HESI RN Maternity Practice Exam (2023/ 2024) Questions and Verified Answers

HESI RN Maternity Practice Exam (2023/ 2024) Questions and Verified Answers Q: A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are discontinued. Which intervention is most important for the nurse to implement? Answer: A. Describe diet changes that can improve the management of her diabetes. Q: A client receiving epidural anesthesia begins to experience nausea and become pale and clammy. What intention should the nurse implement first? Answer: A. Raise the foot of the bed. Q: The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dl. Based on this finding, which intervention should the nurse implement? Answer: C. Encourage the mother to breast-feed frequently. Q: A 35-year-old primagravida client with severe preeclampia is receiving magnesium sulfate via continuous IV infusion. Which assessment data would indicate to the nurse that the client is experiencing magnesium sulfate toxicity? Answer: D. Urine output 90 ml/4 hours. Q: A 30-year old gravida 2. para 1 client is admitted to the hospital at 26-weeks gestation in preterm labor. She is started on am IV solution of terbutaline (Brethine). Which assessment is the highest priority for the nurse to monitor during the administration of the drug? Answer: B. maternal and fetal heart rates Q: A full term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms are this newborn likely to exhibit? Answer: A. choking, coughing, and cyanosis. Q: The nurse attempts to help an unmarried teenager deal with her feelings following a spontaneous abortion at 8-weeks gestation. What type of emotional response should the nurser anticipate? Answer: A. Grief related to her perceptions about the loss of this child. Q: The nurse is teaching breastfeeding to prospective parents in a childbirth education class. Which instruction should the nurse include as content int the class? Answer: C. Feed your baby every 2 to 3 hours or on demand, whichever comes first. Q: The nurse is assessing the umbilical cord of a newborn. Which finding constitutes a normal finding? Answer: C. 3 vessels: 2 arteries and a vein. Q: A new mother is afraid to touch her baby's head for fear of hurting the 'large soft spot." Which explanation should the nurse give to this anxious client? Answer: D. There's a strong, tough membrane there to protect the baby so you need not be afraid to wash or comb his/her hair. Q: The nurse caring for a laboring client encourage her to void at least q2h, and records each time the client empties her bladder.What is the primary reason for implementing this nursing intervention? Answer: B. An over-distended bladder could be traumatized during labor, as well as prolong the progress of labor. Q: A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed iron tablets. The nurse's response is based on what knowledge? Answer: B. It is difficult to consume 18 mg of additional iron by diet alone. Q: A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a home pregnancy test to diagnose pregnancy. Which response is appropriate? Answer: A. a home pregnancy test can be used right after your first missed period. Q: A full-term infant is transferred to the nursery from L & D. Which information is most important for the nurses to receive when planning immediate care for the newborn?