HESI PN OB/HESI PN PEDIATRICS /HESI PN
MATERNITY Exam Preparation 2026/2027
Newest With 450 Complete Questions
And Correct Detailed Answers| Brand
New Version!
The nurse is assessing a client who is bedfast and refuses to turn or move from a
supine position. How should the nurse assess the client for possible dependent
edema?
A) Compress the flank and upper buttocks.
B) Measure the client's abdominal girth.
C) Gently palpate the lower abdomen.
D) Apply light pressure over the shins. - Correct Answer-A) Compress the flank
and upper buttocks.
Rationale: Dependent edema collects in dependent areas, such as the flank and
upper buttocks (A) of the client who is persistently flat in bed. (B) provides data
about ascites (fluid collection in the abdomen), rather than dependent edema,
and (C) provides data about abdominal distention. (D) provides data about the
collection of dependent edema for a client whose lower extremities are often in a
dependent position, such as when sitting in a chair.
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks the
nurse how this devise will help him. How should the nurse explain the action of a
synchronous pacemaker?
A) Ventricular irritability is prevented by the constant rate setting of pacemaker.
1
,B) Ectopic stimulus in the atria is suppressed by the device usurping
depolarization.
C) An impulse is fired every second to maintain a heart rate of 60 beats per
minute.
D) An electrical stimulus is discharged when no ventricular response is sensed. -
Correct Answer-D) An electrical stimulus is discharged when no ventricular
response is sensed.
Rationale: The artificial cardiac pacemaker is an electronic device used to pace the
heart when the normal conduction pathway is damaged or diseased, such as a
symptomatic dysrhythmias like atrial fibrillation with a slow ventricular response.
Pacing modes that are synchronous (impulse generated on demand or as needed
according to the patient's intrinsic rhythm) send an electrical signal from the
pacemaker to the wall of the myocardium stimulating it to contract when no
ventricular depolarization is sensed (D). (A, B, and C) do not provide accurate
information.
The unlicensed assistive personnel (UAP) reports that an 87-year-old female client
who is sitting in a chair at the bedside has an oral temperature of 97.2° F. Which
intervention should the nurse implement?
A) Document the temperature reading on the vital sign graphic sheet.
B) Report the temperature to the healthcare provider immediately.
C) Instruct the UAP to take the client's temperature again in 30 minutes.
D) Advise the UAP to assist the client in returning to her bed. - Correct Answer-A)
Document the temperature reading on the vital sign graphic sheet.
Rationale: A subnormal temperature of 97.2° F (orally) is a common finding in
elderly clients, so the nurse should document the findings (A) and continue with
the plan of care. (B, C, and D) are not indicated unless the temperature falls below
97° F or if other symptoms occur.
The nurse is completing the health assessment of a 79-year-old male client who
denies any significant health problems. Which finding requires the most
immediate follow-up assessment?
2
,A) Kyphosis with a reduction in height.
B) Dilated superficial veins on both legs.
C) External hemorrhoids with itching.
D) Yellowish discoloration of the sclerae. - Correct Answer-D) Yellowish
discoloration of the sclerae.
Rationale: Jaundice, a yellowish discoloration of the sclerae (D), may indicate liver
damage and requires further assessment. Kyphosis and height reduction (A) due
to bone loss, varicose veins (B), and external hemorrhoids with itching (C) are
common findings in the elderly that do not require immediate intervention.
Which finding should the nurse report to the healthcare provider for a client with
a circumferential extremity burn?
A) Full thickness burns rather than partial thickness.
B) Supinates extremity but unable to fully pronate the extremity.
C) Slow capillary refill in the digits with absent distal pulse points.
