1|Page
EVOLVE HESI FUNDAMENTALS PRACTICE
QUESTIONS WITH VERIFIED ANSWERS 2026/2027 –
COMPLETE NURSING EXAM PREP
A pregnant woman with a history of heart disease visits the prenatal
clinic at the end of her second trimester. What does the nurse
anticipate about the care she will need?
Preparation for a cesarean birth
2
Bedrest during the last trimester
3
Prophylactic antibiotics at the time of birth
4
Increasing dosages of cardiac medications as pregnancy progresses
......ANSWER......3 antibiotics for bact endocarditis
During a prenatal examination a nurse draws blood from an Rh-negative
client. The nurse explains that an indirect Coombs test will be
performed to predict whether the fetus is at risk for:
1
Acute hemolytic anemia
2
pg. 1
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Respiratory distress syndrome
3
Protein metabolism deficiency
4
Physiologic hyperbilirubinemia ......ANSWER......a
A client is to undergo a tuberculin test as part of her prenatal workup.
Before administering the test, what information about the client should
the nurse obtain?
1
Whether she has had a previous tuberculin test
2
Whether the client is prone to respiratory diseases
3
Whether an earlier tuberculin test's result was positive
4
Whether the client's family has a history of tuberculosis
......ANSWER......3
A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic
that she is experiencing severe nausea and frequent vomiting. The
nurse suspects that the client has hyperemesis gravidarum. What factor
is frequently associated with this disorder?
1
pg. 2
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History of cholecystitis
2
Large amount of amniotic fluid
3
High level of chorionic gonadotropin
4
Decreased secretion of hydrochloric acid ......ANSWER......3
During a routine examination at the prenatal clinic the nurse notes
significant increases in the client's blood pressure and edema of the
face and hands. The diagnostic criterion for preeclampsia is a blood
pressure of 140/90 mm Hg, but what is the lowest blood pressure that
should prompt the nurse to monitor the client for other signs and
symptoms of preeclampsia?
1
130/85 mm Hg
2
125/80 mm Hg
3
115/75 mm Hg
4
110/70 mm Hg ......ANSWER......1
pg. 3
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A 38-year-old client attends the prenatal clinic for the first time. A nurse
explains that several tests will be performed, one of which is the serum
alpha-fetoprotein test. The client asks what the test will reveal. What
should the nurse include in the reply?
1
Trisomy 21
2
Turner syndrome
3
Open neural tube defects
4
Chromosomal aberrations ......ANSWER......3
A client at the prenatal clinic has mild preeclampsia. What should the
nurse teach her to do in regard to her fluid and nutritional intake?
1
Restrict fluid intake.
2
Stay on a low-salt diet.
3
Continue the pregnancy diet.
4
Increase carbohydrate consumption ......ANSWER......3
pg. 4
EVOLVE HESI FUNDAMENTALS PRACTICE
QUESTIONS WITH VERIFIED ANSWERS 2026/2027 –
COMPLETE NURSING EXAM PREP
A pregnant woman with a history of heart disease visits the prenatal
clinic at the end of her second trimester. What does the nurse
anticipate about the care she will need?
Preparation for a cesarean birth
2
Bedrest during the last trimester
3
Prophylactic antibiotics at the time of birth
4
Increasing dosages of cardiac medications as pregnancy progresses
......ANSWER......3 antibiotics for bact endocarditis
During a prenatal examination a nurse draws blood from an Rh-negative
client. The nurse explains that an indirect Coombs test will be
performed to predict whether the fetus is at risk for:
1
Acute hemolytic anemia
2
pg. 1
,2|Page
Respiratory distress syndrome
3
Protein metabolism deficiency
4
Physiologic hyperbilirubinemia ......ANSWER......a
A client is to undergo a tuberculin test as part of her prenatal workup.
Before administering the test, what information about the client should
the nurse obtain?
1
Whether she has had a previous tuberculin test
2
Whether the client is prone to respiratory diseases
3
Whether an earlier tuberculin test's result was positive
4
Whether the client's family has a history of tuberculosis
......ANSWER......3
A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic
that she is experiencing severe nausea and frequent vomiting. The
nurse suspects that the client has hyperemesis gravidarum. What factor
is frequently associated with this disorder?
1
pg. 2
,3|Page
History of cholecystitis
2
Large amount of amniotic fluid
3
High level of chorionic gonadotropin
4
Decreased secretion of hydrochloric acid ......ANSWER......3
During a routine examination at the prenatal clinic the nurse notes
significant increases in the client's blood pressure and edema of the
face and hands. The diagnostic criterion for preeclampsia is a blood
pressure of 140/90 mm Hg, but what is the lowest blood pressure that
should prompt the nurse to monitor the client for other signs and
symptoms of preeclampsia?
1
130/85 mm Hg
2
125/80 mm Hg
3
115/75 mm Hg
4
110/70 mm Hg ......ANSWER......1
pg. 3
, 4|Page
A 38-year-old client attends the prenatal clinic for the first time. A nurse
explains that several tests will be performed, one of which is the serum
alpha-fetoprotein test. The client asks what the test will reveal. What
should the nurse include in the reply?
1
Trisomy 21
2
Turner syndrome
3
Open neural tube defects
4
Chromosomal aberrations ......ANSWER......3
A client at the prenatal clinic has mild preeclampsia. What should the
nurse teach her to do in regard to her fluid and nutritional intake?
1
Restrict fluid intake.
2
Stay on a low-salt diet.
3
Continue the pregnancy diet.
4
Increase carbohydrate consumption ......ANSWER......3
pg. 4
