Exit Hesi
Comprehensive Pn
Exam A Practice
Questions Exam Latest
Update
A 2-day postpartum mother who is breastfeeding asks, "Why do I feel this tingling
in my breasts after the baby sucks for a few minutes?" Which information should
the nurse provide?
A.This feeling occurs during feeding with a breast infection.
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. - ✔✔✔ANSWER-B
,When the mother's milk comes in, usually 2 to 3 days after delivery, women often
report they feel a tingling sensation in their nipples (B) when let-down occurs. (A,
C, and D) provide inaccurate information.
A 40-year-old office worker who is at 36 weeks' gestation presents to the
occupational health clinic complaining of a pounding headache, blurry vision, and
swollen ankles. Which intervention should the nurse implement first? -
✔✔✔ANSWER-Check the client's blood pressure.
A 50-year-old man arrives at the clinic with complaints of pain on ejaculation.
Which action should the nurse implement? - ✔✔✔ANSWER-Ask about scrotal
pain or blood in the semen.
A 77-year-old female client states that she has never been so large around the waist
and that she has frequent periods of constipation. Colon disease has been ruled out
with a flexible sigmoidoscopy. Which information should the nurse provide to this
client? - ✔✔✔ANSWER-With age, more fatty tissue develops in the abdomen and
decreased intestinal movement can cause constipation.
The nurse is teaching the parents of a 10-year-old child with rheumatoid arthritis
measures to help reduce the pain associated with the disease. Which instruction
should the nurse provide to these parents?
A.Administer a nonsteroidal antiinflammatory drug (NSAID) to the child prior to
getting the child out of bed in the morning.
B.Apply ice packs to edematous or tender joints to reduce pain and swelling.
C.Warm the child with an electric blanket prior to getting the child out of bed.
D.Immobilize swollen joints during acute exacerbations until function returns. -
✔✔✔ANSWER-C
,Early morning stiffness and pain are common symptoms of rheumatoid arthritis.
Warming the child (C) in the morning helps reduce these symptoms. Although
moist heat is best, an electric blanket could also be used to help relieve early
morning discomfort. (A) on an empty stomach is likely to cause gastric discomfort.
Warm (not cold) packs or baths are used to minimize joint inflammation and
stiffness (B). (D) is contraindicated, because joints should be exercised, not
immobilized.
The nurse meets resistance while flushing a central venous catheter (CVC) at the
subclavian site. Which action should the nurse perform? - ✔✔✔ANSWER-
Examine for clamp closures.
The nurse performs an assessment on a client with heart failure. Which finding(s)
is(are) consistent with the diagnosis of left-sided heart failure? (Select all that
apply.)
A.Confusion
B.Peripheral edema
C.Crackles in the lungs
D.Dyspnea
E.Distended neck veins - ✔✔✔ANSWER-ACD
Left-sided heart failure results in pulmonary congestion caused by the left
ventricle's inability to pump blood to the periphery. Confusion, crackles in the
lungs, and dyspnea are all signs of pulmonary congestion (A, C, and D). (B and E)
are associated with right-sided heart failure.
The nurse performs tracheostomy suctioning on a comatose client. Place the
interventions in order from first to last.
A. Gently insert the catheter without suction using sterile technique.
B. Hyperoxygenate using a manual reservoir-equipped resuscitation bag (MRB).
, C. Check the suction regulator and adjust suction pressure to 120 to 150 mm Hg.
D. Apply suction intermittently while withdrawing the catheter.
A. B, C, A, D
B. A, C, B, D
C. C, B, A, D
D. D, C, B, A - ✔✔✔ANSWER-C, B, A, D
A child is having a generalized tonic-clonic seizure. Which action should the nurse
take?
A.Move objects out of the child's immediate area.
B.Quickly slip soft restraints on the child's wrists.
C.Insert a padded tongue blade between the teeth.
D.Place in the recovery position before going for help. - ✔✔✔ANSWER-A
The first priority during a seizure is to provide a safe environment, so the nurse
should clear the area (A) to reduce the risk of trauma. The child should not be
restrained (B) because this may cause more trauma. Objects should not be placed
in the child's mouth (C) because it may pose a choking hazard. Although (D)
should be implemented after the seizure, the nurse should not leave the child
during a seizure to get help.
