HESI-RN Fundamentals,HESI RN EXIT & RN HESI Maternity COMBINATION
EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
RN HESI Maternity
The nurse teaching a preconception preparation class is discussing ways to
improve dietary folic acid intake. Which evening snack contains the most folic
acid?
A. Fresh strawberries
B. Roasted peanuts in shell
C. Unflavored yogurt
D. Vanilla milkshake with protein supplement
B. roasted peanut in shell
A 38 week primigravida is admitted to labor and delivery after a non-reactive
result on a non-stress test (NST) .The nurse begins contraction stress test
(CST) with an oxytocin ( Pitocin ) infusion. Which finding is most important for
the nurse to report to the health care provider ?
A. Spontaneous rupture of membrane
B. Fetal heart rate accelerations with fetal movement
C. Absence of uterine contractions within 20 mins
D. A pattern of late fetal decelerations
D. A pattern of late fetal decelerations
A primigravida is 36 weeks gestation, is Rh negative is experienced abdominal
trauma in a motor vehicle collision. Which assessment finding is most
important for the nurse to report to the healthcare provider?
A. Positive fetal hemoglobin test
B. Fetal heart rate is 162 beats / min
C. Trace of protein in urine
D. Mild contractions every 10 mins
A. Positive fetal hemoglobin test
The nurse is caring for an newborn who is 18 inches long, weighs 4 pounds ,
14 ounces, has a head circumference of 13 inches and chest circumference is
of 10 inches. Based on these physical findings , assessment for which
condition has the highest priority?
A. Hyperthermia
B. Hyperbillirubinemia
C. Polycythemia
D. Hypoglycemia
D. Hypoglycemia
,A school nurse is preparing a seminar to address the concerns of pregnant
adolescent. What information is most important for the nurse to include in this
program?
A. Nutritional requirements during pregnancy
B. Pain management options for labor
C. Comparison of infant feeding method
D. Symptoms to report to the healthcare provider
A. Nutritional requirements during pregnancy
A postpartal client who is bottle feeding develops engorgement . What is the
best recommendation for nurse to provide this client ?
A. Avoid stimulation to breast and wear a tight bra
B. Express small amount of breast milk in your hand
C. Take a prescribed analgesic and express the breast to air
D. Place warm packs on both sides of breast
A. Avoid stimulation to breast and wear tight bra
The nurse is assessing a patient who is 36 hours post delivery. Which finding
should the nurse report to the healthcare provider?
A. White blood cell count 19,000
B. Oral temperature of 100.6
C. Fundus deviated to the right
D. Breast are firm when palpated
B. Oral temperature of 100.6
A full term infant is admitted to the newborn nursery 2 hours after delivery.
The delivery record reports that the mother is positive for HIV and received
AZT intravenously during labor. What action should the nurse implement first?
A. Ensure that AZT is given within 6 hours after birth
B. Collect venous specimen for serum glucose level
C. Asses for the presence of the Moro reflex
D. Obtain consent for the Hep B vaccine
A. Ensure that AZT is given within 6 hours after birth
The healthcare provider prescribe Pitocin 2milliunits / min to induce labor for a
client at 41 weeks gestation. The nurse initiates an infusion of Lactated Ringer
1000 ml with Pitocin 10 units. How many ml/ hr should the nurse program the
infusion pump?
12
The nurse is counseling a patient who is at 6 weeks gestation and is
experiencing morning sickness , but does not want to take any drugs for this
discomfort. Which herbal supplement is likely to help this client with the
nausea she is experiencing ?
A. Ginger
B. Chamomile
C. Peppermint
D. Ginko
A. Ginger
,At 0600 while admitting a woman for a scheduled repeat c-section the client
tells the nurse that she had coffee at 0400 because she wanted avoid getting a
headache. What action should the nurse take first?
A. Ensure preoperative lab results are available
B. Start IV presecribed Lactated ringers
C. Inform the anesthesia care provider
D. Contact the client obstetrician
C. Inform the anesthesia care provider
A mother spontaneously delivers her infant in a taxi cab on the way to the
hospital. The emergency room nurse reports that the mother has active herpes
(HSVII) lesion on the vulva. What intervention should the nurse implement first
when admitting the neonate in the nursery?
A. Obtain blood specimen for serum glucose level
B. Document the temperature on the flow sheet
C. Place newborn in the isolation area of the nursery
D. Administer Vitamin K injection
C. Place newborn in the isolation area of the nursery
Upon admission to the nursery, the nurse places a newborn supine under
radiant warmer , an external heat source. What should the nurse implement
first to ensure safe thermoregulation?
