(Latest Med Surg V2 PN HESI, OB HESI, Pediatrics HESI PN Review, Maternity NCLEX PN:: 2026 study guide!!!!!!) Page 1
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Med Surg V2 PN HESI, OB HESI, Pediatrics
HESI PN Review, Maternity NCLEX PN
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GU questions Chapter 55 and 59 Pediatrics HESI PN exam Review Med Surg V2 PN HESI NCLEX EXAM PRE
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Terms in this set (193)
1. A primigravid client at 26 weeks' gestation asks the nurse 4. Backflow of stomach contents into the esophagus.
what causes heartburn
during pregnancy. The nurse should explain to the client that
heartburn during pregnancy
is usually caused by which of the following?
1. Increased peristaltic action during pregnancy.
2. Displacement of the stomach by the diaphragm.
3. Decreased secretion of hydrochloric acid.
4. Backflow of stomach contents into the esophagus.
2. A client at a follow-up appointment after having a miscarriage 2. "I know you are angry. It's so hard to lose your baby."
2 weeks
previously yells at the nurse, "How could God do this to me?
I've never done anything
wrong." Which of the following responses by the nurse would be
most appropriate at
this time?
1. "God can handle your anger. It's okay."
2. "I know you are angry. It's so hard to lose your baby."
3. "It isn't God's fault. It was an accident."
4. "You're a strong person. You will get through this."
3. A client who has been prescribed chemotherapy is worried 4. "Tell me about your concerns with chemotherapy."
and wants to take
herbal treatments instead. The nurse's best response to the
client is which of the
following?
1. "You are making a mistake and placing your life in jeopardy."
2. "Herbal treatments are not approved by the government's
regulatory agency."
3. "Herbal treatments have not been researched with cancer."
4. "Tell me about your concerns with chemotherapy."
4. A 4-year-old child is admitted for a cardiac catheterization. 3. The parents.
Which of the
following is most important to include as the nurse teaches this
child about the cardiac
catheterization?
1. A plastic model of the heart.
2. A catheter that will be inserted into the artery.
3. The parents.
4. Other children undergoing a catheterization.
5. A client has a reddened area over a bony prominence. The 4. Instruct the nursing assistant that massage is contraindicated because it decreases
nurse finds a nursing blood flow to the area.
assistant massaging this area. The nurse should:
1. Reinforce the nursing assistant's use of this intervention over
the bony
prominence.
2. Explain to the nursing assistant that massage is effective
because it improves
blood flow to the area.
3. Inform the nursing assistant that massage is even more
effective when combined
with the use of lotion.
4. Instruct the nursing assistant that massage is contraindicated
because it decreases
blood flow to the area.
6. A worried mother confides in the nurse that she wants to 3. "You always have an option to change. Tell me about your concerns."
change primary care
providers because her infant is not getting better. The best
response by the nurse is
which of the following?
1. "This doctor has been on our staff for 20 years."
2. "I know you are worried, but the doctor has an excellent
reputation."
3. "You always have an option to change. Tell me about your
concerns."
4. "I take my own children to this doctor."
4/3/2026, 3:34:07 PM 4/3/2026, 3:34:05 PM 4/3/2026, 3:34:04 PM
,(Latest Med Surg V2 PN HESI, OB HESI, Pediatrics HESI PN Review, Maternity NCLEX PN:: 2026 study guide!!!!!!) Page 2
7. A mother who is breast-feeding and has known food 1. Shellfish.
sensitivities is asking the 2. Eggs.
nurse what foods she should avoid in her diet. The nurse 3. Peanuts.
should advise her to avoid
which foods? Select all that apply.
1. Shellfish.
2. Eggs.
3. Peanuts.
4. Beef.
5. Lamb.
8. A widowed client who is receiving chemotherapy tells the 3. Meals on Wheels.
nurse that he does not
like to cook for himself. A community resource for this client is:
1. Hospice/palliative care association.
2. Home care/visiting nurses group.
3. Meals on Wheels.
4. Association for Retirees.
9. After the client has a temporary pacemaker inserted, the 1. The client's cardiovascular status.
nurse should verify that
which of the following has been documented?
