NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
1. A home care nurse is instructing a client with hyperemesis
gravidarum about measures to ease the nausea and
vomiting. The nurse tells the client to:
A. Eat foods high in calories and fat
B. Lie down for at least 20 minutes after meals
C. Eat carbohydrates such as cereals, rice, and pasta
Correct
D. Consume primarily soups and liquids at mealtimes
Rationale: Low-fat foods and easily digested carbohydrates such as fruit, breads, cereals,
rice, and pasta provide important nutrients and help prevent a low blood glucose level,
which can cause nausea. Soups and other liquids should be taken between meals to
avoid distending the stomach and triggering nausea. Sitting upright after meals reduces
gastric reflux. Additionally, food portions should be small and foods with strong odors
should be eliminated from the diet, because food smells often incite nausea.
A stillborn infant was delivered a few hours ago. After the birth,
the family remains together, holding and touching the baby.
Which statement by the nurse is appropriate?
A. “I know how you feel.”
B. “This must be hard for you.” Correct
NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
,NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
C. “Now you have an angel in heaven.”
D. “You’re young. You can have other children.”
Rationale: Therapeutic communication helps the mother, father, and other family
members express their feelings and emotions. “This must be hard for you” is a caring
and empathetic response, focused on feelings and encouraging communication. The
other options are nontherapeutic and may devalue the family members' feelings.
A nurse is providing nutritional counseling to pregnant client with
a history of cardiac disease. What does the nurse advise the
client to eat?
E. Water and pretzels
F. Low-fat cheese omelet Incorrect
G. Nachos and fried chicken
H. Apple and whole-grain toast Correct
NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
,NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
Rationale: The pregnant woman needs a well-balanced diet high in iron and protein and
adequate in calories for weight gain. Iron supplements that are taken during pregnancy
tend to cause constipation. Constipation causes the client to strain during defecation,
inadvertently performing the Valsalva maneuver, which causes blood to rush to the
heart and overload the cardiac system. The pregnant woman, then, should increase her
intake of fluids and fiber. An unlimited intake of sodium (pretzels, cheese, nachos)
could cause overload of the circulating blood volume and contribute to the cardiac
A nurse is reviewing the records of the clients admitted to the
maternity unit during the past 24 hours. Which of the following
Correct
clients does the nurse recognize as being at risk for the
development of disseminated intravascular coagulation (DIC)?
Select all that apply.
I. A client with septicemia
J. A client with mild preeclampsia
Incorrect
K. A client with diabetes mellitus who delivered a 10-lb
baby Incorrect
L. A client who had a cesarean section because of
abruptio placentae Correct
M. A client who delivered 12 hours ago and has lost 475
mL of blood
NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
, NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
Rationale: DIC is a pathologic form of clotting that is diffuse and consumes large amounts
of clotting factors, including platelets, fibrinogen, prothrombin, and factors V and VII. In
the obstetric population, DIC occurs as a result of abruptio placentae, amniotic fluid
embolism, dead fetus syndrome (in which the fetus has died but is retained in utero for
at least 6 weeks), severe preeclampsia, septicemia, cardiopulmonary arrest, or
hemorrhage. A loss of 475 mL is not considered hemorrhage .A mild case of
preeclampsia is not a risk factor for DIC. It is not unusual for a client with diabetes
A delivery room nurse is preparing a client for a cesarean
delivery. The client is placed on the delivery room table, and the
nurse positions the client:
N. Prone
O. In a semi-Fowler position
P. In the Trendelenburg position
Q. Supine with a wedge under the right hip Correct
Rationale: The pregnant client is positioned so that the uterus is displaced laterally to
prevent compression of the inferior vena cava, which causes decreased placental
perfusion. This is accomplished by placing a wedge under the hip. Positioning for
abdominal surgery necessitates a supine position. The Trendelenburg position places
pressure from the pregnant uterus on the diaphragm and lungs, decreasing respiratory
capacity and oxygenation. A semi-Fowler or prone position is not practical for this type
A nurse is preparing to perform the Leopold maneuvers on a
NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
1. A home care nurse is instructing a client with hyperemesis
gravidarum about measures to ease the nausea and
vomiting. The nurse tells the client to:
A. Eat foods high in calories and fat
B. Lie down for at least 20 minutes after meals
C. Eat carbohydrates such as cereals, rice, and pasta
Correct
D. Consume primarily soups and liquids at mealtimes
Rationale: Low-fat foods and easily digested carbohydrates such as fruit, breads, cereals,
rice, and pasta provide important nutrients and help prevent a low blood glucose level,
which can cause nausea. Soups and other liquids should be taken between meals to
avoid distending the stomach and triggering nausea. Sitting upright after meals reduces
gastric reflux. Additionally, food portions should be small and foods with strong odors
should be eliminated from the diet, because food smells often incite nausea.
