HESI EXIT EXAM VERSION 2 2026
COMPLETE PN REVIEW WITH PRACTICE
QUESTIONS AND RATIONALES |
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,Assessment findings of a 4-hour-old newborn include: Swaddle the infant in a warm blanket
axillary temperature of 96.8° F (35.8° C), heart rate of 150
beats/minute with a soft murmur, irregular respiratory rate
at 64 breaths/minute, jitteriness, hypotonic, and weak cry.
Based on these findings, which action should the nurse
implement?
A multiparous client is involuntarily pushing while being Apply suprapubic pressure
wheeled into the labor triage area. The nurse observes
the fetal head presenting at the perineum. Which action
should the nurse take?
After two miscarriages, a client is Instructed to increase Strawberries
her daily intake of foods that includes folic acid. The client
does not like green leafy vegetables and states she is
allergic to soy. Which food should the nurse suggest that
the client eat to obtain folic acid
While assessing a 40-week gestation primigravida in Fetal heart rate of 100 to 110 beats/minute
active labor, the client's membranes rupture
spontaneously and the nurse notes that the amniotic fluid
is meconium stained. Which additional finding is most
important for the nurse to report to the healthcare
provider?
A client at 35 weeks gestation complains of a "pain Chorioamnionitis
whenever the baby moves." On assessment, the nurse
notes the client's temperature to be 101.20 F (38.4° C),
with severe abdominal or uterine tenderness on
palpation. The nurse knows that these findings are
indicative of which condition?
The nurse is caring for a client who is 10-weeks' gestation Obtain HCG levels
and palpates the funds at 2 fingerbreadths above the
pubic symphysis. The client reports nausea, vomiting, and
scant dark brown vaginal discharge. Which action should
the nurse take?
A gravida 3 para 3 who is Rh-negative delivers a full-term The newborn's blood type should be tested to determine the need for RhoGAM
infant at home with the assistance of a nurse midwife. Two
days later, the client calls the clinic to ask if it is necessary
to see the healthcare provider since the infant is healthy,
and she is not having any complications. The woman's
history indicates that both previously born infants were
Rh-negative. Which response should the nurse provide?
A is necessary to see the healthcare provider since the The newborn's blood type should be tested to determine the need for RhoGAM
infant is healthy, and she is not having any complications.
The woman's history indicates that both previously born
infants were Rh-negative. Which response should the
nurse provide?
,The nurse is caring for a client who is 24-weeks gestation Oral glucose challenge test
and reports increased thirst and urination. Which
diagnostic test result should the nurse report to the
healthcare provider?
At a prenatal visit, a primigravida client confides to the Safety plan to keep in a purse at all times
nurse that her partner is abusive. Which information
should the nurse provide?
At 0600 while admitting a woman for a scheduled repeat Inform the anesthesia care provider
cesarean section (C-section), the client tells the nurse
that she drank a cup of coffee at 0400 because she
wanted to avoid getting a headache. Which action should
the nurse take first?
A primipara client at 42-weeks gestation is admitted for Restart oxytocin infusion rate per protocol
induction. Within one hour after initiating an oxytocin
infusion, her cervix is 100% effaced and 6 cm dilated;
contractions are occurring every 1 minute with a 75
second duration. The nurse stops the oxytocin and starts
oxygen. After 30 minutes of uterine rest, the contractions
are occurring every 5 minutes with 20 second duration.
Which intervention should the nurse implement?
A nurse is speaking with a client who is addicted to heroin Start a prenatal care plan as soon as possible
and who just learned that she is pregnant. The client
states, *I just started taking methadone. Is there anything
else I can do to make sure my baby is healthy?" Which
information should the nurse provide?
A client who is receiving oxytocin to augment early labor Turn off the oxytocin infusion
begins to experience tachy systolic or tetanic
contractions with variable fetal heart deceleration. Which
action should the nurse implement?
Which action should the nurse take if an infant, who was Inform and assure the mother that this is a normal weight loss
born yesterday weighing 7.5 lbs. (3, 402 grams), weighs 7
lbs (3,175 grams) today?
The nurse is caring for a postpartum client who is Heart rate & blood pressure
complaining of severe pain and a feeling of pressure in
her perineum. Her fundus is firm and she has a moderate
lochial flow. On inspection, the nurse finds that a perineal
hematoma is beginning to form. Which assessment
finding should the nurse obtain first?
The nurse is assessing a 38-week gestation newborn Cries vigorously when stimulated
infant immediately following a vaginal birth. Which
assessment finding best indicates that the infant is
transitioning well to extrauterine life?