1. The client's cardiovascular status.
2. The client's emotional state.
3. The type of sedation used.
4. Pacemaker rate, type, and settings.
10. The nurse judges that the parent of a 9-month-old infant in a 3. "I can borrow a special feeding table to use."
hip spica cast
understands how to feed the child when the parent states which
of the following?
1. "I can lay my child flat and feed that way."
2. "I'll raise my child's head up and leave the hips and legs on a
pillow."
3. "I can borrow a special feeding table to use."
4. "It will take two of us, one to hold and one to feed."
11. The nurse is assessing home care needs for a group of 3. Has episodes of vertigo that result in falls.
clients. Which clients 4. Has multiple sclerosis with an open, draining lesion on a foot.
qualify for home care services? The client who: (Select all that
apply.)
1. Requires monitoring of prothrombin time due to Coumadin
(warfarin) therapy.
2. Needs additional instruction regarding preparation of food on
a low-sodium diet.
3. Has episodes of vertigo that result in falls.
4. Has multiple sclerosis with an open, draining lesion on a foot.
5. Needs stronger lenses for glasses.
12. Forty-eight hours after a ventriculoperitoneal shunt 3. A computerized tomography scan.
placement, an infant is
irritable and vomits a large amount. The assessment reveals a
bulging fontanel. Using
the SBAR (Situation-Background-Assessment-
Recommendation) technique for
communication, the nurse calls the primary health care provider
with the
recommendation for:
1. A dose of morphine (Astramorph).
2. A fluid bolus of normal saline.
3. A computerized tomography scan.
4. A dose of furosemide (Lasix).
13. The nursing staff has finished restraining a client. In addition 3. Improve the use of restraint procedures.
to determining
whether anyone was injured, the staff is mandated to evaluate
the incident to obtain
which of the following ultimate outcomes?
1. Coordinate documentation of the incident.
2. Resolve negative feelings and attitudes.
3. Improve the use of restraint procedures.
4. Calm down before returning to the other clients.
14. The nurse is caring for a client who has experienced severe 3. Acute respiratory distress syndrome (ARDS)
multiple trauma.
The client's arterial blood gases reveal low arterial oxygen
levels that are not
responsive to high concentrations of oxygen. This finding is an
indicator of the
development of which of the following conditions?
1. Hospital-acquired pneumonia.
2. Hypovolemic shock.
3. Acute respiratory distress syndrome (ARDS).
4. Asthma.
15. A client asks the nurse why it is necessary to complete an 2. "It is your chance to make your wishes known if you ever become incapable of
advance directive on making your own decisions."
admission to the hospital. The nurse's best response is which of
the following?
1. "This will provide a substitute for informed discussion with
your primary care
provider."
2. "It is your chance to make your wishes known if you ever
become incapable of
making your own decisions."
3. "Your primary care provider will make the best decisions for
you in an
emergency."
4. "Are you worried that extraordinary means will be taken if you
are dying?"
16. When witnessing an adult client's signature on a consent for 1. That there was adequate disclosure of information.
a procedure, the 2. That the client understood the information.
nurse verifies that the consent was obtained in an appropriate 3. That there was voluntary consent on the client's part.
manner. The nurse should 4. That the client has full awareness of the potential complications.
verify which of the following? Select all that apply.
1. That there was adequate disclosure of information.
2. That the client understood the information.
3. That there was voluntary consent on the client's part.
4. That the client has full awareness of the potential
complications.
5. That the client's relative, spouse, or legal guardian was
present.
4/3/2026, 3:34:07 PM 4/3/2026, 3:34:05 PM 4/3/2026, 3:34:04 PM
, (Latest Med Surg V2 PN HESI, OB HESI, Pediatrics HESI PN Review, Maternity NCLEX PN:: 2026 study guide!!!!!!) Page 3
17. A pregnant woman at 22 weeks' gestation is diagnosed with 4. Discuss with the physician the need to change the prescription
gonorrhea. The
physician prescriptions doxycycline (Vibramycin). The nurse
should first:
1. Instruct the client about the effects of the drug.
2. Make sure the record notes that the baby must receive
eyedrops when born.
3. Have the physician add a single dose of ceftriaxone
(Rocephin).
4. Discuss with the physician the need to change the
prescription.