A stillborn infant was delivered a few hours ago. After the birth,
the family remains together, holding and touching the baby.
Which statement by the nurse is appropriate?
A. “I know how you feel.”
B. “This must be hard for you.” Correct
NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
,NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
C. “Now you have an angel in heaven.”
D. “You’re young. You can have other children.”
Rationale: Therapeutic communication helps the mother, father, and other family
members express their feelings and emotions. “This must be hard for you” is a caring
and empathetic response, focused on feelings and encouraging communication. The
other options are nontherapeutic and may devalue the family members' feelings.
A nurse is providing nutritional counseling to pregnant client with
a history of cardiac disease. What does the nurse advise the
client to eat?
E. Water and pretzels
F. Low-fat cheese omelet Incorrect
G. Nachos and fried chicken
H. Apple and whole-grain toast Correct
NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
,NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
Rationale: The pregnant woman needs a well-balanced diet high in iron and protein and
adequate in calories for weight gain. Iron supplements that are taken during pregnancy
tend to cause constipation. Constipation causes the client to strain during defecation,
inadvertently performing the Valsalva maneuver, which causes blood to rush to the
heart and overload the cardiac system. The pregnant woman, then, should increase her
intake of fluids and fiber. An unlimited intake of sodium (pretzels, cheese, nachos)
could cause overload of the circulating blood volume and contribute to the cardiac
A nurse is reviewing the records of the clients admitted to the
maternity unit during the past 24 hours. Which of the following
Correct
clients does the nurse recognize as being at risk for the
development of disseminated intravascular coagulation (DIC)?
Select all that apply.
I. A client with septicemia
J. A client with mild preeclampsia
Incorrect
K. A client with diabetes mellitus who delivered a 10-lb
baby Incorrect
L. A client who had a cesarean section because of
abruptio placentae Correct
M. A client who delivered 12 hours ago and has lost 475
mL of blood
NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
, NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
Rationale: DIC is a pathologic form of clotting that is diffuse and consumes large amounts
of clotting factors, including platelets, fibrinogen, prothrombin, and factors V and VII. In
the obstetric population, DIC occurs as a result of abruptio placentae, amniotic fluid
embolism, dead fetus syndrome (in which the fetus has died but is retained in utero for
at least 6 weeks), severe preeclampsia, septicemia, cardiopulmonary arrest, or
hemorrhage. A loss of 475 mL is not considered hemorrhage .A mild case of
preeclampsia is not a risk factor for DIC. It is not unusual for a client with diabetes
A delivery room nurse is preparing a client for a cesarean
delivery. The client is placed on the delivery room table, and the
nurse positions the client:
N. Prone
O. In a semi-Fowler position
P. In the Trendelenburg position
Q. Supine with a wedge under the right hip Correct
Rationale: The pregnant client is positioned so that the uterus is displaced laterally to
prevent compression of the inferior vena cava, which causes decreased placental
perfusion. This is accomplished by placing a wedge under the hip. Positioning for
abdominal surgery necessitates a supine position. The Trendelenburg position places
pressure from the pregnant uterus on the diaphragm and lungs, decreasing respiratory
capacity and oxygenation. A semi-Fowler or prone position is not practical for this type
A nurse is preparing to perform the Leopold maneuvers on a
NURSING 240 HESI EXAM QUESTIONS & ANSWERS BEST
EXAM SOLUTION RATIONALE SATISFACTION
GUARANTEED SUCCESS LATEST UPDATE 2021/2022
GRADEDA+