, A client who had her first baby three months ago and is Using alternative form of birth control until new diaphragm can be obtained
breastfeeding her infant tells the nurse that she is
currently using the same diaphragm that she used before
becoming pregnant. Which information should the nurse
provide this client?
A woman in her third trimester of pregnancy has been in Intensity, interval, and length of contractions
active labor for the past 8 hours and has dilated 3 cm.
The nurse's assessment findings and electronic fetal
monitoring (EFM) are consistent with hypotonic dystocia,
and the healthcare provider prescribes an oxytocin drip.
Which data is most important for the nurse to monitor?
A primiparous client delivered via cesarean section 24 ccepts the birth was not as expected.
hours ago. Which behavior should the nurse expect the
client to exhibit?
The nurse is preparing a young couple and their 24-hour- Evaluate infant feeding techniques prior to discharge
old infant for discharge from the hospital. In conducting
discharge teaching, which intervention is most important
for the nurse to implement?
A primipara at 20-weeks gestation is scheduled for an Fetal growth and gestational age.
ultrasound. In preparing the client for the procedure, the
nurse should explain that the primary reason for
conducting this diagnostic study is to obtain which
information?
Following the vaginal delivery of a 10-pound (4536 gram) Perform fundal massage until firm.
infant, the nurse assesses a new mother's vaginal
bleeding and finds that she has saturated two pads in 30
minutes and has a boggy uterus. Which action should the
nurse implement first?
The nurse is caring for a newborn who is 18 inches long, Hypoglycemia
weighs 4 pounds, 14 ounces (2.2 kg), has a head
circumference of 13 inches (33 cm), and a chest
circumference of 10 inches (25.4 cm). Based on these
physical findings, assessment for which condition has the
highest priority?
The nurse is caring for a client whose fetus died in utero Encourage the mother to hold and spend time with her baby.
at 32-weeks gestation. After the fetus is delivered
vaginally, the nurse implements routine fetal demise
protocol and identification procedures. Which action is
most important for the nurse to take?
A client who is 32 weeks gestation comes to the women's Ascertain the frequency of headaches
health clinic and reports nausea and vomiting. On
examination, the nurse notes that the client has an
elevated blood pressure. Which action should the nurse
implement next?
COMPLETE PN REVIEW WITH PRACTICE
QUESTIONS AND RATIONALES |
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,Assessment findings of a 4-hour-old newborn include: Swaddle the infant in a warm blanket
axillary temperature of 96.8° F (35.8° C), heart rate of 150
beats/minute with a soft murmur, irregular respiratory rate
at 64 breaths/minute, jitteriness, hypotonic, and weak cry.
Based on these findings, which action should the nurse
implement?
A multiparous client is involuntarily pushing while being Apply suprapubic pressure
wheeled into the labor triage area. The nurse observes
the fetal head presenting at the perineum. Which action
should the nurse take?
After two miscarriages, a client is Instructed to increase Strawberries
her daily intake of foods that includes folic acid. The client
does not like green leafy vegetables and states she is
allergic to soy. Which food should the nurse suggest that
the client eat to obtain folic acid
While assessing a 40-week gestation primigravida in Fetal heart rate of 100 to 110 beats/minute
active labor, the client's membranes rupture
spontaneously and the nurse notes that the amniotic fluid
is meconium stained. Which additional finding is most
important for the nurse to report to the healthcare
provider?
A client at 35 weeks gestation complains of a "pain Chorioamnionitis
whenever the baby moves." On assessment, the nurse
notes the client's temperature to be 101.20 F (38.4° C),
with severe abdominal or uterine tenderness on
palpation. The nurse knows that these findings are
indicative of which condition?
The nurse is caring for a client who is 10-weeks' gestation Obtain HCG levels
and palpates the funds at 2 fingerbreadths above the
pubic symphysis. The client reports nausea, vomiting, and
scant dark brown vaginal discharge. Which action should
the nurse take?
A gravida 3 para 3 who is Rh-negative delivers a full-term The newborn's blood type should be tested to determine the need for RhoGAM
infant at home with the assistance of a nurse midwife. Two
days later, the client calls the clinic to ask if it is necessary
to see the healthcare provider since the infant is healthy,
and she is not having any complications. The woman's
history indicates that both previously born infants were
Rh-negative. Which response should the nurse provide?
A is necessary to see the healthcare provider since the The newborn's blood type should be tested to determine the need for RhoGAM
infant is healthy, and she is not having any complications.
