HESI COMPREHENSIVE EXAM A
COMPREHENSIVE TEST PAPER WITH
SOLVED QUESTIONS
◉ 7. A client diagnosed with type 1 diabetes mellitus has just been
told that she is 6 weeks pregnant. The nurse provides information
to the client about dietary and insulin needs and tells the client
that during the first trimester, insulin needs generally:
A. Increase
B. Decrease
C. Remain unchanged
D. Double from what they normally are
Answer: B. Decrease
◉ 68. A nurse is assessing a pregnant woman for the presence of
edema. The nurse places a thumb on the top of the client's foot,
then exerts pressure and releases it and notes that the thumb has
left a persistent depression. On the basis of this finding, the nurse
concludes that:
A. No edema is present
B. The client is dehydrated
C. Pitting edema is present
D. Blood is not pooling in the extremities
Answer: C. Pitting edema is present
,◉ 69. A nurse assessing the deep tendon reflexes of a pregnant
client notes that the reflexes are 1+ (i.e., reflex present,
hypoactive). On the basis of this finding, the nurse would:
A. Document the findings
B. Contact the health care provider
C.Ask the client to walk for 5 minutes, then recheck the reflexes
D. Perform active and passive range-of-motion exercises of the
client's lower extremities, then recheck the reflexes
Answer: A. Document the findings
◉ 70. After delivering a normal, healthy newborn, a client
complains of severe pelvic pain and a feeling of extreme fullness
in the vagina, and uterine inversion is suspected. For which
immediate intervention does the nurse prepare the client?
A. Hysterectomy
B. Insertion of an indwelling catheter
C. Administration of oxytocin (Pitocin)
D. Replacement of the uterus through the vagina into a normal
position
Answer: D. Replacement of the uterus through the vagina into a
normal position
◉ 71. A nurse in the postpartum unit is caring for a client who
delivered a healthy newborn 12 hours ago. The nurse checks the
,client's temperature and notes that it is 100.4° F (38° C). On the
basis of this finding, the nurse would:
A. Notify the health care provider
B. Recheck the temperature in 4 hours
C. Encourage the client to breastfeed the newborn
D. Institute strict bedrest for the client and notify the health care
provider
Answer: B. Recheck the temperature in 4 hours
◉ 72. A nurse checking the fundus of a postpartum woman notes
that it is above the expected level, at the umbilicus, and that it has
shifted from the midline position to the right. The nurse's initial
action should be:
A. Documenting the findings
B. Encouraging the woman to walk
C. Helping the woman empty her bladder
D. Massaging the fundus gently until it becomes firm
Answer: C. Helping the woman empty her bladder
◉ 73. A nurse is preparing to care for a client who was admitted
to the antepartum unit at 34 weeks' gestation after an episode of
vaginal bleeding resulting from total placenta previa. In report,
the nurse is told that the client's vital signs are stable, that the
fetal heart rate is 140 beats/min with a reassuring pattern, and
that both the client and her husband are anxious about the
condition of the fetus. On reviewing the client's plan of care, which
client concern does the nurse identify as the priority at this time?
, A. Anxiety
B. Premature grief
C. Fluid volume loss
D. Fluid volume overload
Answer: A. Anxiety
◉ 74. A nurse reviews the laboratory results of a hospitalized
pregnant client with a diagnosis of sepsis who is at risk for
disseminated intravascular coagulopathy (DIC). Which laboratory
finding would indicate to the nurse that DIC has developed in the
client?
A. Increased platelet count
B. Shortened prothrombin time
C. Positive result on d-dimer study
D. Decreased fibrin-degradation products
Answer: C. Positive result on d-dimer study
◉ 75. A nurse is caring for a client with a diagnosis of abruptio
placentae. For which early signs of hypovolemic shock does the
nurse closely monitor the client? Select all that apply.
