QUESTIONS WITH RATIONALS
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HESI LPN-RN 2025-2026 QUESTIONS WITH RATIONALS
A client who is formula feeding her infant complains of discomfort from engorged breasts. What should the
nurse recommend that the client do?
Multiple choice question
Use warm, moist towels as compresses.
Express milk from each breast manually.
Apply cold packs and a snugly fitting bra.
Restrict oral fluid intake to less than a quart a day. - CORRECT ANSWER - Apply cold packs and a snugly
fitting bra.
Application of cold relieves discomfort, and a snug bra provides support and aids in pressure atrophy of acini
cells so that milk production is suppressed. Warm, moist compresses are suitable for the breastfeeding mother
experiencing discomfort from engorgement because it promotes comfort and stimulates milk production.
Expressing milk manually is suitable for the breastfeeding mother who is experiencing engorgement, not one who
is formula feeding, because it promotes comfort and stimulates milk production. Restriction of fluids will not
prevent engorgement and may cause dehydration.
A client with a disturbed state of mind is under observation. Which statement made by the nurse indicates that
the client is suffering from dementia? .
Multiple selection question
"The client is very depressed."
"The client is not able to make decisions."
"The client always tells about his/her failures."
"The client is not able to perform purposeful work."