RN HESI FINAL EXIT EXAM V1,V2,V3,V4,V5,V6,V7
NGN|2025- 2026 QUESTIONS AND 100% VERIFIED
ANSWERS|||BRAND NEW!!!
A client at 40-weeks' gestation presents to the obstetrical floor and
indicates that the amniotic membranes ruptured spontaneously at
home. She is in active labor and feels the need to bear down and push.
What information is most important for the nurse to obtain first?
A. the estimated amount of fluid
B. time the membranes ruptured
C. color and consistency of the fluid
D. any odor noted when membranes ruptured.
- correct answer -C. color and consistency of the fluid
An infant with tetralogy of Fallot becomes acutely cyanotic and hyper
apneic. Which action should the nurse implement first?A. Administer
morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position
D. Provide 100% oxygen by face mask.
- correct answer -C. Place the infant in a knee-chest position
A one-day-old neonate develops a cephalohematoma. The nurse
should closely assess this neonate for which common complication?
A. jaundice
B. poor appetite
C. brain damage
D. hypoglycemia
- correct answer -A. Jaundice
pg. 1
,The nurse is reviewing the serum laboratory finding for a 5-day-old
infant with congenital adrenal hyperplasia. Which laboratory results
should be reported to the healthcare provider immediatly?
A. Bilirubin of 1.5 mg/dl
B. Glucose of 80 mg/dl
C. Potassium of 4.5 mEq/L
D. Sodium of 119 mEq/L
- correct answer -D. Sodium of 119 mEq/L
At 39-weeks gestation, a multigravida is having a non-stress test
(NST). The fetal heart rate (FHR) has remained nonreactive during
the 30 minutes of evaluation. Based on this finding, which action
should the nurse implement?
A. Initiate an intravenous infusion
B. Observe the FHR pattern for 30 more minutes
C. Schedule a biophysical profile
D. Place an acoustic stimulator on the abdomen
- correct answer -D. Place an acoustic stimulator on the abdomen
A community health nurse visits a family in which a 16-year-old
unmarried daughter is pregnant with her first child and is at 32-weeks
gestation. The client tells the nurse that she has been having
intermittent back pain since the night before. What is the priority
nursing intervention?
A. Ask the clients mother to call an ambulance for transport to the
hospital immediately.
B. Determine what physical activities the client has performed for the
past 24 hours
C. Teach the client if she has experienced any recent changes in
vaginal discharge.
pg. 2
,- correct answer -C. Teach the client if she has experienced any recent
changes in vaginal discharge.
Albumin 25% IV is prescribed for a child with nephrotic syndrome.
Which assessment finding indicates to the nurse that the medication is
having the desired effect?
A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema
- correct answer -D. Reduction of edema
The nurse is conducting postpartum teaching with a mother who is
breastfeeding here infant. When discussing birth control, which
method should the nurse recommend to this client as beneficial for her
to use in preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives.
- correct answer -B. Condoms and contraceptive foam or gel
One day after a vaginal delivery of a full-term baby, a postpartum
client's white blood cell count is 15,000/mm2. What action should the
nurse take first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of
infection
D. Assess the clients perineal area for signs of a perineal hematoma.
pg. 3
, - correct answer -A. Check he differential, since the WBC is normal
for this client.
The parents of a newborn tell the nurse that their baby is already
trying to walk. How should the nurse respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
D. Explain the newborn's normal stepping reflex.
- correct answer -D. Explain the newborn's normal stepping reflex.
A breastfeeding infant, screened for congenital hypothyroidism, is
found to have low levels of thyroxine (t4) and high levels of thyroid
stimulating hormone (TSH)/ What is the best explanation for this
finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
C. The thyroid gland does not produce normal levels of thyroxine for
several weeks after birth
D. The TSH is high because of the low production of T4 by the
thyroid.
- correct answer -D. The TSH is high because of the low production
of T4 by the thyroid.
The nurse is assessing a 2-hour-old infant born by cesarean delivery at
39-weeks gestation. Which assessment finding should receive the
highest priority when planning this infants care?
A. Blood pressure 76/42 mm/Hg
B. Faint heart murmur
C. Respiratory rate 76 breaths/min
D. Blood glucose 45 mg/dl
pg. 4
NGN|2025- 2026 QUESTIONS AND 100% VERIFIED
ANSWERS|||BRAND NEW!!!
A client at 40-weeks' gestation presents to the obstetrical floor and
indicates that the amniotic membranes ruptured spontaneously at
home. She is in active labor and feels the need to bear down and push.
