HESI RN EXIT EXAM QUESTIONS AND ANSWERS ; STUDENT GUIDE 2022

Women & Newborn Health ATI –Form A 1) A client and her partner ask the nurse for information about permanent contraception. Which of the following statements should the nurse include in the counseling? a. Most sterilization procedures are considered irreversible b. A woman should use contraception for 1-2 months after a tubal ligation c. A man is usually sterile immediately after a vasectomy d. The menstrual cycle is shorter after a tubal ligation 2) A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? a. Swaddle the newborn in a flexed position b. Weigh the newborn every other day c. Increase the newborn’s visual stimulation d. Discourage parental interaction until after a social service evaluation 3) A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup? a. Lentils b. Oatmeal c. Cabbage d. Asparagus 4) A nurse is teaching a client who is pregnant about a new prescription for iron supplements. Which of the following instructions should the nurse include in the teaching? a. Increase intake of foods rich in vitamin C b. Take an extra pill if you miss a dose c. Report black stools to the provider d. Drink 8 ox of milk with each pill 5) A nurse is caring for a preterm newborn immediately after delivery. Which of the following actions should the nurse take first? a. Dry the infant under the radiant warmer b. Take the infant’s temperature c. Weigh the infant d. Obtain the infant’s blood glucose 6) A nurse is discussing family planning with a client who has a history of DVT. The nurse should inform the client that this condition is a contraindication for which of the following birth control methods? a. Oral contraceptive b. Cervical cap c. Diaphragm d. Intrauterine device 7) A nurse is teaching a client who is postpartum about car seat safety. Which of the following HESI RN EXIT EXAM QUESTIONS AND ANSWERS ; STUDENT GUIDE 2022 HESI RN EXIT Exam Questions and Answers 100% correct latest student guide 2022, Exams for Nursing statements indicates and understanding of the instructions? HESI RN EXIT Exam Questions and Answers 100% correct latest student guide 2022, Exams for Nursing a. I will make sure the retainer clip is at the level of my baby’s abdomen b. I will position the car seat in the front passenger seat facing the font of the car c. I will adjust the angle of the car seat so that my baby sits at a 90-degre angle d. I will place the shoulder harness slightly below my baby’s shoulders 8) A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal abstinence syndrome. Which of the following findings indicates narcotic withdrawl? a. Excessive Crying b. Unequal pupils c. Respiratory rate of 50/min d. Hypotonia 9) A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex? a. Make a loud noise above the newborn b. Touch the newborn’s cheek with a finger c. Turn the newborn’s head to one side d. Tap the newborn’s forehead with a finger 10) A nurse is providing teaching to a client who is postpartum about her car seat safety. Which of the following statements by the client indicates an understanding of the teaching? a. I will ensure that my baby is at a 45-degree angle in the car seat b. I will put my baby facing forward in the middle of the back seat of the car c. I will fasten the harness clip 1 inch above my baby’s underarms d. I will swaddle my baby in a blanket before placing her in the car seat 11) A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following statements by the client indicates an understanding of the teaching? a. I should apply a warm compress after feeding b. I should apply lanolin to the infection site daily c. I should use a nipple shield while breastfeeding d. I should stop breastfeeding until the infection has healed 12) A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make? a. You can bathe and dress your baby if you’d like to b. You should name the baby so he can have an identity c. If you don’t hold the baby, it will make letting go much harder d. Im sure you will be able to have another baby when you’re ready 13) A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect? a. Facial petechiae b. Erythema toxicum c. Periauricular papillomas d. Telangilectatic nevi 14) A charge nurse is discussing STIs with a newly licensed nurse. Which of the following infections should the nurse include in the teaching as an indication for a cesarean birth? a. HIV b. Chlamydia HESI RN EXIT Exam Questions and Answers 100% correct latest student guide 2022, Exams for Nursing c. Gonorrhea d. Syphilis 15) A nurse is reviewing the medication prescriptions for a newborn who is 6 hours old and whose mother is HBsAg-positive. The nurse should anticipate administering which of the following medications? a. Hepatitis B Immune Globulin b. Hepatitis A immune globulin c. Haemophilus inflenzae type B vaccine d. Hepatitis A vaccine 16) A nurse is assessing a client immediately following the placement of an epidural. The nurse obtains a maternal blood pressure of 96/54 and a fetal HR of 102/min. Which of the following actions should the nurse take? a. Position the client in a lateral position b. OR administer naloxone to the client??? c. Prepare the client for an amnioinfusion d. Place the client in knee-chest position 17) A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care? a. Avoid using lotion or ointment on the newborn’s skin b. Dress the newborn in lightweight clothing c. Keep the newborn supine throughout treatment d. Measure the newborn’s temperature every 8 hours 18) A nurse on the labor and delivery unit is caring for a client who is at 33 weeks of gestation and was admitted with placenta previa. Which of the following interventions should the nruse include in the client’s plan of care? a. Administration of magnesium sulfate b. Routine vaginal exams c. Ambulation as tolerated d. Nonstress test twice weekly 19) A nurse is admitting a client who is in preterm labor to the labor and delivery unit. The nurse should anticipate which of the following