HESI Milestone 2 EXAM QUESTIONS AND
ANSWERS GRADED A+ ASSURED SUCCESS
NEW UPDATE 2026 (MULTIPLE CHOICES) WITH
RATIONALES.
Save
Terms in this set (41)
The nurse is performing an Listening to lung sounds.
assessment on a client with a
diagnosis of left-sided heart failure. The client with heart failure may present with
Which assessment component different symptoms, depending on whether the
would elicit specific information right or the left side of the heart is failing.
regarding the client's left-sided Peripheral and sacral edema, jugular vein
heart function? distention, and organomegaly all are
manifestations of problems with right-sided heart
1. Listening to lung sounds function. Lung sounds constitute an accurate
2. Palpating for organomegaly indicator of left-sided heart function.
3. Assessing for jugular vein
distention
4. Assessing for peripheral and
sacral edema
,The registered nurse (RN) is "The pain of angina pectoris occurs because of a
educating a new RN about the use decreased oxygen supply to heart cells."
of oxygen for clients with angina
pectoris. Which statement by the The pain associated with angina results from
new nurse indicates that the ischemia of myocardial cells. The pain often is
teaching has been effective? precipitated by activity that places more oxygen
demand on heart muscle. Supplemental oxygen
1. "Oxygen has a calming effect." will help meet the added demands on the heart
2. "Oxygen will prevent the muscle. Oxygen does not dilate blood vessels or
development of any thrombus." prevent thrombus formation and does not
3. "The pain of angina pectoris directly calm the client.
occurs because of a decreased
oxygen supply to heart cells."
4. "Oxygen dilates the blood
vessels so that they can supply
more nutrients to the heart muscle."
The nurse has provided dietary "I should use polyunsaturated oils in my diet."
instructions to a client with
coronary artery disease. Which The client with coronary artery disease needs to
statement by the client indicates an avoid foods high in saturated fat and cholesterol
understanding of the dietary such as eggs, whole milk, and red meat. These
instructions? foods contribute to increases in low-density
lipoproteins. The use of polyunsaturated oils is
1. "I'll need to become a strict recommended to control hypercholesterolemia.
vegetarian." It is not necessary to eliminate all cholesterol and
2. "I should use polyunsaturated oils fat from the diet. It is not necessary to become a
in my diet." strict vegetarian.
3. "I need to substitute eggs and
whole milk for meat."
4. "I should eliminate all cholesterol
and fat from my diet."
, The home care nurse has taught a "I will eat enough daily fiber to prevent straining
client with heart failure and a during bowel movement."
problem of inadequate cardiac
output about helpful lifestyle Standard home care instructions for a client with
adaptations to promote health. this problem include, among others, lifestyle
Which statement by the client best changes such as avoiding alcohol intake, avoiding
demonstrates an understanding of activities that increase the demands on the heart,
the information provided? instituting a bowel regimen to prevent straining
and constipation, and maintaining fluid and
1. "I will try to exercise vigorously to electrolyte balance. Consuming 3000 to 3500 mL
strengthen my heart muscle." of fluid and exercising vigorously will increase
2. "I will eat enough daily fiber to the cardiac workload.
prevent straining during bowel
movement."
3. "I will drink 3000 to 3500 mL of
fluid daily to promote good kidney
function."
4. "Drinking 2 to 3 oz of liquor each
night will promote blood flow by
enlarging blood vessels."
A client with heart failure has been Chooses a healthy diet that meets caloric needs
experiencing difficulty with
completion of daily activities, as Each of the options indicates a positive outcome
evidenced by exertional fatigue on the part of the client. Both option 2 and the
and increased blood pressure. correct one relate to the client problem of
Which observation by the nurse difficulty with completion of daily activities.
best indicates client progress in However, the question asks about progress. The
meeting goals for this problem? correct option is more action-oriented and
therefore is the better choice. Option 3 would
1. Ambulates 10 feet (3 meters) most likely indicate progress if the client had a
farther each day problem of inadequate nutritional intake. Option
2. Verbalizes the benefits of 4 would be a satisfactory outcome for a client
increasing activity experiencing difficulty sleeping.
