Priority OB/PEDS Hesi Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A newborn is grunting and has nasal flaring. What is the nurse’s priority action?
✔✔Notify the healthcare provider immediately and prepare for possible respiratory support.
A postpartum mother reports sudden chest pain and shortness of breath. What should the nurse
do first?
✔✔Assess vital signs and oxygen saturation while activating emergency response for possible
pulmonary embolism.
A child with sickle cell crisis presents with severe pain. What is the nurse’s initial priority?
✔✔Administer prescribed pain medication and maintain adequate hydration.
A laboring client is experiencing late decelerations on the fetal monitor. What is the priority
action?
✔✔Reposition the client to the left side and provide oxygen.
1
,A neonate has a blood glucose of 32 mg/dL. What is the nurse’s immediate intervention?
✔✔Provide early feeding or administer IV glucose per order.
A postpartum client has saturated two pads in 30 minutes. What is the priority nursing action?
✔✔Massage the uterine fundus to promote contraction.
A 5-year-old child with epiglottitis is drooling and sitting upright. What is the priority action?
✔✔Do not attempt to visualize the throat; keep the airway patent and prepare for emergency
intubation.
A pregnant client reports severe right upper quadrant pain and visual disturbances. What is the
nurse’s priority concern?
✔✔Possible preeclampsia with severe features—notify provider immediately.
A neonate is cyanotic with a weak cry. What should the nurse do first?
✔✔Initiate neonatal resuscitation protocol with bag-mask ventilation.
A child receiving chemotherapy develops a fever of 101°F. What is the priority action?
2
,✔✔Report immediately to provider due to risk of neutropenic sepsis.
A mother in labor is receiving magnesium sulfate for preeclampsia and becomes difficult to
arouse. What is the priority nursing intervention?
✔✔Stop the infusion and administer calcium gluconate as ordered.
A newborn has meconium-stained amniotic fluid and poor respiratory effort. What is the first
nursing action?
✔✔Prepare for immediate airway suctioning and possible intubation.
A postpartum woman with a history of deep vein thrombosis reports calf pain. What should the
nurse do first?
✔✔Assess extremity and notify provider due to risk of clot extension.
A child with croup suddenly develops inspiratory stridor at rest. What is the nurse’s immediate
priority?
✔✔Administer humidified oxygen and prepare for advanced airway management.
3
, A pregnant client at 38 weeks reports no fetal movement for 12 hours. What is the nurse’s initial
action?
✔✔Apply fetal monitor and assess for heart tones.
A newborn is hypothermic after delivery. What should the nurse do first?
✔✔Dry the infant thoroughly and place skin-to-skin with the mother.
A child with asthma develops severe wheezing and retractions despite bronchodilator use. What
is the priority action?
✔✔Notify provider immediately for potential status asthmaticus.
A laboring client with oxytocin infusion has uterine contractions every 90 seconds without
relaxation. What is the first action?
✔✔Stop the oxytocin infusion immediately.
A neonate is born to an HIV-positive mother. What is the priority nursing action?
✔✔Administer prescribed antiretroviral prophylaxis.
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A newborn is grunting and has nasal flaring. What is the nurse’s priority action?
✔✔Notify the healthcare provider immediately and prepare for possible respiratory support.
A postpartum mother reports sudden chest pain and shortness of breath. What should the nurse
do first?
✔✔Assess vital signs and oxygen saturation while activating emergency response for possible
pulmonary embolism.
A child with sickle cell crisis presents with severe pain. What is the nurse’s initial priority?
✔✔Administer prescribed pain medication and maintain adequate hydration.
A laboring client is experiencing late decelerations on the fetal monitor. What is the priority
action?
✔✔Reposition the client to the left side and provide oxygen.
1
,A neonate has a blood glucose of 32 mg/dL. What is the nurse’s immediate intervention?
✔✔Provide early feeding or administer IV glucose per order.
A postpartum client has saturated two pads in 30 minutes. What is the priority nursing action?
✔✔Massage the uterine fundus to promote contraction.
A 5-year-old child with epiglottitis is drooling and sitting upright. What is the priority action?
✔✔Do not attempt to visualize the throat; keep the airway patent and prepare for emergency
intubation.
A pregnant client reports severe right upper quadrant pain and visual disturbances. What is the
nurse’s priority concern?
✔✔Possible preeclampsia with severe features—notify provider immediately.
A neonate is cyanotic with a weak cry. What should the nurse do first?
✔✔Initiate neonatal resuscitation protocol with bag-mask ventilation.
A child receiving chemotherapy develops a fever of 101°F. What is the priority action?
2
,✔✔Report immediately to provider due to risk of neutropenic sepsis.
A mother in labor is receiving magnesium sulfate for preeclampsia and becomes difficult to
arouse. What is the priority nursing intervention?
✔✔Stop the infusion and administer calcium gluconate as ordered.
A newborn has meconium-stained amniotic fluid and poor respiratory effort. What is the first
nursing action?
✔✔Prepare for immediate airway suctioning and possible intubation.
A postpartum woman with a history of deep vein thrombosis reports calf pain. What should the
nurse do first?
✔✔Assess extremity and notify provider due to risk of clot extension.
A child with croup suddenly develops inspiratory stridor at rest. What is the nurse’s immediate
priority?
✔✔Administer humidified oxygen and prepare for advanced airway management.
3
, A pregnant client at 38 weeks reports no fetal movement for 12 hours. What is the nurse’s initial
action?
✔✔Apply fetal monitor and assess for heart tones.
A newborn is hypothermic after delivery. What should the nurse do first?
✔✔Dry the infant thoroughly and place skin-to-skin with the mother.
A child with asthma develops severe wheezing and retractions despite bronchodilator use. What
is the priority action?
✔✔Notify provider immediately for potential status asthmaticus.
A laboring client with oxytocin infusion has uterine contractions every 90 seconds without
relaxation. What is the first action?
✔✔Stop the oxytocin infusion immediately.
A neonate is born to an HIV-positive mother. What is the priority nursing action?
✔✔Administer prescribed antiretroviral prophylaxis.
4
