HESI PN EXIT EXAM/HESI EXIT PRACTICE EXAM/KAREN HESI EXAM VERSION 2
HESI PN EXIT EXAM/HESI EXIT PRACTICE EXAM/KAREN HESI
EXAM VERSION 2 2025/2026 COMPLETE VERIFIED QUESTIONS
AND CORRECT ANSWERS WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW!!!
A 4-hour-old newborn has a temperature of 96.8°F (35.8°C), heart rate 150 bpm,
irregular respirations at 64/min, jitteriness, hypotonic, and weak cry. What action
should the nurse implement?
a) Swaddle the infant in a warm blanket
b) Place the infant under phototherapy
c) Administer oxygen
d) Start IV fluids
a) Swaddle the infant in a warm blanket
Rationale:
Newborns are prone to heat loss and hypothermia. Swaddling and providing
warmth help maintain body temperature. Oxygen or fluids are not indicated
unless other complications arise.
A multiparous client is involuntarily pushing while being wheeled into labor triage.
The fetal head is presenting at the perineum. Which action should the nurse take?
a) Apply suprapubic pressure
b) Encourage pushing
c) Prepare for immediate C-section
d) Perform an episiotomy
a) Apply suprapubic pressure
Rationale:
Suprapubic pressure helps control rapid delivery and supports the perineum
1|Page
, HESI PN EXIT EXAM/HESI EXIT PRACTICE EXAM/KAREN HESI EXAM VERSION 2
while protecting the fetal head. Immediate delivery may be imminent, but
pressure helps reduce trauma.
After two miscarriages, a client is instructed to increase folic acid intake. She
dislikes leafy greens and is allergic to soy. Which food should the nurse suggest?
a) Strawberries
b) Chicken
c) White rice
d) Milk
a) Strawberries
Rationale:
Strawberries are high in folic acid and suitable for clients avoiding leafy greens
and soy. Chicken, rice, and milk are poor sources of folate.
A 40-week primigravida has spontaneous rupture of membranes with meconium-
stained amniotic fluid. Which additional finding is most important to report?
a) Fetal heart rate of 100–110 bpm
b) Maternal temperature of 99°F
c) Mild back pain
d) Contraction frequency every 4 minutes
a) Fetal heart rate of 100–110 bpm
Rationale:
A baseline fetal heart rate below 110 bpm may indicate fetal distress.
Meconium-stained fluid increases the risk of aspiration, so fetal monitoring is
critical.
A client at 35 weeks gestation complains of pain whenever the baby moves,
temperature 101.2°F (38.4°C), and severe uterine tenderness. What condition do
2|Page
, HESI PN EXIT EXAM/HESI EXIT PRACTICE EXAM/KAREN HESI EXAM VERSION 2
these findings suggest?
a) Chorioamnionitis
b) Placenta previa
c) Preeclampsia
d) Preterm labor
a) Chorioamnionitis
Rationale:
Fever, uterine tenderness, and fetal movement pain are classic signs of intra-
amniotic infection. Prompt recognition is crucial to reduce maternal and fetal
complications.
A 10-week gestation client reports nausea, vomiting, and scant dark brown vaginal
discharge, with the fundus 2 fingerbreadths above the pubic symphysis. Which
action should the nurse take?
a) Obtain HCG levels
b) Prepare for immediate ultrasound
c) Reassure and discharge
d) Administer antiemetics only
a) Obtain HCG levels
Rationale:
HCG measurement helps assess pregnancy viability and rule out complications
such as miscarriage or ectopic pregnancy. Fundal height and bleeding at this
stage require further evaluation.
A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home. She calls
the clinic two days later asking if she needs to see the healthcare provider since
the infant is healthy and she has no complications. Both previously born infants
were Rh-negative. Which response should the nurse provide?
a) The newborn's blood type should be tested to determine the need for RhoGAM
3|Page
, HESI PN EXIT EXAM/HESI EXIT PRACTICE EXAM/KAREN HESI EXAM VERSION 2
b) No follow-up is needed since the infant is healthy
c) Begin breastfeeding immediately without concern
d) Schedule an immediate C-section for future pregnancies
a) The newborn's blood type should be tested to determine the need for RhoGAM
Rationale:
Even if the newborn appears healthy, the maternal Rh-negative status may
require RhoGAM to prevent sensitization in future pregnancies. Testing the
newborn’s blood type guides this decision.
A client who is 24 weeks gestation reports increased thirst and urination. Which
diagnostic test result should the nurse report to the healthcare provider?
a) Oral glucose challenge test
b) CBC
c) Ultrasound of the fetus
d) Blood type and Rh factor
a) Oral glucose challenge test
Rationale:
Polydipsia and polyuria may indicate gestational diabetes. An abnormal oral
glucose challenge test warrants reporting to the provider for further evaluation.
