{"id":130382,"date":"2023-12-13T19:29:02","date_gmt":"2023-12-13T19:29:02","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=130382"},"modified":"2023-12-13T19:29:04","modified_gmt":"2023-12-13T19:29:04","slug":"hesi-milestone-2-actual-exam-3-latest-versions-v1-v2-and-v3-each-version-contains-100-questions-and-correct-detailed-answers-verified-answers-already-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/12\/13\/hesi-milestone-2-actual-exam-3-latest-versions-v1-v2-and-v3-each-version-contains-100-questions-and-correct-detailed-answers-verified-answers-already-graded-a\/","title":{"rendered":"HESI MILESTONE 2 ACTUAL EXAM 3 LATEST VERSIONS (V1, V2 AND V3) EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+"},"content":{"rendered":"\n

HESI MILESTONE 2 ACTUAL EXAM 3 LATEST VERSIONS (V1, V2 AND V3) EACH VERSION CONTAINS 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ <\/p>\n\n\n\n

HESI MILESTONE 2 ACTUAL EXAM 3
LATEST VERSIONS (V1, V2 AND V3) EACH
VERSION CONTAINS 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse is caring for a client who is on strict bed rest and creates a plan of care
with goals related to the prevention of deep vein thrombosis and pulmonary emboli.
Which nursing action is most helpful in preventing these disorders from developing?<\/p>\n\n\n\n

    \n
  1. Restricting fluids<\/li>\n\n\n\n
  2. Placing a pillow under the knees<\/li>\n\n\n\n
  3. Encouraging active range-of-motion exercises<\/li>\n\n\n\n
  4. Applying a heating pad to the lower extremities – \u2026.ANSWER\u2026Encouraging active
    range-of-motion exercises
    RATIONALE: Clients at greatest risk for deep vein thrombosis and pulmonary emboli
    are immobilized clients. Basic preventive measures include early ambulation, leg
    elevation, active leg exercises, elastic stockings, and intermittent pneumatic calf
    compression. Keeping the client well hydrated is essential because dehydration
    predisposes to clotting. A pillow under the knees may cause venous stasis. Heat
    would not be applied without a primary health care provider’s prescription.
    The nurse is caring for a teenage client admitted to the hospital with a suspected
    diagnosis of acute appendicitis. Which laboratory result should the nurse expect to
    note if the client does have appendicitis?<\/li>\n\n\n\n
  5. Leukopenia with a shift to the left<\/li>\n\n\n\n
  6. Leukocytosis with a shift to the left<\/li>\n\n\n\n
  7. Leukopenia with a shift to the right<\/li>\n\n\n\n
  8. Leukocytosis with a shift to the right – \u2026.ANSWER\u2026Leukocytosis with a shift to
    the left
    RATIONALE: Laboratory findings do not establish the diagnosis of appendicitis, but
    there is often an elevation of the white blood cell count (leukocytosis) with a shift to
    the left (an increased number of immature white blood cells). Options 1, 3, and 4 are
    incorrect because they are not associated findings in acute appendicitis.
    A home care nurse is visiting a client to provide follow-up evaluation and care of a
    leg ulcer. On removing the dressing from the leg ulcer, the nurse notes that the ulcer<\/li>\n<\/ol>\n\n\n\n

    is pale and deep and that the surrounding tissue is cool to the touch. The nurse
    would document that these findings identify which type of ulcer?<\/p>\n\n\n\n

      \n
    1. A stage 1 ulcer<\/li>\n\n\n\n
    2. A vascular ulcer<\/li>\n\n\n\n
    3. An arterial ulcer<\/li>\n\n\n\n
    4. A venous stasis ulcer – \u2026.ANSWER\u2026An arterial ulcer
      RATIONALE: Arterial ulcers have a pale deep base and are surrounded by tissue
      that is cool with trophic changes such as dry skin and loss of hair. Arterial ulcers are
      caused by tissue ischemia from inadequate arterial supply of oxygen and nutrients. A
      stage 1 ulcer indicates a reddened area with an intact skin surface. A venous stasis
      ulcer (vascular) has a dark red base and is surrounded by brown skin with local
      edema. This type of ulcer is caused by the accumulation of waste products of
      metabolism that are not cleared, as a result of venous congestion.
      A client calls the nurse at the clinic and reports experiencing a sensation as though
      the affected leg is falling asleep ever since the vein ligation and stripping procedure
      was performed. The nurse would make which response to the client?<\/li>\n\n\n\n
    5. “Apply warm packs to the leg.”<\/li>\n\n\n\n
    6. “Keep the leg elevated as much as possible.”<\/li>\n\n\n\n
    7. “Your primary health care provider needs to be contacted to report this problem.”<\/li>\n\n\n\n
    8. “This normally occurs after surgery and will subside when the edema goes down.”<\/li>\n<\/ol>\n\n\n\n