HESI 101HESI Comprehensive Exam A Practice.

1 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. 2 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. 3 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 selfexamination (TSE). B. Assess for the presence of blood B. This sensation occurs as breast milk moves to the nipple. Rationale: 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 letdown occurs. (A, C, and D) provide inaccurate information. A. Check the client's blood pressure. Rationale: 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. C. Ask about scrotal pain or blood in the semen. Rationale: Orchitis is an acute testicular inflammation resulting from recurrent urinary tract infection, recurrent sexually transmitted disease (STD), orin the urine. C. Ask about scrotal pain or blood in the semen. D. Inquire about a history of kidney stones.