edges and signs of dehiscence or evisceration
-note drainage after cleaning(amount ,color, odor, and consistency)
⩥ serous drainage. Answer: clear, watery plasma