A. Dry the newborns scalp and place a stockinet cap on the head
B. Move the temperature probe over the ribs when turning to a lateral position
C. Place temperature probe on the abdomen in the line with the radiant heat
source
D. Wrap the infant in two blankets and place the radiant warmer on low
C. Place temperature probe on the abdomen in the line with the radiant heat source
When planning care for a laboring client , the nurse identifies the need to
withhold solid foods while the client is in labor . What is the most important
reason for this nursing intervention?
A. Gastric emptying time decreases during labor
B. Nausea occurs from analgesic used during labor
C. An increased risk for aspiration can occur if general analgesic is needed
D. Autonomic nervous system stimulation during labor decreases peristalsis
C. An increased risk for aspiration can occur if general analgesic is needed
A new mother who is breastfeeding her 4 week old infant has type 1 diabetes ,
reports that her insulin needs have decreased after the birth of her child. What
action should the nurse implement ?
A. Schedule an appointment with diabetic nurse educator
B. Advise the client to breastfeed more frequently
C. Counsel her to increase calorie intake
D. Inform her that a decreased need for insulin occurs while breastfeeding
D. Inform her that a decreased need for insulin occurs while breastfeeding
A multiparous women at 38 weeks gestation with a history of rapid
progression of labor is admitted for induction due to signs and symptoms of
, pregnancy induced hypertension (PIH). One hour after the oxytocin infusion is
initiated she complains of a headache. Her contractions are occurring every 1-
2 mins , lasting 60-75 seconds and a vaginal exam reveals that her cervix is
90% and dilated 6 cm.What intervention is most important for the nurse to
implement?
A. Prepare for immediate delivery
B. Measure deep tendon reflexes
C. Discontinue the Pitocin infusion
D. Turn the client to her left side
C. Discontinue the Pitocin infusion
A primigravida arrives at the observation unit of the maternity unit because
thinks is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal
heart rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What
assessment finding confirms to the nurse that the client is not labor at this
time?
Contractions decrease with walking.
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the
parents in the grieving process which intervention is most for the nurse to
implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
B. provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of an
infant with esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
A. body temperature
What is the most important assessment for the nurse to conduct following the
administration of epidural anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
D. Maternal blood pressure
A 34-week primigravida with pregnancy induced hypertension (PIH) is
receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the rate
EXAMINATION 2025 - 2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
RN HESI Maternity
The nurse teaching a preconception preparation class is discussing ways to
improve dietary folic acid intake. Which evening snack contains the most folic
acid?
A. Fresh strawberries
B. Roasted peanuts in shell
C. Unflavored yogurt
D. Vanilla milkshake with protein supplement
B. roasted peanut in shell
A 38 week primigravida is admitted to labor and delivery after a non-reactive
result on a non-stress test (NST) .The nurse begins contraction stress test
(CST) with an oxytocin ( Pitocin ) infusion. Which finding is most important for
the nurse to report to the health care provider ?
A. Spontaneous rupture of membrane
B. Fetal heart rate accelerations with fetal movement
C. Absence of uterine contractions within 20 mins
D. A pattern of late fetal decelerations
D. A pattern of late fetal decelerations
A primigravida is 36 weeks gestation, is Rh negative is experienced abdominal
trauma in a motor vehicle collision. Which assessment finding is most
important for the nurse to report to the healthcare provider?
A. Positive fetal hemoglobin test
B. Fetal heart rate is 162 beats / min
C. Trace of protein in urine
D. Mild contractions every 10 mins
A. Positive fetal hemoglobin test
The nurse is caring for an newborn who is 18 inches long, weighs 4 pounds ,
14 ounces, has a head circumference of 13 inches and chest circumference is
of 10 inches. Based on these physical findings , assessment for which
condition has the highest priority?
A. Hyperthermia
B. Hyperbillirubinemia
C. Polycythemia
D. Hypoglycemia
D. Hypoglycemia
,A school nurse is preparing a seminar to address the concerns of pregnant
adolescent. What information is most important for the nurse to include in this
program?
A. Nutritional requirements during pregnancy
B. Pain management options for labor
C. Comparison of infant feeding method
D. Symptoms to report to the healthcare provider
A. Nutritional requirements during pregnancy
A postpartal client who is bottle feeding develops engorgement . What is the
best recommendation for nurse to provide this client ?
A. Avoid stimulation to breast and wear a tight bra
B. Express small amount of breast milk in your hand
C. Take a prescribed analgesic and express the breast to air
D. Place warm packs on both sides of breast
A. Avoid stimulation to breast and wear tight bra
The nurse is assessing a patient who is 36 hours post delivery. Which finding
should the nurse report to the healthcare provider?