The woman's history indicates that both previously born
infants were Rh-negative. Which response should the
nurse provide?
,The nurse is caring for a client who is 24-weeks gestation Oral glucose challenge test
and reports increased thirst and urination. Which
diagnostic test result should the nurse report to the
healthcare provider?
At a prenatal visit, a primigravida client confides to the Safety plan to keep in a purse at all times
nurse that her partner is abusive. Which information
should the nurse provide?
At 0600 while admitting a woman for a scheduled repeat Inform the anesthesia care provider
cesarean section (C-section), the client tells the nurse
that she drank a cup of coffee at 0400 because she
wanted to avoid getting a headache. Which action should
the nurse take first?
A primipara client at 42-weeks gestation is admitted for Restart oxytocin infusion rate per protocol
induction. Within one hour after initiating an oxytocin
infusion, her cervix is 100% effaced and 6 cm dilated;
contractions are occurring every 1 minute with a 75
second duration. The nurse stops the oxytocin and starts
oxygen. After 30 minutes of uterine rest, the contractions
are occurring every 5 minutes with 20 second duration.
Which intervention should the nurse implement?
A nurse is speaking with a client who is addicted to heroin Start a prenatal care plan as soon as possible
and who just learned that she is pregnant. The client
states, *I just started taking methadone. Is there anything
else I can do to make sure my baby is healthy?" Which
information should the nurse provide?
A client who is receiving oxytocin to augment early labor Turn off the oxytocin infusion
begins to experience tachy systolic or tetanic
contractions with variable fetal heart deceleration. Which
action should the nurse implement?
Which action should the nurse take if an infant, who was Inform and assure the mother that this is a normal weight loss
born yesterday weighing 7.5 lbs. (3, 402 grams), weighs 7
lbs (3,175 grams) today?
The nurse is caring for a postpartum client who is Heart rate & blood pressure
complaining of severe pain and a feeling of pressure in
her perineum. Her fundus is firm and she has a moderate
lochial flow. On inspection, the nurse finds that a perineal
hematoma is beginning to form. Which assessment
finding should the nurse obtain first?
The nurse is assessing a 38-week gestation newborn Cries vigorously when stimulated
infant immediately following a vaginal birth. Which
assessment finding best indicates that the infant is
transitioning well to extrauterine life?
, A client who had her first baby three months ago and is Using alternative form of birth control until new diaphragm can be obtained
breastfeeding her infant tells the nurse that she is
currently using the same diaphragm that she used before
becoming pregnant. Which information should the nurse
provide this client?
A woman in her third trimester of pregnancy has been in Intensity, interval, and length of contractions
active labor for the past 8 hours and has dilated 3 cm.
The nurse's assessment findings and electronic fetal
monitoring (EFM) are consistent with hypotonic dystocia,
and the healthcare provider prescribes an oxytocin drip.
Which data is most important for the nurse to monitor?
A primiparous client delivered via cesarean section 24 ccepts the birth was not as expected.
hours ago. Which behavior should the nurse expect the
client to exhibit?
The nurse is preparing a young couple and their 24-hour- Evaluate infant feeding techniques prior to discharge
old infant for discharge from the hospital. In conducting
discharge teaching, which intervention is most important
for the nurse to implement?
A primipara at 20-weeks gestation is scheduled for an Fetal growth and gestational age.
ultrasound. In preparing the client for the procedure, the
nurse should explain that the primary reason for
conducting this diagnostic study is to obtain which
information?
Following the vaginal delivery of a 10-pound (4536 gram) Perform fundal massage until firm.
infant, the nurse assesses a new mother's vaginal
bleeding and finds that she has saturated two pads in 30
minutes and has a boggy uterus. Which action should the
nurse implement first?
The nurse is caring for a newborn who is 18 inches long, Hypoglycemia
weighs 4 pounds, 14 ounces (2.2 kg), has a head
circumference of 13 inches (33 cm), and a chest
circumference of 10 inches (25.4 cm). Based on these
physical findings, assessment for which condition has the
highest priority?
The nurse is caring for a client whose fetus died in utero Encourage the mother to hold and spend time with her baby.
at 32-weeks gestation. After the fetus is delivered
vaginally, the nurse implements routine fetal demise
protocol and identification procedures. Which action is
most important for the nurse to take?
A client who is 32 weeks gestation comes to the women's Ascertain the frequency of headaches
health clinic and reports nausea and vomiting. On
examination, the nurse notes that the client has an
elevated blood pressure. Which action should the nurse
implement next?