3. Chooses a healthy diet that
meets caloric needs
4. Sleeps without awakening
throughout the night
ANSWERS GRADED A+ ASSURED SUCCESS
NEW UPDATE 2026 (MULTIPLE CHOICES) WITH
RATIONALES.
Save
Terms in this set (41)
The nurse is performing an Listening to lung sounds.
assessment on a client with a
diagnosis of left-sided heart failure. The client with heart failure may present with
Which assessment component different symptoms, depending on whether the
would elicit specific information right or the left side of the heart is failing.
regarding the client's left-sided Peripheral and sacral edema, jugular vein
heart function? distention, and organomegaly all are
manifestations of problems with right-sided heart
1. Listening to lung sounds function. Lung sounds constitute an accurate
2. Palpating for organomegaly indicator of left-sided heart function.
3. Assessing for jugular vein
distention
4. Assessing for peripheral and
sacral edema
,The registered nurse (RN) is "The pain of angina pectoris occurs because of a
educating a new RN about the use decreased oxygen supply to heart cells."
of oxygen for clients with angina
pectoris. Which statement by the The pain associated with angina results from
new nurse indicates that the ischemia of myocardial cells. The pain often is
teaching has been effective? precipitated by activity that places more oxygen
demand on heart muscle. Supplemental oxygen
1. "Oxygen has a calming effect." will help meet the added demands on the heart
2. "Oxygen will prevent the muscle. Oxygen does not dilate blood vessels or
development of any thrombus." prevent thrombus formation and does not
3. "The pain of angina pectoris directly calm the client.
occurs because of a decreased
oxygen supply to heart cells."
4. "Oxygen dilates the blood
vessels so that they can supply
more nutrients to the heart muscle."
The nurse has provided dietary "I should use polyunsaturated oils in my diet."
instructions to a client with
coronary artery disease. Which The client with coronary artery disease needs to
statement by the client indicates an avoid foods high in saturated fat and cholesterol
understanding of the dietary such as eggs, whole milk, and red meat. These
instructions? foods contribute to increases in low-density
lipoproteins. The use of polyunsaturated oils is
1. "I'll need to become a strict recommended to control hypercholesterolemia.
vegetarian." It is not necessary to eliminate all cholesterol and
2. "I should use polyunsaturated oils fat from the diet. It is not necessary to become a
in my diet." strict vegetarian.
3. "I need to substitute eggs and
whole milk for meat."
4. "I should eliminate all cholesterol
and fat from my diet."
, The home care nurse has taught a "I will eat enough daily fiber to prevent straining
client with heart failure and a during bowel movement."
problem of inadequate cardiac
output about helpful lifestyle Standard home care instructions for a client with
adaptations to promote health. this problem include, among others, lifestyle
Which statement by the client best changes such as avoiding alcohol intake, avoiding
demonstrates an understanding of activities that increase the demands on the heart,
the information provided? instituting a bowel regimen to prevent straining
and constipation, and maintaining fluid and
1. "I will try to exercise vigorously to electrolyte balance. Consuming 3000 to 3500 mL
strengthen my heart muscle." of fluid and exercising vigorously will increase
2. "I will eat enough daily fiber to the cardiac workload.
prevent straining during bowel
movement."
3. "I will drink 3000 to 3500 mL of
fluid daily to promote good kidney
function."
4. "Drinking 2 to 3 oz of liquor each
night will promote blood flow by
enlarging blood vessels."
A client with heart failure has been Chooses a healthy diet that meets caloric needs
experiencing difficulty with
completion of daily activities, as Each of the options indicates a positive outcome
evidenced by exertional fatigue on the part of the client. Both option 2 and the
and increased blood pressure. correct one relate to the client problem of
Which observation by the nurse difficulty with completion of daily activities.
best indicates client progress in However, the question asks about progress. The
meeting goals for this problem? correct option is more action-oriented and
therefore is the better choice. Option 3 would
1. Ambulates 10 feet (3 meters) most likely indicate progress if the client had a
farther each day problem of inadequate nutritional intake. Option
2. Verbalizes the benefits of 4 would be a satisfactory outcome for a client
increasing activity experiencing difficulty sleeping.
3. Chooses a healthy diet that
meets caloric needs
4. Sleeps without awakening
throughout the night
