HESI RN EXIT Exam Questions and Answers for 2023/2024
1) A nurse is teaching a client who is postpartum about car seat safety. Which of the following
statements indicates and understanding of the instructions?
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
2) A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal
abstinence syndrome. Which of the following findings indicates narcotic withdrawal?
a. Excessive Crying
b. Unequal pupils
c. Respiratory rate of 50/min
d. Hypotonia
3) 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
4) 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
5) 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
6) 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
7) 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
,8) 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
c. Gonorrhea
d. Syphilis
9) 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
10) 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
11) 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
12) 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
13) 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
14) 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
1) A nurse is teaching a client who is postpartum about car seat safety. Which of the following
statements indicates and understanding of the instructions?
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
2) A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal
abstinence syndrome. Which of the following findings indicates narcotic withdrawal?
a. Excessive Crying
b. Unequal pupils
c. Respiratory rate of 50/min
d. Hypotonia
3) 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
4) 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
5) 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
6) 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
7) 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
,8) 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
c. Gonorrhea
d. Syphilis
9) 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
10) 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
11) 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
12) 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
13) 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
14) 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
