HESI MILESTONE 2 REMEDIATION ACTUAL EXAM CONTAINS
200 QUESTIONS AND CORRECT DETAILED ANSWERS
The practical nurse (PN) is assigned to care for an adolescent who has a past history
of anorexia nervosa. Anorexia nervosa puts the client at risk or which condition?
Hyperthermia.
Oily skin and hair.
Decreased bone density.
Tachycardia and hypertension. - ANSWER: Decreased bone density
The practical nurse (PN) is providing care to a client with acute pancreatitis. Which
prescription should the PN anticipate to be included in the client's plan of care?
High carbohydrate diet.
Daily weights.
Neurologic checks.
Blood glucose levels. - ANSWER: Blood glucose levels
The practical nurse (PN) is providing care to an older client with early stages of
diabetic retinopathy. Which reinforcement of teaching should the PN provide the
client to help minimize worsening of the disease?
Have a dilated eye examination every 5 years.
Maintain your blood glucose in your target range.
Avoid exposure to direct sunlight.
Engage in strenuous exercise every day. - ANSWER: Maintain your blood glucose in
your target range.
The practical nurse (PN) noted in a client's electronic medical record that the client
had exhibited both a positive Trousseau's sign and a positive Chvostek's sign. These
signs are indicative of which hormonal deficit?
Pituitary.
Glucagon.
Parathyroid.
Somatostatin. - ANSWER: Parathyroid.
The practical nurse (PN) is reinforcing teaching about dietary nutrition to a client
diagnosed type 2 diabetes mellitus. The PN identifies which statement by the client
demonstrates an understanding about the teaching?
"I should focus on eating plant-based food with occasional fish and poultry."
"I should purchase my sweets from the diabetic aisle of the grocery store."
,"If I get a fever, I should drink regular soda to stay hydrated and keep my sugar levels
up."
"Fruit, popcorn, rice, and bread can be eaten only on special occasions." - ANSWER:
"I should focus on eating plant-based food with occasional fish and poultry."
An older client with osteoporosis asks the practical nurse (PN) about complications
that may result from this condition. Which information should the PN include in the
client reinforcement of teaching about osteoporosis?
Fat embolism.
Swan neck deformity.
Heberden's nodes.
Pathologic fracture. - ANSWER: Pathologic fracture.
The practical nurse (PN) is providing care to a client who reports painful, cracked
nipples due to breastfeeding. The PN should recommend which action to the client?
Use breast shells for protection.
Wear a breast binder for support.
Apply lotion to moisturize nipples.
Transition to bottle feeding. - ANSWER: Use breast shells for protection.
The practical nurse (PN) is caring for a confused and withdrawn older client who was
admitted for malnutrition and dehydration. The PN suspects that elder abuse and
neglect may be present. Which element is required before abuse or neglect can be
reported?
Proof.
Suspicion.
Witness's written testimony.
Client's written consent. - ANSWER: Suspicion
The nurse assumes a leadership position that involves the coordination of care for
several clients. As the leader of a group of practical nurses (PN) and unlicensed
assistant providers (UAP) , the nurse will assess and educate all clients, provide
direct care, delegate care assignments, direct and educate the group, and manage all
client and group activities. The PN recognizes which type of nursing delivery model
the facility is using?
Total patient care.
Functional nursing.
Team nursing.
Primary nursing. - ANSWER: Team nursing
The practical nurse (PN) is conducting a Mini-Mental State Exam (MMSE) with an
older client. Which instruction assesses for recall?
, Describe this item to me.
Read what is on this card and explain it.
Repeat back the three words I said to you.
Tell me where and what date you graduated high school. - ANSWER: Repeat back the
three words I said to you.
The practical nurse (PN) is performing a focused assessment on the abdomen of a
child who is four days post-op for surgical removal of a Wilms tumor. The child has
developed abdominal pain and distension, absence of bowel sounds, and vomiting.
The PN suspects which complication?
Intestinal obstruction.
Abdominal peritonitis.
Ureteral stenosis.
Pyelonephritis. - ANSWER: Intestinal obstruction.
Four clients are requesting pain medication and it is within their prescribed dosing
time. All clients achieved pain relief after their last dose. Now the clients have
reported their pain on a 1 to 10 pain scale. Which should be the first client the
practical nurse (PN) administers pain medication?
After the last dose, pain was 6 out of 10; now pain is 8 out of 10.
After the last dose, pain was 4 out of 10; now pain is 7 out of 10.
After the last dose, pain was 2 out of 10; now pain is 5 out of 10.
After the last dose, pain was 1 out of 10; now pain is 6 out of 10. - ANSWER: After
the last dose, pain was 1 out of 10; now pain is 6 out of 10.
THe practical nurse (PN) is performing a focused assessment with a 78-year-old
female client who had recently fallen. The PN suspects the client may have a
fractured hip. Which findings and contributing facts are most likely associated with
hip fracture?
Post-menopausal status.
Reports of groin pain.
Right leg is internally rotated.
Leg lengthening of the right leg.
Limping present with ambulation. - ANSWER: Post-menopausal status
Reports of groin pain
Right leg is internally rotated
Limping present with ambulation
A client with stage 3 Alzheimer's disease is living with his son and daughter-in-law.
The visiting practical nurse (PN) is reinforcing teaching to the family about the
progression of the illness, including "sundown syndrome," and is assisting with
strategies and comfort measures. The PN recognizes which statement by the
daughter-in-law reflects that the teaching has been effective?
