Hondros College of Nursing NUR 176
HESI EXIT PRACTICE
EXAM QUESTIONS
VERIFIED AND PROVIDED
WITH A+ GRADED
ANSWERS |LATEST
UPDATED 2026
1|Page
,The nurse is caring for a client who delivered 6 hours ago. Assessment
findings reveal a boggy uterus that is displaced above and to the right of the
umbilicus. Which action should the nurse take?
Encourage voiding
Which type of anesthesia, used with a client in labor, produces a loss of
sensation only to the vagina and perineum?
Pudendal block
When performing the daily head-to-toe assessment of a 1-day-old newborn,
the nurse observes a yellow tint to the skin on the forehead, sternum and
abdomen. Which action should the nurse take?
Measure bilirubin levels using transcutaneous bilirubinometry
A woman at 36-weeks' gestation who is Rh negative is admitted to labor and
delivery reporting abdominal cramp. She is placed on a strict bedrest and
the fetal heart rate and contraction pattern are monitored with an external
fetal monitor. Two hours after admission, the nurse notes a large amount of
bright red vaginal bleeding. Which nursing intervention has the highest
priority?
Assess the fetal heart rate & client's contraction pattern
2|Page
,Assessment findings of a 4-hour-old newborn include: axillary temperature of
96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular
respiratory rate at 64 breaths/minute, jitteriness, hypotonic, and weak cry.
Based on these findings, which action should the nurse implement?
Swaddle the infant in a warm blanket
A multiparous client is involuntarily pushing while being wheeled into the
labor triage area. The nurse observes the fetal head presenting at the
perineum. Which action should the nurse take?
Apply suprapubic pressure
After two miscarriages, a client is Instructed to increase her daily intake of
foods that includes folic acid. The client does not like green leafy vegetables
and states she is allergic to soy. Which food should the nurse suggest that
the client eat to obtain folic acid
Strawberries
While assessing a 40-week gestation primigravida in active labor, the client's
membranes rupture spontaneously and the nurse notes that the amniotic
fluid is meconium stained. Which additional finding is most important for the
nurse to report to the healthcare provider?
Fetal heart rate of 100 to 110 beats/minute
A client at 35 weeks gestation complains of a "pain whenever the baby
moves." On assessment, the nurse notes the client's temperature to be 101.20
F (38.4° C), with severe abdominal or uterine tenderness on palpation. The
nurse knows that these findings are indicative of which condition?
Chorioamnionitis
3|Page
, The nurse is caring for a client who is 10-weeks' gestation and palpates the
funds at 2 fingerbreadths above the pubic symphysis. The client reports nausea,
vomiting, and scant dark brown vaginal discharge. Which action should the
nurse take?
Obtain HCG levels
A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home
with the assistance of a nurse midwife. Two days later, the client calls the
clinic to ask if it is necessary to see the healthcare provider since the infant
is healthy, and she is not having any complications. The woman's history
indicates that both previously born infants were Rh-negative. Which
response should the nurse provide?
The newborn's blood type should be tested to determine the need for
RhoGAM
A is necessary to see the healthcare provider since the infant is healthy, and
she is not having any complications. The woman's history indicates that both
previously born infants were Rh-negative. Which response should the nurse
provide?
The newborn's blood type should be tested to determine the need for
RhoGAM
The nurse is caring for a client who is 24-weeks gestation and reports
increased thirst and urination. Which diagnostic test result should the nurse
report to the healthcare provider?
Oral glucose challenge test
4|Page
HESI EXIT PRACTICE
EXAM QUESTIONS
VERIFIED AND PROVIDED
WITH A+ GRADED
ANSWERS |LATEST
UPDATED 2026
1|Page
,The nurse is caring for a client who delivered 6 hours ago. Assessment
findings reveal a boggy uterus that is displaced above and to the right of the
umbilicus. Which action should the nurse take?
Encourage voiding
Which type of anesthesia, used with a client in labor, produces a loss of
sensation only to the vagina and perineum?
Pudendal block
When performing the daily head-to-toe assessment of a 1-day-old newborn,
the nurse observes a yellow tint to the skin on the forehead, sternum and
abdomen. Which action should the nurse take?
Measure bilirubin levels using transcutaneous bilirubinometry
A woman at 36-weeks' gestation who is Rh negative is admitted to labor and
delivery reporting abdominal cramp. She is placed on a strict bedrest and
the fetal heart rate and contraction pattern are monitored with an external
fetal monitor. Two hours after admission, the nurse notes a large amount of
bright red vaginal bleeding. Which nursing intervention has the highest
priority?
Assess the fetal heart rate & client's contraction pattern
2|Page
,Assessment findings of a 4-hour-old newborn include: axillary temperature of
96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular
respiratory rate at 64 breaths/minute, jitteriness, hypotonic, and weak cry.
Based on these findings, which action should the nurse implement?
Swaddle the infant in a warm blanket
A multiparous client is involuntarily pushing while being wheeled into the
labor triage area. The nurse observes the fetal head presenting at the
perineum. Which action should the nurse take?
Apply suprapubic pressure
After two miscarriages, a client is Instructed to increase her daily intake of
foods that includes folic acid. The client does not like green leafy vegetables
and states she is allergic to soy. Which food should the nurse suggest that
the client eat to obtain folic acid
Strawberries
While assessing a 40-week gestation primigravida in active labor, the client's
membranes rupture spontaneously and the nurse notes that the amniotic
fluid is meconium stained. Which additional finding is most important for the
nurse to report to the healthcare provider?
Fetal heart rate of 100 to 110 beats/minute
A client at 35 weeks gestation complains of a "pain whenever the baby
moves." On assessment, the nurse notes the client's temperature to be 101.20
F (38.4° C), with severe abdominal or uterine tenderness on palpation. The
nurse knows that these findings are indicative of which condition?
Chorioamnionitis
3|Page
, The nurse is caring for a client who is 10-weeks' gestation and palpates the
funds at 2 fingerbreadths above the pubic symphysis. The client reports nausea,
vomiting, and scant dark brown vaginal discharge. Which action should the
nurse take?
Obtain HCG levels
A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home
with the assistance of a nurse midwife. Two days later, the client calls the
clinic to ask if it is necessary to see the healthcare provider since the infant
is healthy, and she is not having any complications. The woman's history
indicates that both previously born infants were Rh-negative. Which
response should the nurse provide?
The newborn's blood type should be tested to determine the need for
RhoGAM
A is necessary to see the healthcare provider since the infant is healthy, and
she is not having any complications. The woman's history indicates that both
previously born infants were Rh-negative. Which response should the nurse
provide?
The newborn's blood type should be tested to determine the need for
RhoGAM
The nurse is caring for a client who is 24-weeks gestation and reports
increased thirst and urination. Which diagnostic test result should the nurse
report to the healthcare provider?
Oral glucose challenge test
4|Page