18. After a client undergoes a contraction stress test that is 3. Indications that contractions have ceased.
negative, which of the
following should the nurse assess next?
1. Evidence of ruptured membranes.
2. Viability status of the fetus.
3. Indications that contractions have ceased.
4. Fetal heart rate variability.
19. A 2-month-old infant is at risk for an ileus after surgery to 2. Assessment of bowel sounds.
correct 3. Characteristics of the first stool.
intussusception. Which of the following should be included in a 4. Measurement of gastric output.
focused assessment for
this complication? Select all that apply.
1. Measurement of urine specific gravity.
2. Assessment of bowel sounds.
3. Characteristics of the first stool.
4. Measurement of gastric output.
5. Bilirubin levels.
20. A client with asthma asks the nurse if she should use her 2. "No, this drug is a maintenance drug, not a rescue inhaler."
salmeterol inhaler
when she exercises and experiences wheezing and shortness
of breath. The nurse's best
response is which of the following?
1. "Yes, use the inhaler immediately for these symptoms."
2. "No, this drug is a maintenance drug, not a rescue inhaler."
3. "Use the inhaler 5 minutes before you exercise to prevent the
wheezing."
4. "This inhaler is for allergic rhinitis, not asthma."
21. The nurse should assess the child with nephrotic syndrome 1. Normal blood pressure.
for which of the 2. Generalized edema.
following? Select all that apply. 4. No red blood cells in the urine.
1. Normal blood pressure.
2. Generalized edema.
3. Normal serum lipid levels.
4. No red blood cells in the urine.
5. Elevated streptococcal antibody titers.
22. A client is receiving spironolactone (Aldactone) for treatment 3. Decrease foods high in potassium.
of bilateral
lower extremity edema. The nurse should instruct the client to
make which of the
following nutritional modifications to prevent an electrolyte
imbalance?
1. Increase intake of milk and milk products.
2. Restrict fluid intake to 1,000 mL/day.
3. Decrease foods high in potassium.
4. Decrease foods high in sodium.
23. A nurse is assessing a client who is receiving clozapine. 4. Withhold the clozapine, and notify the primary care provider.
The nurse reviews the
chart below. What should the nurse do next?
1. Give the clozapine, and tell the client to lie down.
2. Withhold the clozapine, and tell the client to go to an exercise
group.
3. Administer the clozapine, and notify the physician.
4. Withhold the clozapine, and notify the primary care provider.
24. A nurse is assessing a client with a history of myocardial 3. Call the rapid response team.
infarction who is in
the surgical unit following a gastric resection. The client has
chest pains. The nurse
obtains the electrocardiogram (ECG) shown (see figure). What
should the nurse do
first?
1. Administer oxygen.
2. Inspect the client's incision.
3. Call the rapid response team.
4. Reposition the ECG electrodes.
25. The nurse is watching two siblings, ages 7 and 9 years, 2. Ignores the arguing and continues what she is doing.
verbally arguing over a
toy. The nurse has counseled the parent before about how to
handle this situation. The
nurse should judge that the teaching has been effective when
the parent does which of
the following?
1. Tells the siblings to stop arguing and shake hands.
2. Ignores the arguing and continues what she is doing.
3. Tells the children they will be punished when they go home.
4. Says they will not go out to lunch now since they have
argued.
26. A client is diagnosed with genital herpes, (herpes simplex 2. Reducing stressful life events may decrease the incidence of herpetic outbreaks.
virus type 2, or
HSV-2). The nurse should instruct the client that:
1. Using occlusive ointments may decrease the pain from the
lesions.
2. Reducing stressful life events may decrease the incidence of
herpetic outbreaks.
3. There are no effective drug therapies to manage herpes
symptoms.
4. Herpes is transmitted to partners only when lesions are
weeping.
27. The client is having ototoxic effects of the vestibular branch 1. Vertigo.
of the acoustic 3. Nausea.
nerve. The nurse should assess the client for which of the 4. Ataxia.
following? Select all that
apply.