D) Inability to distinguish sharp versus dull sensations in the extremity. - Correct
Answer-C) Slow capillary refill in the digits with absent distal pulse points
Rationale: A circumferential burn can form an eschar that results from burn
exudate fluid that dries and acts as a tourniquet as fluid shifts occur in the
interstitial tissue. As edema increases tissue pressure, blood flow to the distal
extremity is compromised, which is manifested by slow capillary refill and absent
distal pulses (C), so the healthcare provider should be notified about any
compromised circulation that requires escharotomy. Although eschar formation
occurs more readily over full thickness burns (A), the circumferential location of
the burn is most likely to constrict underlying structures. Limited movement (B) is
often due to pain. (D) may be related to the depth of the burn.
The nurse completes visual inspection of a client's abdomen. What technique
should the nurse perform next in the abdominal examination?
A) Percussion.
3
, B) Auscultation.
C) Deep palpation.
D) Light palpation. - Correct Answer-B) Auscultation.
Rationale: Auscultation (B) of the client's abdomen is performed next because
manual manipulation (A, C, and D) can stimulate the bowel and create false
sounds heard during auscultation.
A client who has just tested positive for human immunodeficiency virus (HIV)
does not appear to hear what the nurse is saying during post-test counseling.
Which information should the nurse offer to facilitate the client's adjustment to
HIV infection?
A) Inform the client how to protect sexual and needle-sharing partners.
B) Teach the client about the medications that are available for treatment.
C) Identify the need to test others who have had risky contact with the client.
D) Discuss retesting to verify the results, which will ensure continuing contact. -
Correct Answer-D) Discuss retesting to verify the results, which will ensure
continuing contact.
Rationale: Encouraging retesting (D) supports hope and gives the client time to
cope with the diagnosis. Although post-test counseling should include education
about (A, B, and C), retesting encourages the client to maintain medical follow-up
and management.
The nurse hears short, high-pitched sounds just before the end of inspiration in
the right and left lower lobes when auscultating a client's lungs. How should this
finding be recorded?
A) Inspiratory wheezes in both lungs.
B) Crackles in the right and left lower lobes.
C) Abnormal lung sounds in the bases of both lungs.
D) Pleural friction rub in the right and left lower lobes. - Correct Answer-B)
Crackles in the right and left lower lobes.
4
MATERNITY Exam Preparation 2026/2027
Newest With 450 Complete Questions
And Correct Detailed Answers| Brand
New Version!
The nurse is assessing a client who is bedfast and refuses to turn or move from a
supine position. How should the nurse assess the client for possible dependent
edema?
A) Compress the flank and upper buttocks.
B) Measure the client's abdominal girth.
C) Gently palpate the lower abdomen.
D) Apply light pressure over the shins. - Correct Answer-A) Compress the flank
and upper buttocks.
Rationale: Dependent edema collects in dependent areas, such as the flank and
upper buttocks (A) of the client who is persistently flat in bed. (B) provides data
about ascites (fluid collection in the abdomen), rather than dependent edema,
and (C) provides data about abdominal distention. (D) provides data about the
collection of dependent edema for a client whose lower extremities are often in a
dependent position, such as when sitting in a chair.
A male client with chronic atrial fibrillation and a slow ventricular response is
scheduled for surgical placement of a permanent pacemaker. The client asks the
nurse how this devise will help him. How should the nurse explain the action of a
synchronous pacemaker?
A) Ventricular irritability is prevented by the constant rate setting of pacemaker.
1
,B) Ectopic stimulus in the atria is suppressed by the device usurping
depolarization.
C) An impulse is fired every second to maintain a heart rate of 60 beats per
minute.
D) An electrical stimulus is discharged when no ventricular response is sensed. -
Correct Answer-D) An electrical stimulus is discharged when no ventricular
response is sensed.
Rationale: The artificial cardiac pacemaker is an electronic device used to pace the
heart when the normal conduction pathway is damaged or diseased, such as a
symptomatic dysrhythmias like atrial fibrillation with a slow ventricular response.
Pacing modes that are synchronous (impulse generated on demand or as needed
according to the patient's intrinsic rhythm) send an electrical signal from the
pacemaker to the wall of the myocardium stimulating it to contract when no
ventricular depolarization is sensed (D). (A, B, and C) do not provide accurate
information.
