HESI MILESTONE EXAMINATION ONE
ACTUAL CERTIFICATION SCRIPT 2026
EXTENSIVE QUESTIONS WITH PRECISELY
ANALYZED CORRECT ANSWERS GRADED
A+
⩥ H1 antagonists are useful in treating. Answer: -mild allergies(seasonal
rhinitis)
-severe allergies(anaphylaxis)
-motion sickness
-insomnia
-common cold
⩥ Histamine (H2)-Receptor Antagonists action(tidine). Answer: block
the H2 receptors responsible for stimulating the secretion of gastric acid
⩥ Exenatide (Byetta) hypoglycemia. Answer: -can occur right after
meals
-for severe hypoglycemia give IV dextrose
⩥ Exenatide (Byetta) hypoglycemia teaching. Answer: -teach about s/s
of hypoglycemia(cold and clammy give them candy)
,-have glucagon emergency kit available
-regular monitoring of A1c levels are required
⩥ Exenatide (Byetta) hypoglycemia causes. Answer: -insulin overdose
-reduced food intake
-vomiting and diarrhea
-excessive alcohol intake
-unaccustomed exercise
-termination of pregnancy
⩥ signs and symptoms of hypoglycemia. Answer: -tachycardia
-palpitations
-sweating
-nervousness
-headache
-confusion
-drowsiness
-fatigue
⩥ antitussives therapeutic action is to. Answer: Act on the cough control
center in the medulla to suppress the cough reflex; used for a cough that
is nonproductive and irritating
,⩥ Anaphylaxis‐PCN. Answer: -laryngeal edema, bronchoconstriction,
severe hypotension= immediate hypersensitivity reaction
⩥ Anaphylaxis treatment. Answer: epinephrine (subQ, IM, or IV) plus
respiratory support
⩥ What drugs are effective and safe alternatives for patients with
penicillin allergies?. Answer: vancomycin, erythromycin, and
clindamycin
⩥ To ensure prompt treatment if anaphylaxis should develop patients
should be?. Answer: observed for at least 30 minutes after drug injection
(i.e., until the risk of an anaphylactic reaction has passed).
⩥ To minimize the chances of an anaphylactic reaction, penicillin should
be administered. Answer: an initial small dose is followed at 60-minute
intervals by progressively larger doses until the full therapeutic dose has
been achieved
⩥ Morphine overdose treatment. Answer: -Naloxone (narcan)
-Intravenous, IM, and subQ. For initial treatment, administer IV
, ⩥ CT‐diarrhea‐action. Answer: -decrease intestinal motility and thereby
slow intestinal transit, which allows more time for absorption of fluid
and electrolytes
-activation of opioid receptors decreases secretion of fluid into the small
intestine and increases absorption of fluid and salt.
⩥ ACE inhibitor‐hyperkalemia. Answer: -Inhibition of aldosterone
release (secondary to inhibition of angiotensin II production) can cause
potassium retention by the kidney.
-significant potassium accumulation is limited to patients taking
potassium supplements, salt substitutes (which contain potassium), or a
potassium-sparing diuretic.
⩥ Leukotrienes‐teaching. Answer: 1. To take medication 1 hour before
or 2 hours after
meals
2. To increase fluid intake
3. Not to discontinue the medication and to take it as
prescribed, even during symptom-free period
⩥ Methadone therapeutic use. Answer: Relief or prevention of moderate
to severe pain while causing minimal respiratory depression,
constipation, urinary retention, and other adverse effects.
ACTUAL CERTIFICATION SCRIPT 2026
EXTENSIVE QUESTIONS WITH PRECISELY
ANALYZED CORRECT ANSWERS GRADED
A+
⩥ H1 antagonists are useful in treating. Answer: -mild allergies(seasonal
rhinitis)
-severe allergies(anaphylaxis)
-motion sickness
-insomnia
-common cold
⩥ Histamine (H2)-Receptor Antagonists action(tidine). Answer: block
the H2 receptors responsible for stimulating the secretion of gastric acid
⩥ Exenatide (Byetta) hypoglycemia. Answer: -can occur right after
meals
-for severe hypoglycemia give IV dextrose
⩥ Exenatide (Byetta) hypoglycemia teaching. Answer: -teach about s/s
of hypoglycemia(cold and clammy give them candy)
,-have glucagon emergency kit available
-regular monitoring of A1c levels are required
⩥ Exenatide (Byetta) hypoglycemia causes. Answer: -insulin overdose
-reduced food intake
-vomiting and diarrhea
-excessive alcohol intake
-unaccustomed exercise
-termination of pregnancy
⩥ signs and symptoms of hypoglycemia. Answer: -tachycardia
-palpitations
-sweating
-nervousness
-headache
-confusion
-drowsiness
-fatigue
⩥ antitussives therapeutic action is to. Answer: Act on the cough control
center in the medulla to suppress the cough reflex; used for a cough that
is nonproductive and irritating
,⩥ Anaphylaxis‐PCN. Answer: -laryngeal edema, bronchoconstriction,
severe hypotension= immediate hypersensitivity reaction
⩥ Anaphylaxis treatment. Answer: epinephrine (subQ, IM, or IV) plus
respiratory support
⩥ What drugs are effective and safe alternatives for patients with
penicillin allergies?. Answer: vancomycin, erythromycin, and
clindamycin
⩥ To ensure prompt treatment if anaphylaxis should develop patients
should be?. Answer: observed for at least 30 minutes after drug injection
(i.e., until the risk of an anaphylactic reaction has passed).
⩥ To minimize the chances of an anaphylactic reaction, penicillin should
be administered. Answer: an initial small dose is followed at 60-minute
intervals by progressively larger doses until the full therapeutic dose has
been achieved
⩥ Morphine overdose treatment. Answer: -Naloxone (narcan)
-Intravenous, IM, and subQ. For initial treatment, administer IV
, ⩥ CT‐diarrhea‐action. Answer: -decrease intestinal motility and thereby
slow intestinal transit, which allows more time for absorption of fluid
and electrolytes
-activation of opioid receptors decreases secretion of fluid into the small
intestine and increases absorption of fluid and salt.
⩥ ACE inhibitor‐hyperkalemia. Answer: -Inhibition of aldosterone
release (secondary to inhibition of angiotensin II production) can cause
potassium retention by the kidney.
-significant potassium accumulation is limited to patients taking
potassium supplements, salt substitutes (which contain potassium), or a
potassium-sparing diuretic.
⩥ Leukotrienes‐teaching. Answer: 1. To take medication 1 hour before
or 2 hours after
meals
2. To increase fluid intake
3. Not to discontinue the medication and to take it as
prescribed, even during symptom-free period
⩥ Methadone therapeutic use. Answer: Relief or prevention of moderate
to severe pain while causing minimal respiratory depression,
constipation, urinary retention, and other adverse effects.
