RN HESI Maternal Newborn Newest Exam
Questions and correct Answers latest
2026-2028 | PDF
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 immediately?
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. - SELECTED ANSWER 👀*** d. Sodium of 119 mEq/L.
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. - SELECTED
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 the infant's care?
a. Blood pressure 76/42 mmHg.
b. Faint heart murmur.
c. Respiratory rate of 76 breaths/minute.
d. Blood glucose 45mg/gl. - SELECTED ANSWER 👀*** c. Respiratory rate of 76
breaths/minute.
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. - SELECTED ANSWER 👀*** d.
Explain the newborn's normal stepping reflex.
During the admission procedure of a 6-year-old, the child states, "I'm going to have
an operation." Which response is best for the nurse to provide to this child?
a. "Are you scared?"
b. "We're going to do everything we can to take very good care of you."
c. "Tell me what an operation is."
d. "I'm glad your mother told you why you were coming to the hospital." - SELECTED
ANSWER 👀*** c. "Tell me what an operation is."
,One day after vaginal delivery of a full-term baby, a postpartum client's white blood
cell count is 15,000/mm3. What action should the nurse take first?
a. Check the differential, since the WBC is normal for this client.
b. Assess the client's temperature, pulse, and respirations q4h.
c. Notify the healthcare provider, since this finding is indicative of infection.
d. Assess the client's perineal area for signs of a perineal hematoma. - SELECTED
ANSWER 👀*** a. Check the differential, since the WBC is normal for this client.
The mother of a preschool-aged child calls the school nurse to report that her child
was bitten by a tick while on a school outing last week. The mother tells the nurse
that she removed the tick and flushed it down the toilet. What action should the
school nurse take?
a. Refer the mother to the center for disease control.
b. Report the incident to the school principal.
c. Culture the site when the child returns to school.
d. Schedule a test for Lyme disease if rash appears. - SELECTED ANSWER 👀*** d.
Schedule a test for Lyme disease if rash appears.
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which
assessment finding indicates to the nurse that the medication is having desired
effect?
a. Weight gain.
b. Reduction of fever.
c. Improved caloric intake.
, d. Reduction of edema. - SELECTED ANSWER 👀*** d. Reduction of edema.
The nurse is conduction postpartum teaching with a mother who is breastfeeding her
infant. When discussing birth control which method should the nurse recommend to
this client as best for her to use in preventing unwanted pregnancy?
a. Breastfeed exclusively at least every 3 to 4 hours.
b. Condoms and contraceptive foam or gel.
c. Rhythm method (natural family planning).
d. Combined estrogen-progesterone oral contraceptives. - SELECTED ANSWER 👀***
b. Condoms and contraceptive foam or gel.
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 client's mother to call an ambulance for transport to the hospital
immediately.
b. Determine what physical activates the client has performed for the past 24hrs.
c. Teach the client how to perform pelvic rock exercises and observe for correct
feedback.
d. Ask the client if she has experienced any recent changes in vaginal discharge. -
SELECTED ANSWER 👀*** d. Ask the client if she has experienced any recent
changes in vaginal discharge.
A young girl with a fractured radius has a cast applied. As the cast is drying, it is
elevated above the level of her heart. Which assessment finding should the nurse
report to the healthcare provider immediately?
Questions and correct Answers latest
2026-2028 | PDF
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 immediately?
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. - SELECTED ANSWER 👀*** d. Sodium of 119 mEq/L.
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. - SELECTED
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 the infant's care?
a. Blood pressure 76/42 mmHg.
b. Faint heart murmur.
c. Respiratory rate of 76 breaths/minute.
d. Blood glucose 45mg/gl. - SELECTED ANSWER 👀*** c. Respiratory rate of 76
breaths/minute.
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. - SELECTED ANSWER 👀*** d.
Explain the newborn's normal stepping reflex.
During the admission procedure of a 6-year-old, the child states, "I'm going to have
an operation." Which response is best for the nurse to provide to this child?
a. "Are you scared?"
b. "We're going to do everything we can to take very good care of you."
c. "Tell me what an operation is."
d. "I'm glad your mother told you why you were coming to the hospital." - SELECTED
ANSWER 👀*** c. "Tell me what an operation is."
,One day after vaginal delivery of a full-term baby, a postpartum client's white blood
cell count is 15,000/mm3. What action should the nurse take first?
a. Check the differential, since the WBC is normal for this client.
b. Assess the client's temperature, pulse, and respirations q4h.
c. Notify the healthcare provider, since this finding is indicative of infection.
d. Assess the client's perineal area for signs of a perineal hematoma. - SELECTED
ANSWER 👀*** a. Check the differential, since the WBC is normal for this client.
The mother of a preschool-aged child calls the school nurse to report that her child
was bitten by a tick while on a school outing last week. The mother tells the nurse
that she removed the tick and flushed it down the toilet. What action should the
school nurse take?
a. Refer the mother to the center for disease control.
b. Report the incident to the school principal.
c. Culture the site when the child returns to school.
d. Schedule a test for Lyme disease if rash appears. - SELECTED ANSWER 👀*** d.
Schedule a test for Lyme disease if rash appears.
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which
assessment finding indicates to the nurse that the medication is having desired
effect?
a. Weight gain.
b. Reduction of fever.
c. Improved caloric intake.
, d. Reduction of edema. - SELECTED ANSWER 👀*** d. Reduction of edema.
The nurse is conduction postpartum teaching with a mother who is breastfeeding her
infant. When discussing birth control which method should the nurse recommend to
this client as best for her to use in preventing unwanted pregnancy?
a. Breastfeed exclusively at least every 3 to 4 hours.
b. Condoms and contraceptive foam or gel.
c. Rhythm method (natural family planning).
d. Combined estrogen-progesterone oral contraceptives. - SELECTED ANSWER 👀***
b. Condoms and contraceptive foam or gel.
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 client's mother to call an ambulance for transport to the hospital
immediately.
b. Determine what physical activates the client has performed for the past 24hrs.
c. Teach the client how to perform pelvic rock exercises and observe for correct
feedback.
d. Ask the client if she has experienced any recent changes in vaginal discharge. -
SELECTED ANSWER 👀*** d. Ask the client if she has experienced any recent
changes in vaginal discharge.
A young girl with a fractured radius has a cast applied. As the cast is drying, it is
elevated above the level of her heart. Which assessment finding should the nurse
report to the healthcare provider immediately?
