HESI V2 Questions and Answers A+
Graded (2025)
The .nurse .is .providing .care .for .a .newborn .who .was .delivered .vaginally .assisted
.by .forceps. .The .nurse
observes .red .marks .on .the .head .with .swelling .that .does .not .cross .the .suture
.line. .Which .condition
should .the .nurse .documents .in .the .medical .record? .- .CORRECT .ANSWER-
Cephalhematoma
A .client .at .34 .weeks .gestation .comes .to .the .birthing .center .complaining .of
.vaginal .bleeding .that
began .one .hour .ago. .The .nurse .assessment .reveals .approximately .30ML .of
.bright .red .vaginal .bleeding.
Fetal .rate .of .130 .- .140 .beats .per .minute, .no .contractions .and .no .complaints .of
.pain .what .is .the .most
likely .cause .of .these .client's .bleeding. .- .CORRECT .ANSWER-Placenta .Previa
A .client .at .30 .weeks .gestation .reports .that .she .has .not .felt .the .baby .move .in .the
.last .24 .hours.
Concerned .she .arrives .in .a .panic .at .the .obstetric .clinic .where .she .is .immediately
.sent .to .the .hospital.
which .assessment .warrants .immediate .intervention .by .the .nurse. .- .CORRECT
.ANSWER-Fetal .Heart .rate .60 .beats .per .minute
A .client .at .37 .weeks .gestation .presents .to .labor .and .delivery .with .contractions
.every .two .minutes
the .nurse .observes .several .shallow .small .vesicles .on .her .pubis .labia .and
.perineum. .the . nurse .should
recognize .the .clients .is .prohibiting .symptoms .of .which .condition? .- .CORRECT
.ANSWER-Herpes .Simplex .Virus
The .nurse .is .planning .care .for .a .client .at .30 .weeks .gestation .who .is
.experiencing .preterm
labor .which .maternity .description .is .most .important .in .preventing .this .fetus .from
.developing .respiratory
distress .syndrome. .- .CORRECT .ANSWER-Betamethasone .12 .mg .deep .IM
A .16 .year .old .gravida .1 .para .0 .client .has .just .been .admitted .to .the .hospital .with
.a .diagnosis
, of .eclampsia. .She's .not .presently .convulsing. .Which .intervention .should .the
.nurse .plan .to .include .in .this
client's .nursing .care .plan? .- .CORRECT .ANSWER-Keep .an .airway .at .the .bedside
At .12 .hours .after .the .birth .of .a .healthy .infant .the .mother .complains .of .feeling
.constant .vaginal
pressure. .The .nurse .determines .the .fundus .is .firm .and .at .midline .with .moderate
.rubra .lochia. .which
action .should .nurse .take? .- .CORRECT .ANSWER-Inspect .clients .perineal .and
.rectal .areas
If .primigravida .at .36 .weeks .gestation .who .is .RH .negative .experienced .abdominal
.trauma .in
a .motor .vehicle .collision. .Which .assessment .finding .is .most .important .for .the
.nurse .to .report .to .the
health .care .provider? .- .CORRECT .ANSWER-Mild .contractions .every .10 .minutes
In .The .Ballard .Gestational .Age .Assessment .Tool, .the .nurse .determines .that .a .15-
month-old
infant .as .a .gestational .age .of .42 .weeks. .Based .on .this .finding .which .intervention
.is .most .important .for
the .nurse .to .implement. .- .CORRECT .ANSWER-Provide .a .capillary .blood .glucose
A .new .mother .who .is .a .lacto-ovo .vegetarian .plans .to .breast .feed .her .infant.
.which
information .should .the .nurse .provide .prior .to .discharge. .- .CORRECT .ANSWER-
Continue .prenatal .vitamins .with .B12 .While .breastfeeding
What .should .be .the .primary .focus .of .nursing .care .in .the .transitional .phase .of
.Labor .for .a
client .who .anticipates .an .unmedicated .delivery. .- .CORRECT .ANSWER-Assessing
.the .strength .of .uterine .contractions
A .care .provider .prescribes .a .maintenance .dose .of .magnesium .sulfate .2 .grams
.per .hour
intravenously .for .clients .with .preeclampsia. .The .IV .bag .contains .magnesium
.sulfate .20 .grams .how .much
in .ml/Hr. .should .a .nurse .program .the .infusion .pump .enter .numerical .value .only.