At a prenatal visit, a primigravida client confides that her partner is abusive. Which
information should the nurse provide?
a) Safety plan to keep in a purse at all times
b) Encourage the client to ignore the abuse
c) Suggest immediate separation without planning
d) Document only and do not intervene
a) Safety plan to keep in a purse at all times
4|Page
HESI PN EXIT EXAM/HESI EXIT PRACTICE EXAM/KAREN HESI
EXAM VERSION 2 2025/2026 COMPLETE VERIFIED QUESTIONS
AND CORRECT ANSWERS WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW!!!
A 4-hour-old newborn has a temperature of 96.8°F (35.8°C), heart rate 150 bpm,
irregular respirations at 64/min, jitteriness, hypotonic, and weak cry. What action
should the nurse implement?
a) Swaddle the infant in a warm blanket
b) Place the infant under phototherapy
c) Administer oxygen
d) Start IV fluids
a) Swaddle the infant in a warm blanket
Rationale:
Newborns are prone to heat loss and hypothermia. Swaddling and providing
warmth help maintain body temperature. Oxygen or fluids are not indicated
unless other complications arise.
A multiparous client is involuntarily pushing while being wheeled into labor triage.
The fetal head is presenting at the perineum. Which action should the nurse take?
a) Apply suprapubic pressure
b) Encourage pushing
c) Prepare for immediate C-section
d) Perform an episiotomy
a) Apply suprapubic pressure
Rationale:
Suprapubic pressure helps control rapid delivery and supports the perineum
1|Page
, HESI PN EXIT EXAM/HESI EXIT PRACTICE EXAM/KAREN HESI EXAM VERSION 2
while protecting the fetal head. Immediate delivery may be imminent, but
pressure helps reduce trauma.
After two miscarriages, a client is instructed to increase folic acid intake. She
dislikes leafy greens and is allergic to soy. Which food should the nurse suggest?
a) Strawberries
b) Chicken
c) White rice
d) Milk
a) Strawberries
Rationale:
Strawberries are high in folic acid and suitable for clients avoiding leafy greens
and soy. Chicken, rice, and milk are poor sources of folate.
A 40-week primigravida has spontaneous rupture of membranes with meconium-
stained amniotic fluid. Which additional finding is most important to report?
a) Fetal heart rate of 100–110 bpm
b) Maternal temperature of 99°F
c) Mild back pain
d) Contraction frequency every 4 minutes
a) Fetal heart rate of 100–110 bpm
Rationale:
A baseline fetal heart rate below 110 bpm may indicate fetal distress.
Meconium-stained fluid increases the risk of aspiration, so fetal monitoring is
critical.
A client at 35 weeks gestation complains of pain whenever the baby moves,
temperature 101.2°F (38.4°C), and severe uterine tenderness. What condition do
2|Page
, HESI PN EXIT EXAM/HESI EXIT PRACTICE EXAM/KAREN HESI EXAM VERSION 2
these findings suggest?
a) Chorioamnionitis
b) Placenta previa
c) Preeclampsia
d) Preterm labor
a) Chorioamnionitis
Rationale:
Fever, uterine tenderness, and fetal movement pain are classic signs of intra-
amniotic infection. Prompt recognition is crucial to reduce maternal and fetal
complications.
A 10-week gestation client reports nausea, vomiting, and scant dark brown vaginal
discharge, with the fundus 2 fingerbreadths above the pubic symphysis. Which
action should the nurse take?
a) Obtain HCG levels
b) Prepare for immediate ultrasound
c) Reassure and discharge
d) Administer antiemetics only
a) Obtain HCG levels
Rationale:
HCG measurement helps assess pregnancy viability and rule out complications
such as miscarriage or ectopic pregnancy. Fundal height and bleeding at this
stage require further evaluation.
A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home. She calls
the clinic two days later asking if she needs to see the healthcare provider since
the infant is healthy and she has no complications. Both previously born infants
were Rh-negative. Which response should the nurse provide?
a) The newborn's blood type should be tested to determine the need for RhoGAM
3|Page
, HESI PN EXIT EXAM/HESI EXIT PRACTICE EXAM/KAREN HESI EXAM VERSION 2
b) No follow-up is needed since the infant is healthy
c) Begin breastfeeding immediately without concern
d) Schedule an immediate C-section for future pregnancies
a) The newborn's blood type should be tested to determine the need for RhoGAM
Rationale:
Even if the newborn appears healthy, the maternal Rh-negative status may
require RhoGAM to prevent sensitization in future pregnancies. Testing the
newborn’s blood type guides this decision.
A client who is 24 weeks gestation reports increased thirst and urination. Which
diagnostic test result should the nurse report to the healthcare provider?
a) Oral glucose challenge test
b) CBC
c) Ultrasound of the fetus
d) Blood type and Rh factor
a) Oral glucose challenge test
Rationale:
Polydipsia and polyuria may indicate gestational diabetes. An abnormal oral
glucose challenge test warrants reporting to the provider for further evaluation.
At a prenatal visit, a primigravida client confides that her partner is abusive. Which
information should the nurse provide?
a) Safety plan to keep in a purse at all times
b) Encourage the client to ignore the abuse
c) Suggest immediate separation without planning
d) Document only and do not intervene
a) Safety plan to keep in a purse at all times
4|Page