1. Vertigo.
2. Tinnitus.
3. Nausea.
4. Ataxia.
5. Hearing loss.
4/3/2026, 3:34:07 PM 4/3/2026, 3:34:05 PM 4/3/2026, 3:34:04 PM
Save
Medicine Nursing
Science
Med Surg V2 PN HESI, OB HESI, Pediatrics
HESI PN Review, Maternity NCLEX PN
Leave the first rating
Students also studied
GU questions Chapter 55 and 59 Pediatrics HESI PN exam Review Med Surg V2 PN HESI NCLEX EXAM PRE
30 terms 52 terms 55 terms 110 terms
phirak Preview HTMRT Preview fresquez27 Preview kandykat1012
Terms in this set (193)
1. A primigravid client at 26 weeks' gestation asks the nurse 4. Backflow of stomach contents into the esophagus.
what causes heartburn
during pregnancy. The nurse should explain to the client that
heartburn during pregnancy
is usually caused by which of the following?
1. Increased peristaltic action during pregnancy.
2. Displacement of the stomach by the diaphragm.
3. Decreased secretion of hydrochloric acid.
4. Backflow of stomach contents into the esophagus.
2. A client at a follow-up appointment after having a miscarriage 2. "I know you are angry. It's so hard to lose your baby."
2 weeks
previously yells at the nurse, "How could God do this to me?
I've never done anything
wrong." Which of the following responses by the nurse would be
most appropriate at
this time?
1. "God can handle your anger. It's okay."
2. "I know you are angry. It's so hard to lose your baby."
3. "It isn't God's fault. It was an accident."
4. "You're a strong person. You will get through this."
3. A client who has been prescribed chemotherapy is worried 4. "Tell me about your concerns with chemotherapy."
and wants to take
herbal treatments instead. The nurse's best response to the
client is which of the
following?
1. "You are making a mistake and placing your life in jeopardy."
2. "Herbal treatments are not approved by the government's
regulatory agency."
3. "Herbal treatments have not been researched with cancer."
4. "Tell me about your concerns with chemotherapy."
4. A 4-year-old child is admitted for a cardiac catheterization. 3. The parents.
Which of the
following is most important to include as the nurse teaches this
child about the cardiac
catheterization?
1. A plastic model of the heart.
2. A catheter that will be inserted into the artery.
3. The parents.
4. Other children undergoing a catheterization.
5. A client has a reddened area over a bony prominence. The 4. Instruct the nursing assistant that massage is contraindicated because it decreases
nurse finds a nursing blood flow to the area.
assistant massaging this area. The nurse should:
1. Reinforce the nursing assistant's use of this intervention over
the bony
prominence.
2. Explain to the nursing assistant that massage is effective
because it improves
blood flow to the area.
3. Inform the nursing assistant that massage is even more
effective when combined
with the use of lotion.
4. Instruct the nursing assistant that massage is contraindicated
because it decreases
blood flow to the area.
6. A worried mother confides in the nurse that she wants to 3. "You always have an option to change. Tell me about your concerns."
change primary care
providers because her infant is not getting better. The best
response by the nurse is
which of the following?
1. "This doctor has been on our staff for 20 years."
2. "I know you are worried, but the doctor has an excellent
reputation."
3. "You always have an option to change. Tell me about your
concerns."
4. "I take my own children to this doctor."
4/3/2026, 3:34:07 PM 4/3/2026, 3:34:05 PM 4/3/2026, 3:34:04 PM
,(Latest Med Surg V2 PN HESI, OB HESI, Pediatrics HESI PN Review, Maternity NCLEX PN:: 2026 study guide!!!!!!) Page 2
7. A mother who is breast-feeding and has known food 1. Shellfish.
sensitivities is asking the 2. Eggs.
nurse what foods she should avoid in her diet. The nurse 3. Peanuts.
should advise her to avoid
which foods? Select all that apply.
1. Shellfish.
2. Eggs.
3. Peanuts.
4. Beef.
5. Lamb.
8. A widowed client who is receiving chemotherapy tells the 3. Meals on Wheels.
nurse that he does not
like to cook for himself. A community resource for this client is:
1. Hospice/palliative care association.
2. Home care/visiting nurses group.
3. Meals on Wheels.
4. Association for Retirees.
9. After the client has a temporary pacemaker inserted, the 1. The client's cardiovascular status.
nurse should verify that
which of the following has been documented?