200 QUESTIONS AND CORRECT DETAILED ANSWERS
The practical nurse (PN) is assigned to care for an adolescent who has a past history
of anorexia nervosa. Anorexia nervosa puts the client at risk or which condition?
Hyperthermia.
Oily skin and hair.
Decreased bone density.
Tachycardia and hypertension. - ANSWER: Decreased bone density
The practical nurse (PN) is providing care to a client with acute pancreatitis. Which
prescription should the PN anticipate to be included in the client's plan of care?
High carbohydrate diet.
Daily weights.
Neurologic checks.
Blood glucose levels. - ANSWER: Blood glucose levels
The practical nurse (PN) is providing care to an older client with early stages of
diabetic retinopathy. Which reinforcement of teaching should the PN provide the
client to help minimize worsening of the disease?
Have a dilated eye examination every 5 years.
Maintain your blood glucose in your target range.
Avoid exposure to direct sunlight.
Engage in strenuous exercise every day. - ANSWER: Maintain your blood glucose in
your target range.
The practical nurse (PN) noted in a client's electronic medical record that the client
had exhibited both a positive Trousseau's sign and a positive Chvostek's sign. These
signs are indicative of which hormonal deficit?
Pituitary.
Glucagon.
Parathyroid.
Somatostatin. - ANSWER: Parathyroid.
The practical nurse (PN) is reinforcing teaching about dietary nutrition to a client
diagnosed type 2 diabetes mellitus. The PN identifies which statement by the client
demonstrates an understanding about the teaching?
"I should focus on eating plant-based food with occasional fish and poultry."
"I should purchase my sweets from the diabetic aisle of the grocery store."
,"If I get a fever, I should drink regular soda to stay hydrated and keep my sugar levels
up."
"Fruit, popcorn, rice, and bread can be eaten only on special occasions." - ANSWER:
"I should focus on eating plant-based food with occasional fish and poultry."
An older client with osteoporosis asks the practical nurse (PN) about complications
that may result from this condition. Which information should the PN include in the
client reinforcement of teaching about osteoporosis?
Fat embolism.
Swan neck deformity.
Heberden's nodes.
Pathologic fracture. - ANSWER: Pathologic fracture.
The practical nurse (PN) is providing care to a client who reports painful, cracked
nipples due to breastfeeding. The PN should recommend which action to the client?
Use breast shells for protection.
Wear a breast binder for support.
Apply lotion to moisturize nipples.
Transition to bottle feeding. - ANSWER: Use breast shells for protection.
The practical nurse (PN) is caring for a confused and withdrawn older client who was
admitted for malnutrition and dehydration. The PN suspects that elder abuse and
neglect may be present. Which element is required before abuse or neglect can be
reported?
Proof.
Suspicion.
Witness's written testimony.
Client's written consent. - ANSWER: Suspicion
The nurse assumes a leadership position that involves the coordination of care for
several clients. As the leader of a group of practical nurses (PN) and unlicensed
assistant providers (UAP) , the nurse will assess and educate all clients, provide
direct care, delegate care assignments, direct and educate the group, and manage all
client and group activities. The PN recognizes which type of nursing delivery model
the facility is using?
Total patient care.
Functional nursing.
Team nursing.
Primary nursing. - ANSWER: Team nursing
The practical nurse (PN) is conducting a Mini-Mental State Exam (MMSE) with an
older client. Which instruction assesses for recall?
, Describe this item to me.
Read what is on this card and explain it.
Repeat back the three words I said to you.
Tell me where and what date you graduated high school. - ANSWER: Repeat back the
three words I said to you.
The practical nurse (PN) is performing a focused assessment on the abdomen of a
child who is four days post-op for surgical removal of a Wilms tumor. The child has
developed abdominal pain and distension, absence of bowel sounds, and vomiting.
The PN suspects which complication?
Intestinal obstruction.
Abdominal peritonitis.
Ureteral stenosis.
Pyelonephritis. - ANSWER: Intestinal obstruction.
Four clients are requesting pain medication and it is within their prescribed dosing
time. All clients achieved pain relief after their last dose. Now the clients have
reported their pain on a 1 to 10 pain scale. Which should be the first client the
practical nurse (PN) administers pain medication?
After the last dose, pain was 6 out of 10; now pain is 8 out of 10.
After the last dose, pain was 4 out of 10; now pain is 7 out of 10.
After the last dose, pain was 2 out of 10; now pain is 5 out of 10.
After the last dose, pain was 1 out of 10; now pain is 6 out of 10. - ANSWER: After
the last dose, pain was 1 out of 10; now pain is 6 out of 10.
THe practical nurse (PN) is performing a focused assessment with a 78-year-old
female client who had recently fallen. The PN suspects the client may have a
fractured hip. Which findings and contributing facts are most likely associated with
hip fracture?
Post-menopausal status.
Reports of groin pain.
Right leg is internally rotated.
Leg lengthening of the right leg.
Limping present with ambulation. - ANSWER: Post-menopausal status
Reports of groin pain
Right leg is internally rotated
Limping present with ambulation
A client with stage 3 Alzheimer's disease is living with his son and daughter-in-law.
The visiting practical nurse (PN) is reinforcing teaching to the family about the
progression of the illness, including "sundown syndrome," and is assisting with
strategies and comfort measures. The PN recognizes which statement by the
daughter-in-law reflects that the teaching has been effective?