A. White blood cell count 19,000
B. Oral temperature of 100.6
C. Fundus deviated to the right
D. Breast are firm when palpated
B. Oral temperature of 100.6
A full term infant is admitted to the newborn nursery 2 hours after delivery.
The delivery record reports that the mother is positive for HIV and received
AZT intravenously during labor. What action should the nurse implement first?
A. Ensure that AZT is given within 6 hours after birth
B. Collect venous specimen for serum glucose level
C. Asses for the presence of the Moro reflex
D. Obtain consent for the Hep B vaccine
A. Ensure that AZT is given within 6 hours after birth
The healthcare provider prescribe Pitocin 2milliunits / min to induce labor for a
client at 41 weeks gestation. The nurse initiates an infusion of Lactated Ringer
1000 ml with Pitocin 10 units. How many ml/ hr should the nurse program the
infusion pump?
12
The nurse is counseling a patient who is at 6 weeks gestation and is
experiencing morning sickness , but does not want to take any drugs for this
discomfort. Which herbal supplement is likely to help this client with the
nausea she is experiencing ?
A. Ginger
B. Chamomile
C. Peppermint
D. Ginko
A. Ginger
,At 0600 while admitting a woman for a scheduled repeat c-section the client
tells the nurse that she had coffee at 0400 because she wanted avoid getting a
headache. What action should the nurse take first?
A. Ensure preoperative lab results are available
B. Start IV presecribed Lactated ringers
C. Inform the anesthesia care provider
D. Contact the client obstetrician
C. Inform the anesthesia care provider
A mother spontaneously delivers her infant in a taxi cab on the way to the
hospital. The emergency room nurse reports that the mother has active herpes
(HSVII) lesion on the vulva. What intervention should the nurse implement first
when admitting the neonate in the nursery?
A. Obtain blood specimen for serum glucose level
B. Document the temperature on the flow sheet
C. Place newborn in the isolation area of the nursery
D. Administer Vitamin K injection
C. Place newborn in the isolation area of the nursery
Upon admission to the nursery, the nurse places a newborn supine under
radiant warmer , an external heat source. What should the nurse implement
first to ensure safe thermoregulation?
A. Dry the newborns scalp and place a stockinet cap on the head
B. Move the temperature probe over the ribs when turning to a lateral position
C. Place temperature probe on the abdomen in the line with the radiant heat
source
D. Wrap the infant in two blankets and place the radiant warmer on low
C. Place temperature probe on the abdomen in the line with the radiant heat source
When planning care for a laboring client , the nurse identifies the need to
withhold solid foods while the client is in labor . What is the most important
reason for this nursing intervention?
A. Gastric emptying time decreases during labor
B. Nausea occurs from analgesic used during labor
C. An increased risk for aspiration can occur if general analgesic is needed
D. Autonomic nervous system stimulation during labor decreases peristalsis
C. An increased risk for aspiration can occur if general analgesic is needed
A new mother who is breastfeeding her 4 week old infant has type 1 diabetes ,
reports that her insulin needs have decreased after the birth of her child. What
action should the nurse implement ?
A. Schedule an appointment with diabetic nurse educator
B. Advise the client to breastfeed more frequently
C. Counsel her to increase calorie intake
D. Inform her that a decreased need for insulin occurs while breastfeeding
D. Inform her that a decreased need for insulin occurs while breastfeeding
A multiparous women at 38 weeks gestation with a history of rapid
progression of labor is admitted for induction due to signs and symptoms of
, pregnancy induced hypertension (PIH). One hour after the oxytocin infusion is
initiated she complains of a headache. Her contractions are occurring every 1-
2 mins , lasting 60-75 seconds and a vaginal exam reveals that her cervix is
90% and dilated 6 cm.What intervention is most important for the nurse to
implement?
A. Prepare for immediate delivery
B. Measure deep tendon reflexes
C. Discontinue the Pitocin infusion
D. Turn the client to her left side
C. Discontinue the Pitocin infusion
A primigravida arrives at the observation unit of the maternity unit because
thinks is in labor. The
nurse applies the external fetal heart monitor and determines that the fetal
heart rate is 140
beats/minute and the contractions are occurring irregularly every 10 to 15
minutes. What
assessment finding confirms to the nurse that the client is not labor at this
time?
Contractions decrease with walking.
A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the
parents in the grieving process which intervention is most for the nurse to
implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy
B. provide a time for the parents to hold their infant in privacy
What is the priority nursing assessment immediately following the birth of an
infant with esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord
A. body temperature
What is the most important assessment for the nurse to conduct following the
administration of epidural anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure
D. Maternal blood pressure
A 34-week primigravida with pregnancy induced hypertension (PIH) is
receiving Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the rate