1. The client's cardiovascular status.
2. The client's emotional state.
3. The type of sedation used.
4. Pacemaker rate, type, and settings.
10. The nurse judges that the parent of a 9-month-old infant in a 3. "I can borrow a special feeding table to use."
hip spica cast
understands how to feed the child when the parent states which
of the following?
1. "I can lay my child flat and feed that way."
2. "I'll raise my child's head up and leave the hips and legs on a
pillow."
3. "I can borrow a special feeding table to use."
4. "It will take two of us, one to hold and one to feed."
11. The nurse is assessing home care needs for a group of 3. Has episodes of vertigo that result in falls.
clients. Which clients 4. Has multiple sclerosis with an open, draining lesion on a foot.
qualify for home care services? The client who: (Select all that
apply.)
1. Requires monitoring of prothrombin time due to Coumadin
(warfarin) therapy.
2. Needs additional instruction regarding preparation of food on
a low-sodium diet.
3. Has episodes of vertigo that result in falls.
4. Has multiple sclerosis with an open, draining lesion on a foot.
5. Needs stronger lenses for glasses.
12. Forty-eight hours after a ventriculoperitoneal shunt 3. A computerized tomography scan.
placement, an infant is
irritable and vomits a large amount. The assessment reveals a
bulging fontanel. Using
the SBAR (Situation-Background-Assessment-
Recommendation) technique for
communication, the nurse calls the primary health care provider
with the
recommendation for:
1. A dose of morphine (Astramorph).
2. A fluid bolus of normal saline.
3. A computerized tomography scan.
4. A dose of furosemide (Lasix).
13. The nursing staff has finished restraining a client. In addition 3. Improve the use of restraint procedures.
to determining
whether anyone was injured, the staff is mandated to evaluate
the incident to obtain
which of the following ultimate outcomes?
1. Coordinate documentation of the incident.
2. Resolve negative feelings and attitudes.
3. Improve the use of restraint procedures.
4. Calm down before returning to the other clients.
14. The nurse is caring for a client who has experienced severe 3. Acute respiratory distress syndrome (ARDS)
multiple trauma.
The client's arterial blood gases reveal low arterial oxygen
levels that are not
responsive to high concentrations of oxygen. This finding is an
indicator of the
development of which of the following conditions?
1. Hospital-acquired pneumonia.
2. Hypovolemic shock.
3. Acute respiratory distress syndrome (ARDS).
4. Asthma.
15. A client asks the nurse why it is necessary to complete an 2. "It is your chance to make your wishes known if you ever become incapable of
advance directive on making your own decisions."
admission to the hospital. The nurse's best response is which of
the following?
1. "This will provide a substitute for informed discussion with
your primary care
provider."
2. "It is your chance to make your wishes known if you ever
become incapable of
making your own decisions."
3. "Your primary care provider will make the best decisions for
you in an
emergency."
4. "Are you worried that extraordinary means will be taken if you
are dying?"
16. When witnessing an adult client's signature on a consent for 1. That there was adequate disclosure of information.
a procedure, the 2. That the client understood the information.
nurse verifies that the consent was obtained in an appropriate 3. That there was voluntary consent on the client's part.
manner. The nurse should 4. That the client has full awareness of the potential complications.
verify which of the following? Select all that apply.
1. That there was adequate disclosure of information.
2. That the client understood the information.
3. That there was voluntary consent on the client's part.
4. That the client has full awareness of the potential
complications.
5. That the client's relative, spouse, or legal guardian was
present.
4/3/2026, 3:34:07 PM 4/3/2026, 3:34:05 PM 4/3/2026, 3:34:04 PM
, (Latest Med Surg V2 PN HESI, OB HESI, Pediatrics HESI PN Review, Maternity NCLEX PN:: 2026 study guide!!!!!!) Page 3
17. A pregnant woman at 22 weeks' gestation is diagnosed with 4. Discuss with the physician the need to change the prescription
gonorrhea. The
physician prescriptions doxycycline (Vibramycin). The nurse
should first:
1. Instruct the client about the effects of the drug.
2. Make sure the record notes that the baby must receive
eyedrops when born.
3. Have the physician add a single dose of ceftriaxone
(Rocephin).
4. Discuss with the physician the need to change the
prescription.
