Karen HESI Exam Version
2 Exit HESI Exam
2022–2023 | Questions,
Answers & Detailed
Rationales Study Guide
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
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Rationales
Included
, A woman at 36-weeks' gestation who is Rh negative is Assess the fetal heart rate & client's contraction pattern
admitted to labor and delivery reporting abdominal
cramp. She is placed on a strict bedrest and the fetal
heart rate and contraction pattern are monitored with an
external fetal monitor. Two hours after admission, the
nurse notes a large amount of bright red vaginal
bleeding. Which nursing intervention has the highest
priority?
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?
2 Exit HESI Exam
2022–2023 | Questions,
Answers & Detailed
Rationales Study Guide
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, A woman at 36-weeks' gestation who is Rh negative is Assess the fetal heart rate & client's contraction pattern
admitted to labor and delivery reporting abdominal
cramp. She is placed on a strict bedrest and the fetal
heart rate and contraction pattern are monitored with an
external fetal monitor. Two hours after admission, the
nurse notes a large amount of bright red vaginal
bleeding. Which nursing intervention has the highest
priority?
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?