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which
choice of breakfast foods at a fast food restaurant indicates that the mother
understands the dietary guidelines necessary for her child? - ✔✔✔ANSWER-
Toasted oat cereal and low-fat milk
Comprehensive Pn
Exam A Practice
Questions Exam Latest
Update
A 2-day postpartum mother who is breastfeeding asks, "Why do I feel this tingling
in my breasts after the baby sucks for a few minutes?" Which information should
the nurse provide?
A.This feeling occurs during feeding with a breast infection.
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. - ✔✔✔ANSWER-B
,When the mother's milk comes in, usually 2 to 3 days after delivery, women often
report they feel a tingling sensation in their nipples (B) when let-down occurs. (A,
C, and D) provide inaccurate information.
A 40-year-old office worker who is at 36 weeks' gestation presents to the
occupational health clinic complaining of a pounding headache, blurry vision, and
swollen ankles. Which intervention should the nurse implement first? -
✔✔✔ANSWER-Check the client's blood pressure.
A 50-year-old man arrives at the clinic with complaints of pain on ejaculation.
Which action should the nurse implement? - ✔✔✔ANSWER-Ask about scrotal
pain or blood in the semen.
A 77-year-old female client states that she has never been so large around the waist
and that she has frequent periods of constipation. Colon disease has been ruled out
with a flexible sigmoidoscopy. Which information should the nurse provide to this
client? - ✔✔✔ANSWER-With age, more fatty tissue develops in the abdomen and
decreased intestinal movement can cause constipation.
The nurse is teaching the parents of a 10-year-old child with rheumatoid arthritis
measures to help reduce the pain associated with the disease. Which instruction
should the nurse provide to these parents?
A.Administer a nonsteroidal antiinflammatory drug (NSAID) to the child prior to
getting the child out of bed in the morning.
B.Apply ice packs to edematous or tender joints to reduce pain and swelling.
C.Warm the child with an electric blanket prior to getting the child out of bed.
D.Immobilize swollen joints during acute exacerbations until function returns. -
✔✔✔ANSWER-C
,Early morning stiffness and pain are common symptoms of rheumatoid arthritis.
Warming the child (C) in the morning helps reduce these symptoms. Although
moist heat is best, an electric blanket could also be used to help relieve early
morning discomfort. (A) on an empty stomach is likely to cause gastric discomfort.
Warm (not cold) packs or baths are used to minimize joint inflammation and
stiffness (B). (D) is contraindicated, because joints should be exercised, not
immobilized.
The nurse meets resistance while flushing a central venous catheter (CVC) at the
subclavian site. Which action should the nurse perform? - ✔✔✔ANSWER-
Examine for clamp closures.
The nurse performs an assessment on a client with heart failure. Which finding(s)
is(are) consistent with the diagnosis of left-sided heart failure? (Select all that
apply.)
A.Confusion
B.Peripheral edema
C.Crackles in the lungs
D.Dyspnea
E.Distended neck veins - ✔✔✔ANSWER-ACD
Left-sided heart failure results in pulmonary congestion caused by the left
ventricle's inability to pump blood to the periphery. Confusion, crackles in the
lungs, and dyspnea are all signs of pulmonary congestion (A, C, and D). (B and E)
are associated with right-sided heart failure.
The nurse performs tracheostomy suctioning on a comatose client. Place the
interventions in order from first to last.
A. Gently insert the catheter without suction using sterile technique.
B. Hyperoxygenate using a manual reservoir-equipped resuscitation bag (MRB).
, C. Check the suction regulator and adjust suction pressure to 120 to 150 mm Hg.
D. Apply suction intermittently while withdrawing the catheter.
A. B, C, A, D
B. A, C, B, D
C. C, B, A, D
D. D, C, B, A - ✔✔✔ANSWER-C, B, A, D
A child is having a generalized tonic-clonic seizure. Which action should the nurse
take?
A.Move objects out of the child's immediate area.
B.Quickly slip soft restraints on the child's wrists.
C.Insert a padded tongue blade between the teeth.
D.Place in the recovery position before going for help. - ✔✔✔ANSWER-A
The first priority during a seizure is to provide a safe environment, so the nurse
should clear the area (A) to reduce the risk of trauma. The child should not be
restrained (B) because this may cause more trauma. Objects should not be placed
in the child's mouth (C) because it may pose a choking hazard. Although (D)
should be implemented after the seizure, the nurse should not leave the child
during a seizure to get help.
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which
choice of breakfast foods at a fast food restaurant indicates that the mother
understands the dietary guidelines necessary for her child? - ✔✔✔ANSWER-
Toasted oat cereal and low-fat milk
