HESI MILESTONE 2 CERTIFICATION
TEST 2026 FULL QUESTIONS AND
ANSWERS GRADED A+
◉ Meningitis first step. Answer: o Antibiotics - penicillin (ampicillin)
AND cephalosporin
o Corticosteroids
◉ Multiple sclerosis and urinary retention. Answer: o Sensation of
void heeded immediately (bed pan/urinal @ bedside)
o Voiding schedule (start 1/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after w/ timer
o Self-catherization
◉ Acute renal failure priority. Answer: o Maintain fluids
o Avoid fluid excess
o Renal replacement therapy
o Reduce metabolic rate
o Promote pulmonary function
◉ Acute Respiratory distress priority findings. Answer: o Hypoxia
o Intercostal retractions
,o Crackles
o BNP levels
(alveoli collapse because small airways are narrowed due to
interstitial fluid and bronchial obstruction)
◉ End of life plan of care. Answer: o Signs and symptoms of
impending death are recognized and communicated in
developmentally appropriate language for children and patients with
cognitive disabilities with respect to family preference. Care
appropriate to this phase of illness is proved to the patient and the
family
◉ Cushing Syndrome. Answer: o Can result from corticosteroids
***Attempt to reduce/taper medication while still treating
underlying disease
o Alternate day therapy decrease symptoms and allows adrenal
glands to recover
◉ Valve replacement teaching. Answer: o Anticoagulant therapy
(frequent follow-up/lab tests)
§ Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!
, ◉ Cancer intractable pain plan of care. Answer: o Pain, other
symptoms and side effects are managed based on the best available
evidence, with attention to disease-specific pain and symptoms,
which are skillfully and systematically applied. ??????
◉ Schizophrenia nursing diagnoses and interventions. Answer: - Dx:
2 or more S&S for over 6 mo (Positive= delusions, hallucinations,
disorganized speech or Negative= 6 A's Anhedonia, Flat Affect,
Apathy, Anergia, Algogia, Avolition)
-Establish rapport and trust, ask about hallucinations, distract, lower
environmental stimuli, monitor suicidal ideation, 1st or 2nd
generation antipsych
◉ Grief process therapeutic response. Answer: Allow the 5 steps of
grieving (DABDA), active listening and offer a supportive presence
◉ Dementia action refusing ADLs. Answer: Encourage finger foods,
distraction, speak therapeutically
◉ Alcohol withdrawal. Answer: - Needs to be done under medical
supervision b/c can be deadly
- VS Q4, onset of symptoms 4-6 hours after last drink, give lorazepam,
reduce temp.
- Tremors, nausea, vomiting
TEST 2026 FULL QUESTIONS AND
ANSWERS GRADED A+
◉ Meningitis first step. Answer: o Antibiotics - penicillin (ampicillin)
AND cephalosporin
o Corticosteroids
◉ Multiple sclerosis and urinary retention. Answer: o Sensation of
void heeded immediately (bed pan/urinal @ bedside)
o Voiding schedule (start 1/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after w/ timer
o Self-catherization
◉ Acute renal failure priority. Answer: o Maintain fluids
o Avoid fluid excess
o Renal replacement therapy
o Reduce metabolic rate
o Promote pulmonary function
◉ Acute Respiratory distress priority findings. Answer: o Hypoxia
o Intercostal retractions
,o Crackles
o BNP levels
(alveoli collapse because small airways are narrowed due to
interstitial fluid and bronchial obstruction)
◉ End of life plan of care. Answer: o Signs and symptoms of
impending death are recognized and communicated in
developmentally appropriate language for children and patients with
cognitive disabilities with respect to family preference. Care
appropriate to this phase of illness is proved to the patient and the
family
◉ Cushing Syndrome. Answer: o Can result from corticosteroids
***Attempt to reduce/taper medication while still treating
underlying disease
o Alternate day therapy decrease symptoms and allows adrenal
glands to recover
◉ Valve replacement teaching. Answer: o Anticoagulant therapy
(frequent follow-up/lab tests)
§ Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!
, ◉ Cancer intractable pain plan of care. Answer: o Pain, other
symptoms and side effects are managed based on the best available
evidence, with attention to disease-specific pain and symptoms,
which are skillfully and systematically applied. ??????
◉ Schizophrenia nursing diagnoses and interventions. Answer: - Dx:
2 or more S&S for over 6 mo (Positive= delusions, hallucinations,
disorganized speech or Negative= 6 A's Anhedonia, Flat Affect,
Apathy, Anergia, Algogia, Avolition)
-Establish rapport and trust, ask about hallucinations, distract, lower
environmental stimuli, monitor suicidal ideation, 1st or 2nd
generation antipsych
◉ Grief process therapeutic response. Answer: Allow the 5 steps of
grieving (DABDA), active listening and offer a supportive presence
◉ Dementia action refusing ADLs. Answer: Encourage finger foods,
distraction, speak therapeutically
◉ Alcohol withdrawal. Answer: - Needs to be done under medical
supervision b/c can be deadly
- VS Q4, onset of symptoms 4-6 hours after last drink, give lorazepam,
reduce temp.
- Tremors, nausea, vomiting