tests to assess for fetal lung maturity? a. L/S ratio b. Direct coombs test c. Biophysical prophile d. Chorionic villus sampling 20) A nurse is caring for a client who is in labor and prescribed an amnioinfusion. Which of the following findings is an indication for this? a. Variable decelerations b. Early decelerations c. Fetal macrosomia d. Increased uterine tone 21) A nurse is caring for a client who is postpartum following repair of a vaginal laceration. The client has a firm fundus, moderate lochia rubra, and reports moderate perineal discomfort and pressure. Which of the following actions should the nurse take? HESI RN EXIT Exam Questions and Answers 100% correct latest student guide 2022, Exams for Nursing a. Check the perineal area b. Perform deep fundal massage c. Obtain vaginal culture d. Administer methylergonovide 0.2 mg IM 22) A nurse is assessing a full-term newborn 1 hr following a vaginal birth. Which of the following is an expected assessment finding? a. The newborn’s anterior fontanel bulges when he is quiet b. The newborn’s head circumference is greater than the chest circumference c. The newborn exhibits apneic episodes of 30 seconds d. The newborn has a heart rate of 70/min while sleeping 23) A nurse is providing discharge teaching to the parent of a newborn about surgical site care following circumcision using a clamp technique. Which of the following statements by the parent indicates an understanding of the teaching? a. I will check the site hourly for bleeding b. I will remove the crust with each diaper change c. I will wash the penis with soap and water daily d. I will apply petroleum jelly to the area with each diaper change 24) A nurse in a provider’s office is caring for a 20-year-old client who is 12 weeks of gestation and requests an amniocentesis to determine the gender of the fetus. Which of the following responses should the nurse make? a. You cannot have an amniocentesis until you are at least 35 year of age b. This procedure determines if your baby has genetic or congenital disorders c. Your provider will schedule a chorionic villus sampling to determine the sex of your baby d. We can schedule the procedure for later today if you’d like 25) A nurse is teaching a prenatal client about listeriosis and dietary modifications during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? a. I can have a mid-day snack with soft cheese b. I can purchase a seafood salad from the grocery store c. I can still have a hot dog at the ballpark d. I can eat grilled chicken on a bun at lunch time 26) A nurse is providing education to a client who is to receive misoprostol for induction of labor. Which of the following instructions should the nurse include in the teaching? a. You will lie on your side for 40 minutes after I administer the medication b. I will insert a urinary catheter before I administer the medication c. I will begin an oxytocin infusion within 2 hours of your last dose of medication d. You will receive an antacid containing magnesium before the medication 27) A nurse is reviewing the laboratory findings of a client who is 10 weeks gestation. Which of the following findings should the nurse report to the provider? a. WBC 10,000 b. Hemoglobin 12 g/dL c. Creatinine 0.5 mg/dL d. Platelets 100,000 HESI RN EXIT Exam Questions and Answers 100% correct latest student guide 2022, Exams for Nursing 28) A nurse on the postpartum unit is reviewing prevention of newborn diaper rash with a client. Which of the following statements indicates an understanding of the teaching? a. I will allow the diaper area to dry before applying a clean diaper b. I will wash the diaper area with an antibacterial soap with each diaper change c. I will clean the diaper area with a scented baby wipe d. I will apply a thin layer of talc to the diaper area twice a day 29) A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication? a. Respiratory rate 10/min b. Moderate fetal heart rate variability c. Urinary output 120mL in 2 hr d. Blood pressure 136/88 30) A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take? a. Have the client limit the length of breastfeeding to 5 min per breast b. Assess the newborn’s latch while breastfeeding c. Instruct the client to wait 4 hours between daytime feedings d. Offer supplemental formula between the newborn’s feedings 31) A nurse is caring for a client who is in the second stage of labor. The nurse observes the fetal head retract against the client’s perineum immediately following emergence. Which of the following actions should the nurse take? a. Assess fetal position using Leopold maneuvers b. Apply pressure to the client’s suprapubic area c. Reposition the client in the left lateral position d. Empty the bladder using crede maneuver 32) A nurse is admitting a client to the birthing unit who reports her contractions started 1 hour ago. The nurse determines the client is 80% and 8cm. The nurse realizes that the client is at risk for which of the following conditions a. Ectopic pregnancy b. Postpartum Hemorrhage c. Incompetent cervix d. Hyperemesis gravidarum 33) A nurse is assessing a client who is at 37 weeks gestation. Which of the following statements by the client requires immediate intervention by the nurse? a. I have been seeing spots this morning b. My feet are really swollen today c. I didn’t have lunch today, but I had breakfast this morning d. It burns when I urinate 34) A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? a. The client expels the placenta b. The client delivers the newborn c. The client begins having regular contractions HESI RN EXIT Exam Questions and Answers 100% correct latest student guide 2022, Exams for Nursing d. The client experiences gradual dilation of the cervix 35. A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. When using an ultrasound device, the nurse hears blood rushing through the umbilical vessels in synchronization with the fetal heart beat. Which of the following terms should the nurse use to document this