HESI Comprehensive Exam A Practice Questions & Answers
1 A 2-day postpartum mother who B. This sensation occurs as breast
. is breastfeeding asks, "Why do milk moves to the nipple.
I feel this tingling in my breasts Rationale:
after the baby sucks for a few When the mother's milk comes in,
minutes?" Which information usually 2 to 3 days after delivery,
should the nurse provide? women often report they feel a
A. This feeling occurs during tingling sensation in their nipples (B)
feeding with a breast when let-down occurs. (A, C, and D)
infection. provide inaccurate information.
B. This sensation occurs as
breast milk moves to the nipple.
C. The baby does not have good
latch-on.
D. The infant is not positioned
correctly.
A. Check the client's blood pressure.
2 A 40-year-old office worker who is Rationale:
. at 36 weeks' gestation presents The blood pressure (A) should be
to the occupational health clinic assessed first. Preeclampsia is a
complaining of a pounding multisystem disorder, and women
headache, blurry vision, and older than 35 years and have chronic
swollen ankles. Which hypertension are at increased risk.
intervention should the nurse Classic signs include headache,
implement first? visual changes, edema, recent rapid
A. Check the client's blood weight gain, and elevated blood
pressure. pressure. (B, C, and D) can be done if
B. Teach her to elevate her the blood pressure is normal.
feet when sitting.
C. Obtain a 24-hour diet history
to evaluate for the intake of
salty foods.
D. Assess the fetal heart rate.
C. Ask about scrotal pain or blood
3 A 50-year-old man arrives at the in the semen.
. clinic with complaints of pain on Rationale:
ejaculation. Which action Orchitis is an acute testicular
should the nurse implement? inflammation resulting from recurrent
A. Teach the client testicular urinary tract infection, recurrent
self- examination (TSE). sexually transmitted disease (STD),
B. Assess for the presence of or an indwelling urethral urinary
blood in the urine. catheter causing pain on ejaculation,
C. Ask about scrotal pain or scrotal pain, blood in the semen, and
blood in the semen.
, D. Inquire about a history of penile discharge, so the nurse should
kidney stones. determine the presence of other
symptoms (C). Although all men
should practice TSE, the client's
symptoms are suggestive of an
inflammatory syndrome rather than
testicular cancer (A). Although
hematuria (B) is associated with renal
disease or calculi (D), the client's
pain is associated with ejaculate, not
urine.
4 A 77-year-old female client states C. With age, more fatty tissue
. that she has never been so large develops in the abdomen and
around the waist and that she decreased intestinal movement can
has frequent periods of cause constipation.
constipation. Colon disease has Rationale:
been ruled out with a flexible With aging, the abdominal muscles
sigmoidoscopy. weaken as fatty tissue is deposited
Which information should the around the trunk and waist. Slowing
nurse provide to this client? peristalsis also affects the emptying
A. As women age, they often of the colon, resulting in
become rounder in the constipation (C). (A) is not the
middle because they do not primary reason for the changes in
exercise properly. body structure. (B) is not indicated
B. Further assessment is indicated because loss of muscle tone and
because loss of abdominal muscle constipation are age-related changes.
tone and constipation do not occur (D) dismisses the client's concerns
with aging. and does not help her understand the
C. With age, more fatty tissue changes that she is experiencing.
develops in the abdomen and
decreased intestinal movement
can cause constipation.
D. Because there is no evidence of
a diseased colon, there is no need
to worry about abdominal size.
D. A 75-year-old woman who
5 According to Erikson, which client wishes her friends were still alive so
. should the nurse identify as having she could change some of the
difficulty completing the choices she made over the years
developmental stage of older Rationale:
adults? The older woman who wishes she
A. A 60-year-old man who tells the could change the choices she has
nurse that he is feeling fine and made in her lifetime is expressing
really does not need any help
from
1 A 2-day postpartum mother who B. This sensation occurs as breast
. is breastfeeding asks, "Why do milk moves to the nipple.
I feel this tingling in my breasts Rationale:
after the baby sucks for a few When the mother's milk comes in,
minutes?" Which information usually 2 to 3 days after delivery,
should the nurse provide? women often report they feel a
A. This feeling occurs during tingling sensation in their nipples (B)
feeding with a breast when let-down occurs. (A, C, and D)
infection. provide inaccurate information.
B. This sensation occurs as
breast milk moves to the nipple.
C. The baby does not have good
latch-on.
D. The infant is not positioned
correctly.
A. Check the client's blood pressure.
2 A 40-year-old office worker who is Rationale:
. at 36 weeks' gestation presents The blood pressure (A) should be
to the occupational health clinic assessed first. Preeclampsia is a
complaining of a pounding multisystem disorder, and women
headache, blurry vision, and older than 35 years and have chronic
swollen ankles. Which hypertension are at increased risk.
intervention should the nurse Classic signs include headache,
implement first? visual changes, edema, recent rapid
A. Check the client's blood weight gain, and elevated blood
pressure. pressure. (B, C, and D) can be done if
B. Teach her to elevate her the blood pressure is normal.
feet when sitting.
C. Obtain a 24-hour diet history
to evaluate for the intake of
salty foods.
D. Assess the fetal heart rate.
C. Ask about scrotal pain or blood
3 A 50-year-old man arrives at the in the semen.
. clinic with complaints of pain on Rationale:
ejaculation. Which action Orchitis is an acute testicular
should the nurse implement? inflammation resulting from recurrent
A. Teach the client testicular urinary tract infection, recurrent
self- examination (TSE). sexually transmitted disease (STD),
B. Assess for the presence of or an indwelling urethral urinary
blood in the urine. catheter causing pain on ejaculation,
C. Ask about scrotal pain or scrotal pain, blood in the semen, and
blood in the semen.
, D. Inquire about a history of penile discharge, so the nurse should
kidney stones. determine the presence of other
symptoms (C). Although all men
should practice TSE, the client's
symptoms are suggestive of an
inflammatory syndrome rather than
testicular cancer (A). Although
hematuria (B) is associated with renal
disease or calculi (D), the client's
pain is associated with ejaculate, not
urine.
4 A 77-year-old female client states C. With age, more fatty tissue
. that she has never been so large develops in the abdomen and
around the waist and that she decreased intestinal movement can
has frequent periods of cause constipation.
constipation. Colon disease has Rationale:
been ruled out with a flexible With aging, the abdominal muscles
sigmoidoscopy. weaken as fatty tissue is deposited
Which information should the around the trunk and waist. Slowing
nurse provide to this client? peristalsis also affects the emptying
A. As women age, they often of the colon, resulting in
become rounder in the constipation (C). (A) is not the
middle because they do not primary reason for the changes in
exercise properly. body structure. (B) is not indicated
B. Further assessment is indicated because loss of muscle tone and
because loss of abdominal muscle constipation are age-related changes.
tone and constipation do not occur (D) dismisses the client's concerns
with aging. and does not help her understand the
C. With age, more fatty tissue changes that she is experiencing.
develops in the abdomen and
decreased intestinal movement
can cause constipation.
D. Because there is no evidence of
a diseased colon, there is no need
to worry about abdominal size.
D. A 75-year-old woman who
5 According to Erikson, which client wishes her friends were still alive so
. should the nurse identify as having she could change some of the
difficulty completing the choices she made over the years
developmental stage of older Rationale:
adults? The older woman who wishes she
A. A 60-year-old man who tells the could change the choices she has
nurse that he is feeling fine and made in her lifetime is expressing
really does not need any help
from
