HESI Comprehensive Exam A
1 A 2-day postpartum mother who is B. This sensation occurs as breast milk
. breastfeeding asks, "Why do I feel moves to the nipple.
this tingling in my breasts after the Rationale:
baby sucks for a few minutes?" When the mother's milk comes in,
Which information should the nurse usually 2 to 3 days after delivery,
provide? women often report they feel a
A. This feeling occurs during feeding tingling sensation in their nipples (B)
with a breast infection. when let-down occurs. (A, C, and D)
B. This sensation occurs as breast provide inaccurate information.
milk moves to the nipple.
C. The baby does not have good
latch-on.
D. The infant is not positioned
correctly.
2 A 40-year-old office worker who is at A. Check the client's blood pressure.
. 36 weeks' gestation presents to the Rationale:
occupational health clinic The blood pressure (A) should be
complaining of a pounding assessed first. Preeclampsia is a
headache, blurry vision, and swollen multisystem disorder, and women
ankles. Which intervention should older than 35 years and have chronic
the nurse implement first? hypertension are at increased risk.
A. Check the client's blood pressure. Classic signs include headache, visual
B. Teach her to elevate her feet changes, edema, recent rapid weight
when sitting. gain, and elevated blood pressure. (B,
C. Obtain a 24-hour diet history to C, and D) can be done if the blood
evaluate for the intake of salty pressure is normal.
foods.
D. Assess the fetal heart rate.
3 A 50-year-old man arrives at the C. Ask about scrotal pain or blood in
. clinic with complaints of pain on the semen.
ejaculation. Which action should the Rationale:
nurse implement? Orchitis is an acute testicular
A. Teach the client testicular self- inflammation resulting from recurrent
examination (TSE). urinary tract infection, recurrent
, B. Assess for the presence of blood sexually transmitted disease (STD), or
in the urine. an indwelling urethral urinary catheter
C. Ask about scrotal pain or blood in causing pain on ejaculation, scrotal
the semen. pain, blood in the semen, and penile
D. Inquire about a history of kidney discharge, so the nurse should
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 has decreased intestinal movement can
frequent periods of constipation. cause constipation.
Colon disease has been ruled out Rationale:
with a flexible sigmoidoscopy. Which With aging, the abdominal muscles
information should the nurse provide weaken as fatty tissue is deposited
to this client? around the trunk and waist. Slowing
A. As women age, they often become peristalsis also affects the emptying of
rounder in the middle because they the colon, resulting in constipation (C).
do not exercise properly. (A) is not the primary reason for the
B. Further assessment is indicated changes in body structure. (B) is not
because loss of abdominal muscle indicated because loss of muscle tone
tone and constipation do not occur and constipation are age-related
with aging. changes. (D) dismisses the client's
C. With age, more fatty tissue concerns and does not help her
develops in the abdomen and understand the changes that she is
decreased intestinal movement can experiencing.
cause constipation.
D. Because there is no evidence of a
diseased colon, there is no need to
worry about abdominal size.
1 A 2-day postpartum mother who is B. This sensation occurs as breast milk
. breastfeeding asks, "Why do I feel moves to the nipple.
this tingling in my breasts after the Rationale:
baby sucks for a few minutes?" When the mother's milk comes in,
Which information should the nurse usually 2 to 3 days after delivery,
provide? women often report they feel a
A. This feeling occurs during feeding tingling sensation in their nipples (B)
with a breast infection. when let-down occurs. (A, C, and D)
B. This sensation occurs as breast provide inaccurate information.
milk moves to the nipple.
C. The baby does not have good
latch-on.
D. The infant is not positioned
correctly.
2 A 40-year-old office worker who is at A. Check the client's blood pressure.
. 36 weeks' gestation presents to the Rationale:
occupational health clinic The blood pressure (A) should be
complaining of a pounding assessed first. Preeclampsia is a
headache, blurry vision, and swollen multisystem disorder, and women
ankles. Which intervention should older than 35 years and have chronic
the nurse implement first? hypertension are at increased risk.
A. Check the client's blood pressure. Classic signs include headache, visual
B. Teach her to elevate her feet changes, edema, recent rapid weight
when sitting. gain, and elevated blood pressure. (B,
C. Obtain a 24-hour diet history to C, and D) can be done if the blood
evaluate for the intake of salty pressure is normal.
foods.
D. Assess the fetal heart rate.
3 A 50-year-old man arrives at the C. Ask about scrotal pain or blood in
. clinic with complaints of pain on the semen.
ejaculation. Which action should the Rationale:
nurse implement? Orchitis is an acute testicular
A. Teach the client testicular self- inflammation resulting from recurrent
examination (TSE). urinary tract infection, recurrent
, B. Assess for the presence of blood sexually transmitted disease (STD), or
in the urine. an indwelling urethral urinary catheter
C. Ask about scrotal pain or blood in causing pain on ejaculation, scrotal
the semen. pain, blood in the semen, and penile
D. Inquire about a history of kidney discharge, so the nurse should
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 has decreased intestinal movement can
frequent periods of constipation. cause constipation.
Colon disease has been ruled out Rationale:
with a flexible sigmoidoscopy. Which With aging, the abdominal muscles
information should the nurse provide weaken as fatty tissue is deposited
to this client? around the trunk and waist. Slowing
A. As women age, they often become peristalsis also affects the emptying of
rounder in the middle because they the colon, resulting in constipation (C).
do not exercise properly. (A) is not the primary reason for the
B. Further assessment is indicated changes in body structure. (B) is not
because loss of abdominal muscle indicated because loss of muscle tone
tone and constipation do not occur and constipation are age-related
with aging. changes. (D) dismisses the client's
C. With age, more fatty tissue concerns and does not help her
develops in the abdomen and understand the changes that she is
decreased intestinal movement can experiencing.
cause constipation.
D. Because there is no evidence of a
diseased colon, there is no need to
worry about abdominal size.