What information is most important for the nurse to obtain first?
A. the estimated amount of fluid
B. time the membranes ruptured
C. color and consistency of the fluid
D. any odor noted when membranes ruptured.
- correct answer -C. color and consistency of the fluid
An infant with tetralogy of Fallot becomes acutely cyanotic and hyper
apneic. Which action should the nurse implement first?A. Administer
morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position
D. Provide 100% oxygen by face mask.
- correct answer -C. Place the infant in a knee-chest position
A one-day-old neonate develops a cephalohematoma. The nurse
should closely assess this neonate for which common complication?
A. jaundice
B. poor appetite
C. brain damage
D. hypoglycemia
- correct answer -A. Jaundice
pg. 1
,The nurse is reviewing the serum laboratory finding for a 5-day-old
infant with congenital adrenal hyperplasia. Which laboratory results
should be reported to the healthcare provider immediatly?
A. Bilirubin of 1.5 mg/dl
B. Glucose of 80 mg/dl
C. Potassium of 4.5 mEq/L
D. Sodium of 119 mEq/L
- correct answer -D. Sodium of 119 mEq/L
At 39-weeks gestation, a multigravida is having a non-stress test
(NST). The fetal heart rate (FHR) has remained nonreactive during
the 30 minutes of evaluation. Based on this finding, which action
should the nurse implement?
A. Initiate an intravenous infusion
B. Observe the FHR pattern for 30 more minutes
C. Schedule a biophysical profile
D. Place an acoustic stimulator on the abdomen
- correct answer -D. Place an acoustic stimulator on the abdomen
A community health nurse visits a family in which a 16-year-old
unmarried daughter is pregnant with her first child and is at 32-weeks
gestation. The client tells the nurse that she has been having
intermittent back pain since the night before. What is the priority
nursing intervention?
A. Ask the clients mother to call an ambulance for transport to the
hospital immediately.
B. Determine what physical activities the client has performed for the
past 24 hours
C. Teach the client if she has experienced any recent changes in
vaginal discharge.
pg. 2
,- correct answer -C. Teach the client if she has experienced any recent
changes in vaginal discharge.
Albumin 25% IV is prescribed for a child with nephrotic syndrome.
Which assessment finding indicates to the nurse that the medication is
having the desired effect?
A. Weight gain
B. Reduction of fever
C. Improved caloric intake
D. Reduction of edema
- correct answer -D. Reduction of edema
The nurse is conducting postpartum teaching with a mother who is
breastfeeding here infant. When discussing birth control, which
method should the nurse recommend to this client as beneficial for her
to use in preventing an unwanted pregnancy?
A. Breastfeed exclusively at least every 3-4 hours
B. Condoms and contraceptive foam or gel
C. Rhythm method (natural family planning)
D. Combined estrogen progesterone oral contraceptives.
- correct answer -B. Condoms and contraceptive foam or gel
One day after a vaginal delivery of a full-term baby, a postpartum
client's white blood cell count is 15,000/mm2. What action should the
nurse take first?
A. Check he differential, since the WBC is normal for this client.
B. Assess the clients temperature, pulse, and respirations q4h.
C. Notify the healthcare provider, since this finding is indicative of
infection
D. Assess the clients perineal area for signs of a perineal hematoma.
pg. 3
, - correct answer -A. Check he differential, since the WBC is normal
for this client.
The parents of a newborn tell the nurse that their baby is already
trying to walk. How should the nurse respond?
A. Encourage the parents to report this to the healthcare provider
B. Acknowledge the parents' observation.
C. Schedule the newborn for further neurological testing.
D. Explain the newborn's normal stepping reflex.
- correct answer -D. Explain the newborn's normal stepping reflex.
A breastfeeding infant, screened for congenital hypothyroidism, is
found to have low levels of thyroxine (t4) and high levels of thyroid
stimulating hormone (TSH)/ What is the best explanation for this
finding?
A. The thyroxine level is low because the TSH level is high.
B. High thyroxine levels normally occur in breastfeeding infants.
C. The thyroid gland does not produce normal levels of thyroxine for
several weeks after birth
D. The TSH is high because of the low production of T4 by the
thyroid.
- correct answer -D. The TSH is high because of the low production
of T4 by the thyroid.
The nurse is assessing a 2-hour-old infant born by cesarean delivery at
39-weeks gestation. Which assessment finding should receive the
highest priority when planning this infants care?
A. Blood pressure 76/42 mm/Hg
B. Faint heart murmur
C. Respiratory rate 76 breaths/min
D. Blood glucose 45 mg/dl
pg. 4