finding? a. Goodell’s sign b. Funic soufflé c. Hegar’s sign d. Quickening 36. A nurse at an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first? a. A client who is at 36 weeks of gestation and reports back pain following intercourse b. A client who is at 10 weeks of gestation and reports frequent urination c. A client who is at 24 weeks of gestation and reports periodic tingling of the fingers d. A client who is at 8 weeks of gestation and reports severe vomiting 37. A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? a. A client who has a crown-rump length of 7 weeks of gestation b. A client who has an ultrasound that confirms a molar pregnancy c. A client who has felt quickening for the first time d. A client who has a positive urine pregnancy test 1 week after missed menses 38. A nurse is assessing a newborn who is 2 hours old. Which of the following findings should the nurse report to the provider? a. Transient nystagmus b. Overlapping sutures with molding c. Single transverse palmar crease bilaterally d. Lanugo on the pinna of the ears 39. A nurse is reviewing the laboratory report of a client who is 24 hrs postpartum vaginal delivery. The client has a hemoglobin level of 9.0 g/dL and hematocrit of 25%. Which of the following actions should the nurse take? a. Prepare the client for a blood transfusion b. Initiate IV access for isotonic solution with an 18-gauge catheter c. Administer an iron supplement to the client d. Instruct the client that the provider will check for placental fragments 40. A nurse is caring for a client who is at 24 weeks of gestation and has a glucose screening test result of 150 mg/dL. Which of the following actions should the nurse take? a. Perform a urine screen for ketones b. Repeat the glucose screening test in 15 min to verify results c. Schedule the client for a 3 hr oral glucose tolerance test d. Determine if the client has fasted HESI RN EXIT Exam Questions and Answers 100% correct latest student guide 2022, Exams for Nursing 41. A nurse is assessing the results of a non-stress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nruse the need for further diagnostic testing? a. An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in response to fetal movement within a 40-min testing period b. Irregular contractions of 10 to 20 seconds in duration that are not felt by the client c. No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in duration within a 10-min testing period d. Three fetal movements perceived by the client in a 20-min testing period 42. A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs? a. Six contractions in 10 min b. Nonrepetitive early decelerations c. Moderate variability of the fetal heart rate d. Contractions last 60 seconds 43. A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect? a. Decreased ability to bear down b. Uterine hyper-stimulation c. Fetal bradycardia d. Maternal hypertension 44. A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider? a. Bulging fontanels b. Subconjunctival hemorrhage c. Milia d. Caput succedaneum 45. A nurse is caring for a client who is 1 day postpartum following the birth of her first baby. The client’s partner states, “I’ve been having nightmares that we are homeless and the baby is starving.” Which of the following is an appropriate response by the nurse? a. This is just the beginning of the worrying you will do as a parent b. I know you’re worried, but everything is going to be okay c. What do you think it will be like to be responsible for a baby? d. Why would you worry about being homeless when you have a good job? 46. A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4 days ago. The nurse should instruct the client to contact the provider for which of the following findings? a. The newborn’s cord stump is still attached after 1 week b. The newborn has fewer than four wet diapers in 24 hr c. The newborn has loose stools d. The newborn sleeps 16 hr a day HESI RN EXIT Exam Questions and Answers 100% correct latest student guide 2022, Exams for Nursing 47. A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed? a. The newborn is beginning to cough b. The newborn’s respiratory rate is irregular c. The newborn’s pulse oximetry is 91% d. The newborn’s respiratory rate is 32/min 48. A nurse is performing a physical examination of a term newborn upon admission to the nursery. In which order should the nurse perform the following assessments? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) – PUT THEM IN ORDER Observe the newborn’s respirations Auscultate the newborn’s heart rate Auscultate the newborn’s abdomen Test the newborn’s reflexes 49. A nurse in a prenatal clinic is discussing quickening with a client who is in the first trimester of her first pregnancy. Which of the following statements by the client indicates understanding of the teaching? a. I will plan to have a blood test when quickening occurs b. I will feel movement at about 16 to 20 weeks c. I will begin scheduling appointments every 2 weeks d. I will take two ibuprofen capsules for the discomfort 50. A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider? a. Rust-stained urine b. Transient circumoral cyanosis c. Subconjunctival hemorrhage d. Single palmar creases 51. A nurse is assessing a client who is in her second trimester for common physiological changes during pregnancy. The nurse notes a blotchy discoloration on the client’s forehead, nose, and cheeks. Which of the following changes should the nurse document? a. Striae gravidarum b. Epulis c. Chloasma d. Linea nigra 52. A nurse is conducting a class for a group of clients about birth control. Which of the following information should the nurse include in the teaching? a. You should have an annual examination to assess your diaphragm b. You should use spermicide 3 hours prior to sexual intercourse c. Your fertility will return 6 months after your provider removes your IUD d. You will not need to use birth control for 1 month after receiving emergency contraception