The unlicensed assistive personnel (UAP) reports that an 87-year-old female client
who is sitting in a chair at the bedside has an oral temperature of 97.2° F. Which
intervention should the nurse implement?
A) Document the temperature reading on the vital sign graphic sheet.
B) Report the temperature to the healthcare provider immediately.
C) Instruct the UAP to take the client's temperature again in 30 minutes.
D) Advise the UAP to assist the client in returning to her bed. - Correct Answer-A)
Document the temperature reading on the vital sign graphic sheet.
Rationale: A subnormal temperature of 97.2° F (orally) is a common finding in
elderly clients, so the nurse should document the findings (A) and continue with
the plan of care. (B, C, and D) are not indicated unless the temperature falls below
97° F or if other symptoms occur.
The nurse is completing the health assessment of a 79-year-old male client who
denies any significant health problems. Which finding requires the most
immediate follow-up assessment?
2
,A) Kyphosis with a reduction in height.
B) Dilated superficial veins on both legs.
C) External hemorrhoids with itching.
D) Yellowish discoloration of the sclerae. - Correct Answer-D) Yellowish
discoloration of the sclerae.
Rationale: Jaundice, a yellowish discoloration of the sclerae (D), may indicate liver
damage and requires further assessment. Kyphosis and height reduction (A) due
to bone loss, varicose veins (B), and external hemorrhoids with itching (C) are
common findings in the elderly that do not require immediate intervention.
Which finding should the nurse report to the healthcare provider for a client with
a circumferential extremity burn?
A) Full thickness burns rather than partial thickness.
B) Supinates extremity but unable to fully pronate the extremity.
C) Slow capillary refill in the digits with absent distal pulse points.
D) Inability to distinguish sharp versus dull sensations in the extremity. - Correct
Answer-C) Slow capillary refill in the digits with absent distal pulse points
Rationale: A circumferential burn can form an eschar that results from burn
exudate fluid that dries and acts as a tourniquet as fluid shifts occur in the
interstitial tissue. As edema increases tissue pressure, blood flow to the distal
extremity is compromised, which is manifested by slow capillary refill and absent
distal pulses (C), so the healthcare provider should be notified about any
compromised circulation that requires escharotomy. Although eschar formation
occurs more readily over full thickness burns (A), the circumferential location of
the burn is most likely to constrict underlying structures. Limited movement (B) is
often due to pain. (D) may be related to the depth of the burn.
The nurse completes visual inspection of a client's abdomen. What technique
should the nurse perform next in the abdominal examination?
A) Percussion.
3
, B) Auscultation.
C) Deep palpation.
D) Light palpation. - Correct Answer-B) Auscultation.
Rationale: Auscultation (B) of the client's abdomen is performed next because
manual manipulation (A, C, and D) can stimulate the bowel and create false
sounds heard during auscultation.
A client who has just tested positive for human immunodeficiency virus (HIV)
does not appear to hear what the nurse is saying during post-test counseling.
Which information should the nurse offer to facilitate the client's adjustment to
HIV infection?
A) Inform the client how to protect sexual and needle-sharing partners.
B) Teach the client about the medications that are available for treatment.
C) Identify the need to test others who have had risky contact with the client.
D) Discuss retesting to verify the results, which will ensure continuing contact. -
Correct Answer-D) Discuss retesting to verify the results, which will ensure
continuing contact.
Rationale: Encouraging retesting (D) supports hope and gives the client time to
cope with the diagnosis. Although post-test counseling should include education
about (A, B, and C), retesting encourages the client to maintain medical follow-up
and management.
The nurse hears short, high-pitched sounds just before the end of inspiration in
the right and left lower lobes when auscultating a client's lungs. How should this
finding be recorded?
A) Inspiratory wheezes in both lungs.
B) Crackles in the right and left lower lobes.
C) Abnormal lung sounds in the bases of both lungs.
D) Pleural friction rub in the right and left lower lobes. - Correct Answer-B)
Crackles in the right and left lower lobes.
4