A. Tachycardia
B. Cool, clammy skin
C. Decreased respiratory rate
D. Diminished peripheral pulses
E. Urine output of less than 30 mL/hr
COMPREHENSIVE TEST PAPER WITH
SOLVED QUESTIONS
◉ 7. A client diagnosed with type 1 diabetes mellitus has just been
told that she is 6 weeks pregnant. The nurse provides information
to the client about dietary and insulin needs and tells the client
that during the first trimester, insulin needs generally:
A. Increase
B. Decrease
C. Remain unchanged
D. Double from what they normally are
Answer: B. Decrease
◉ 68. A nurse is assessing a pregnant woman for the presence of
edema. The nurse places a thumb on the top of the client's foot,
then exerts pressure and releases it and notes that the thumb has
left a persistent depression. On the basis of this finding, the nurse
concludes that:
A. No edema is present
B. The client is dehydrated
C. Pitting edema is present
D. Blood is not pooling in the extremities
Answer: C. Pitting edema is present
,◉ 69. A nurse assessing the deep tendon reflexes of a pregnant
client notes that the reflexes are 1+ (i.e., reflex present,
hypoactive). On the basis of this finding, the nurse would:
A. Document the findings
B. Contact the health care provider
C.Ask the client to walk for 5 minutes, then recheck the reflexes
D. Perform active and passive range-of-motion exercises of the
client's lower extremities, then recheck the reflexes
Answer: A. Document the findings
◉ 70. After delivering a normal, healthy newborn, a client
complains of severe pelvic pain and a feeling of extreme fullness
in the vagina, and uterine inversion is suspected. For which
immediate intervention does the nurse prepare the client?
A. Hysterectomy
B. Insertion of an indwelling catheter
C. Administration of oxytocin (Pitocin)
D. Replacement of the uterus through the vagina into a normal
position
Answer: D. Replacement of the uterus through the vagina into a
normal position
◉ 71. A nurse in the postpartum unit is caring for a client who
delivered a healthy newborn 12 hours ago. The nurse checks the
,client's temperature and notes that it is 100.4° F (38° C). On the
basis of this finding, the nurse would:
A. Notify the health care provider
B. Recheck the temperature in 4 hours
C. Encourage the client to breastfeed the newborn
D. Institute strict bedrest for the client and notify the health care
provider
Answer: B. Recheck the temperature in 4 hours
◉ 72. A nurse checking the fundus of a postpartum woman notes
that it is above the expected level, at the umbilicus, and that it has
shifted from the midline position to the right. The nurse's initial
action should be:
A. Documenting the findings
B. Encouraging the woman to walk
C. Helping the woman empty her bladder
D. Massaging the fundus gently until it becomes firm
Answer: C. Helping the woman empty her bladder
◉ 73. A nurse is preparing to care for a client who was admitted
to the antepartum unit at 34 weeks' gestation after an episode of
vaginal bleeding resulting from total placenta previa. In report,
the nurse is told that the client's vital signs are stable, that the
fetal heart rate is 140 beats/min with a reassuring pattern, and
that both the client and her husband are anxious about the
condition of the fetus. On reviewing the client's plan of care, which
client concern does the nurse identify as the priority at this time?
, A. Anxiety
B. Premature grief
C. Fluid volume loss
D. Fluid volume overload
Answer: A. Anxiety
◉ 74. A nurse reviews the laboratory results of a hospitalized
pregnant client with a diagnosis of sepsis who is at risk for
disseminated intravascular coagulopathy (DIC). Which laboratory
finding would indicate to the nurse that DIC has developed in the
client?
A. Increased platelet count
B. Shortened prothrombin time
C. Positive result on d-dimer study
D. Decreased fibrin-degradation products
Answer: C. Positive result on d-dimer study
◉ 75. A nurse is caring for a client with a diagnosis of abruptio
placentae. For which early signs of hypovolemic shock does the
nurse closely monitor the client? Select all that apply.
A. Tachycardia
B. Cool, clammy skin
C. Decreased respiratory rate
D. Diminished peripheral pulses
E. Urine output of less than 30 mL/hr
