Exit Hesi -Pn Exam A
Practice Question /
Hesi Pn Exit Exam Test
Bank (Best For Exam
Preparation)
,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?
A.Check the client's blood pressure.
B.Teach her to elevate her feet when sitting.
C.Obtain a 24-hour diet history to evaluate for the intake of salty foods.
D.Assess the fetal heart rate. - ✔✔✔ANSWER-A
The blood pressure (A) should be assessed first. Preeclampsia is a multisystem
disorder, and women older than 35 years and have chronic hypertension are at
increased risk. Classic signs include headache, visual changes, edema, recent rapid
weight gain, and elevated blood pressure. (B, C, and D) can be done if the blood
pressure is normal.
A 50-year-old man arrives at the clinic with complaints of pain on ejaculation. Which
action should the nurse implement?
,A.Teach the client testicular self-examination (TSE).
B.Assess for the presence of blood in the urine.
C.Ask about scrotal pain or blood in the semen.
D.Inquire about a history of kidney stones. - ✔✔✔ANSWER-C
Orchitis is an acute testicular inflammation resulting from recurrent urinary tract
infection, recurrent sexually transmitted disease (STD), or an indwelling urethral
urinary catheter causing pain on ejaculation, scrotal pain, blood in the semen, and
penile discharge, so the nurse should 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.
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?
A.As women age, they often become rounder in the middle because they do not
exercise properly.
B.Further assessment is indicated because loss of abdominal muscle tone and
constipation do not occur with aging.
C.With age, more fatty tissue 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 - ✔✔✔ANSWER-C
With aging, the abdominal muscles weaken as fatty tissue is deposited around the
trunk and waist. Slowing peristalsis also affects the emptying of the colon, resulting
, in constipation (C). (A) is not the primary reason for the changes in body structure.
(B) is not indicated because loss of muscle tone and constipation are age-related
changes. (D) dismisses the client's concerns and does not help her understand the
changes that she is experiencing.
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?
A.French toast sticks and orange juice
B.Sausage egg muffin and grape juice
C.Canadian bacon slices and hot chocolate
D.Toasted oat cereal and low-fat milk - ✔✔✔ANSWER-D
Practice Question /
Hesi Pn Exit Exam Test
Bank (Best For Exam
Preparation)
,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?
A.Check the client's blood pressure.
B.Teach her to elevate her feet when sitting.
C.Obtain a 24-hour diet history to evaluate for the intake of salty foods.
D.Assess the fetal heart rate. - ✔✔✔ANSWER-A
The blood pressure (A) should be assessed first. Preeclampsia is a multisystem
disorder, and women older than 35 years and have chronic hypertension are at
increased risk. Classic signs include headache, visual changes, edema, recent rapid
weight gain, and elevated blood pressure. (B, C, and D) can be done if the blood
pressure is normal.
A 50-year-old man arrives at the clinic with complaints of pain on ejaculation. Which
action should the nurse implement?
,A.Teach the client testicular self-examination (TSE).
B.Assess for the presence of blood in the urine.
C.Ask about scrotal pain or blood in the semen.
D.Inquire about a history of kidney stones. - ✔✔✔ANSWER-C
Orchitis is an acute testicular inflammation resulting from recurrent urinary tract
infection, recurrent sexually transmitted disease (STD), or an indwelling urethral
urinary catheter causing pain on ejaculation, scrotal pain, blood in the semen, and
penile discharge, so the nurse should 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.
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?
A.As women age, they often become rounder in the middle because they do not
exercise properly.
B.Further assessment is indicated because loss of abdominal muscle tone and
constipation do not occur with aging.
C.With age, more fatty tissue 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 - ✔✔✔ANSWER-C
With aging, the abdominal muscles weaken as fatty tissue is deposited around the
trunk and waist. Slowing peristalsis also affects the emptying of the colon, resulting
, in constipation (C). (A) is not the primary reason for the changes in body structure.
(B) is not indicated because loss of muscle tone and constipation are age-related
changes. (D) dismisses the client's concerns and does not help her understand the
changes that she is experiencing.
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?
A.French toast sticks and orange juice
B.Sausage egg muffin and grape juice
C.Canadian bacon slices and hot chocolate
D.Toasted oat cereal and low-fat milk - ✔✔✔ANSWER-D
