HESI OB PEDS EXAM 2026 FULL QUESTIONS
AND CORRECT ANSWERS STUDY GUIDE
GRADED A+
◉ · A client diagnosed with dementia is disoriented, wandering, has a
decreased appetite, and is having trouble sleeping. Which is the priority
nursing problem for this client? Answer: Risk for injury
◉ · During a high school class on substance abuse, a student tells the
group "if I tried cocaine, I know I could handle it I know when to stop"-
what response is best for the nurse to provide? Answer: Denial of an
addiction problem is often the first response to the behavior
◉ · An older client presents to a clinic appointment with weight loss,
increased confusion, and insomnia. The clients daughter reports that the
symptoms began shortly after the recent death of the clients brother.
Which information should the nurse provide? Answer: The client
delirium may be due to depression and it possibly reversible
◉ · A primigravida client who is at 33 weeks gestation presents to the
labor and delivery unit with complaints of a headache. The initial
assessment findings include: blood pressure 144/96 mm Hg, facial
edema, and 3+ pitting edema in lower extremities. Which assessment
should the nurse perform next? Answer: Temp, pulse, and respirations
,◉ · A pregnant woman who is at 10 weeks gestation and is 35 years of
age tells the nurse that she is concerned about the possibility of having a
baby with down syndrome. Which information should the nurse provide
this client? Answer: Chronic callus sampling at 12 weeks gestation is the
earliest screening test used to identify down syndrome
◉ · A couple who is trying to have a baby asks the nurse when they are
most likely to conceive a child. The woman has a regular 35-day
menstrual cycle, and the first day of her last menstrual period was on
January 16. Which information should the nurse provide? Answer: Plan
to have intercourse on February 7 as this is when ovulation should occur
◉ · A multiparous client with active herpes lesions is admitted to the
unit with spontaneous rupture of membranes. Which action should the
nurse take? Answer: Prepare for a c-section
◉ · A neonate whose mother is addicted to heroin received morphine for
signs of neonatal abstinence syndrome (NAS). After this course of
opioid therapy, the healthcare provider prescribed clonidine. Which
intervention is most important for the nurse to include in the plan of
care? Answer: Monitor neonate's vital signs, slop, feeding, and weight
gain patterns
◉ · During a well-baby clinic visit, the mother of a 6-month-old infant
asks the nurse if she can have prescription for poly vi sol with fluoride.
Though the infant is still breastfeeding, the mother provides the child
with supplemental formula feedings. Which assessment is most
, important for the nurse to obtain? Answer: Water source used with
supplement feedings
◉ · The mother of a child who is hospitalized with croup and is in a mist
tent brings the child's favorite stuffed animal to the hospital. What action
should the nurse take? Answer: Allow the child to have the stuffed toy in
the tent
◉ · The school nurse is preparing a teaching activity about nutrition for
school-age children, 9 to 11 years of age. Which activity is best for the
nurse to include in this teaching plan? Answer: Ask the children to
classify pictures of snacks as good or bad foods
◉ · A female client with obsessive-compulsive disorder complains that
she feels "driven" to check the locks on her front door at least six times
every night. Which response is best for the nurse to provide? Answer:
What are your thoughts when you are checking the locks?
◉ · A diabetic client delivers a full-term largo for gestational age (LGA)
infant who is jittery. Which action should the nurse take first? Answer:
Obtain a blood glucose level
◉ · The nurse is assessing a newborn who was precipitously delivered at
36 weeks gestation. The newborn is tremulous tachycardic and
hypertensive. Which assessment action is most important for the nurse to
implement? Answer: Obtain a drug screen for cocaine
AND CORRECT ANSWERS STUDY GUIDE
GRADED A+
◉ · A client diagnosed with dementia is disoriented, wandering, has a
decreased appetite, and is having trouble sleeping. Which is the priority
nursing problem for this client? Answer: Risk for injury
◉ · During a high school class on substance abuse, a student tells the
group "if I tried cocaine, I know I could handle it I know when to stop"-
what response is best for the nurse to provide? Answer: Denial of an
addiction problem is often the first response to the behavior
◉ · An older client presents to a clinic appointment with weight loss,
increased confusion, and insomnia. The clients daughter reports that the
symptoms began shortly after the recent death of the clients brother.
Which information should the nurse provide? Answer: The client
delirium may be due to depression and it possibly reversible
◉ · A primigravida client who is at 33 weeks gestation presents to the
labor and delivery unit with complaints of a headache. The initial
assessment findings include: blood pressure 144/96 mm Hg, facial
edema, and 3+ pitting edema in lower extremities. Which assessment
should the nurse perform next? Answer: Temp, pulse, and respirations
,◉ · A pregnant woman who is at 10 weeks gestation and is 35 years of
age tells the nurse that she is concerned about the possibility of having a
baby with down syndrome. Which information should the nurse provide
this client? Answer: Chronic callus sampling at 12 weeks gestation is the
earliest screening test used to identify down syndrome
◉ · A couple who is trying to have a baby asks the nurse when they are
most likely to conceive a child. The woman has a regular 35-day
menstrual cycle, and the first day of her last menstrual period was on
January 16. Which information should the nurse provide? Answer: Plan
to have intercourse on February 7 as this is when ovulation should occur
◉ · A multiparous client with active herpes lesions is admitted to the
unit with spontaneous rupture of membranes. Which action should the
nurse take? Answer: Prepare for a c-section
◉ · A neonate whose mother is addicted to heroin received morphine for
signs of neonatal abstinence syndrome (NAS). After this course of
opioid therapy, the healthcare provider prescribed clonidine. Which
intervention is most important for the nurse to include in the plan of
care? Answer: Monitor neonate's vital signs, slop, feeding, and weight
gain patterns
◉ · During a well-baby clinic visit, the mother of a 6-month-old infant
asks the nurse if she can have prescription for poly vi sol with fluoride.
Though the infant is still breastfeeding, the mother provides the child
with supplemental formula feedings. Which assessment is most
, important for the nurse to obtain? Answer: Water source used with
supplement feedings
◉ · The mother of a child who is hospitalized with croup and is in a mist
tent brings the child's favorite stuffed animal to the hospital. What action
should the nurse take? Answer: Allow the child to have the stuffed toy in
the tent
◉ · The school nurse is preparing a teaching activity about nutrition for
school-age children, 9 to 11 years of age. Which activity is best for the
nurse to include in this teaching plan? Answer: Ask the children to
classify pictures of snacks as good or bad foods
◉ · A female client with obsessive-compulsive disorder complains that
she feels "driven" to check the locks on her front door at least six times
every night. Which response is best for the nurse to provide? Answer:
What are your thoughts when you are checking the locks?
◉ · A diabetic client delivers a full-term largo for gestational age (LGA)
infant who is jittery. Which action should the nurse take first? Answer:
Obtain a blood glucose level
◉ · The nurse is assessing a newborn who was precipitously delivered at
36 weeks gestation. The newborn is tremulous tachycardic and
hypertensive. Which assessment action is most important for the nurse to
implement? Answer: Obtain a drug screen for cocaine