.- .CORRECT .ANSWER-100 .ml
A .client .at .38 .weeks .gestation .is .admitted .to .labor .and .delivery .with .a .complaint
.of
contraction .5 .minutes .apart .while .the .client .is .in .the .bathroom .changing .into .a
.hospital .gown .the .nurse
hears .the .noise .of .a .baby .what .should .the .nurse .take .first? .- .CORRECT
.ANSWER-Push .the .call .light .for .help
The .nurse .is .caring .for .a .multiparous .client .who .is .8 .centimeters .dilated .100%
.effaced .and
Graded (2025)
The .nurse .is .providing .care .for .a .newborn .who .was .delivered .vaginally .assisted
.by .forceps. .The .nurse
observes .red .marks .on .the .head .with .swelling .that .does .not .cross .the .suture
.line. .Which .condition
should .the .nurse .documents .in .the .medical .record? .- .CORRECT .ANSWER-
Cephalhematoma
A .client .at .34 .weeks .gestation .comes .to .the .birthing .center .complaining .of
.vaginal .bleeding .that
began .one .hour .ago. .The .nurse .assessment .reveals .approximately .30ML .of
.bright .red .vaginal .bleeding.
Fetal .rate .of .130 .- .140 .beats .per .minute, .no .contractions .and .no .complaints .of
.pain .what .is .the .most
likely .cause .of .these .client's .bleeding. .- .CORRECT .ANSWER-Placenta .Previa
A .client .at .30 .weeks .gestation .reports .that .she .has .not .felt .the .baby .move .in .the
.last .24 .hours.
Concerned .she .arrives .in .a .panic .at .the .obstetric .clinic .where .she .is .immediately
.sent .to .the .hospital.
which .assessment .warrants .immediate .intervention .by .the .nurse. .- .CORRECT
.ANSWER-Fetal .Heart .rate .60 .beats .per .minute
A .client .at .37 .weeks .gestation .presents .to .labor .and .delivery .with .contractions
.every .two .minutes
the .nurse .observes .several .shallow .small .vesicles .on .her .pubis .labia .and
.perineum. .the . nurse .should
recognize .the .clients .is .prohibiting .symptoms .of .which .condition? .- .CORRECT
.ANSWER-Herpes .Simplex .Virus
The .nurse .is .planning .care .for .a .client .at .30 .weeks .gestation .who .is
.experiencing .preterm
labor .which .maternity .description .is .most .important .in .preventing .this .fetus .from
.developing .respiratory
distress .syndrome. .- .CORRECT .ANSWER-Betamethasone .12 .mg .deep .IM
A .16 .year .old .gravida .1 .para .0 .client .has .just .been .admitted .to .the .hospital .with
.a .diagnosis
, of .eclampsia. .She's .not .presently .convulsing. .Which .intervention .should .the
.nurse .plan .to .include .in .this
client's .nursing .care .plan? .- .CORRECT .ANSWER-Keep .an .airway .at .the .bedside
At .12 .hours .after .the .birth .of .a .healthy .infant .the .mother .complains .of .feeling
.constant .vaginal
pressure. .The .nurse .determines .the .fundus .is .firm .and .at .midline .with .moderate
.rubra .lochia. .which
action .should .nurse .take? .- .CORRECT .ANSWER-Inspect .clients .perineal .and
.rectal .areas
If .primigravida .at .36 .weeks .gestation .who .is .RH .negative .experienced .abdominal
.trauma .in
a .motor .vehicle .collision. .Which .assessment .finding .is .most .important .for .the
.nurse .to .report .to .the
health .care .provider? .- .CORRECT .ANSWER-Mild .contractions .every .10 .minutes
In .The .Ballard .Gestational .Age .Assessment .Tool, .the .nurse .determines .that .a .15-
month-old
infant .as .a .gestational .age .of .42 .weeks. .Based .on .this .finding .which .intervention
.is .most .important .for
the .nurse .to .implement. .- .CORRECT .ANSWER-Provide .a .capillary .blood .glucose
A .new .mother .who .is .a .lacto-ovo .vegetarian .plans .to .breast .feed .her .infant.
.which
information .should .the .nurse .provide .prior .to .discharge. .- .CORRECT .ANSWER-
Continue .prenatal .vitamins .with .B12 .While .breastfeeding
What .should .be .the .primary .focus .of .nursing .care .in .the .transitional .phase .of
.Labor .for .a
client .who .anticipates .an .unmedicated .delivery. .- .CORRECT .ANSWER-Assessing
.the .strength .of .uterine .contractions
A .care .provider .prescribes .a .maintenance .dose .of .magnesium .sulfate .2 .grams
.per .hour
intravenously .for .clients .with .preeclampsia. .The .IV .bag .contains .magnesium
.sulfate .20 .grams .how .much
in .ml/Hr. .should .a .nurse .program .the .infusion .pump .enter .numerical .value .only.
.- .CORRECT .ANSWER-100 .ml
A .client .at .38 .weeks .gestation .is .admitted .to .labor .and .delivery .with .a .complaint
.of
contraction .5 .minutes .apart .while .the .client .is .in .the .bathroom .changing .into .a
.hospital .gown .the .nurse
hears .the .noise .of .a .baby .what .should .the .nurse .take .first? .- .CORRECT
.ANSWER-Push .the .call .light .for .help
The .nurse .is .caring .for .a .multiparous .client .who .is .8 .centimeters .dilated .100%
.effaced .and