18. After a client undergoes a contraction stress test that is 3. Indications that contractions have ceased.
negative, which of the
following should the nurse assess next?
1. Evidence of ruptured membranes.
2. Viability status of the fetus.
3. Indications that contractions have ceased.
4. Fetal heart rate variability.
19. A 2-month-old infant is at risk for an ileus after surgery to 2. Assessment of bowel sounds.
correct 3. Characteristics of the first stool.
intussusception. Which of the following should be included in a 4. Measurement of gastric output.
focused assessment for
this complication? Select all that apply.
1. Measurement of urine specific gravity.
2. Assessment of bowel sounds.
3. Characteristics of the first stool.
4. Measurement of gastric output.
5. Bilirubin levels.
20. A client with asthma asks the nurse if she should use her 2. "No, this drug is a maintenance drug, not a rescue inhaler."
salmeterol inhaler
when she exercises and experiences wheezing and shortness
of breath. The nurse's best
response is which of the following?
1. "Yes, use the inhaler immediately for these symptoms."
2. "No, this drug is a maintenance drug, not a rescue inhaler."
3. "Use the inhaler 5 minutes before you exercise to prevent the
wheezing."
4. "This inhaler is for allergic rhinitis, not asthma."
21. The nurse should assess the child with nephrotic syndrome 1. Normal blood pressure.
for which of the 2. Generalized edema.
following? Select all that apply. 4. No red blood cells in the urine.
1. Normal blood pressure.
2. Generalized edema.
3. Normal serum lipid levels.
4. No red blood cells in the urine.
5. Elevated streptococcal antibody titers.
22. A client is receiving spironolactone (Aldactone) for treatment 3. Decrease foods high in potassium.
of bilateral
lower extremity edema. The nurse should instruct the client to
make which of the
following nutritional modifications to prevent an electrolyte
imbalance?
1. Increase intake of milk and milk products.
2. Restrict fluid intake to 1,000 mL/day.
3. Decrease foods high in potassium.
4. Decrease foods high in sodium.
23. A nurse is assessing a client who is receiving clozapine. 4. Withhold the clozapine, and notify the primary care provider.
The nurse reviews the
chart below. What should the nurse do next?
1. Give the clozapine, and tell the client to lie down.
2. Withhold the clozapine, and tell the client to go to an exercise
group.
3. Administer the clozapine, and notify the physician.
4. Withhold the clozapine, and notify the primary care provider.
24. A nurse is assessing a client with a history of myocardial 3. Call the rapid response team.
infarction who is in
the surgical unit following a gastric resection. The client has
chest pains. The nurse
obtains the electrocardiogram (ECG) shown (see figure). What
should the nurse do
first?
1. Administer oxygen.
2. Inspect the client's incision.
3. Call the rapid response team.
4. Reposition the ECG electrodes.
25. The nurse is watching two siblings, ages 7 and 9 years, 2. Ignores the arguing and continues what she is doing.
verbally arguing over a
toy. The nurse has counseled the parent before about how to
handle this situation. The
nurse should judge that the teaching has been effective when
the parent does which of
the following?
1. Tells the siblings to stop arguing and shake hands.
2. Ignores the arguing and continues what she is doing.
3. Tells the children they will be punished when they go home.
4. Says they will not go out to lunch now since they have
argued.
26. A client is diagnosed with genital herpes, (herpes simplex 2. Reducing stressful life events may decrease the incidence of herpetic outbreaks.
virus type 2, or
HSV-2). The nurse should instruct the client that:
1. Using occlusive ointments may decrease the pain from the
lesions.
2. Reducing stressful life events may decrease the incidence of
herpetic outbreaks.
3. There are no effective drug therapies to manage herpes
symptoms.
4. Herpes is transmitted to partners only when lesions are
weeping.
27. The client is having ototoxic effects of the vestibular branch 1. Vertigo.
of the acoustic 3. Nausea.
nerve. The nurse should assess the client for which of the 4. Ataxia.
following? Select all that
apply.
1. Vertigo.
2. Tinnitus.
3. Nausea.
4. Ataxia.
5. Hearing loss.
4/3/2026, 3:34:07 PM 4/3/2026, 3:34:05 PM 4/3/2026, 3:34:04 PM
