RN HESI FINAL EXIT EXAM V1,V2ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] WITH STUDY GUIDE DETAILED AND
VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
What is the priority nursing assessment immediately following the birth of an infant with
esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord - CORRECT ANSWER A. body temperature
What is the most important assessment for the nurse to conduct following the
administration of epidural anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure - CORRECT ANSWER D. Maternal blood pressure
A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving
Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour.
How many ml/hour should the nurse program the infusion pump? (Enter numeric value
only)
A. 120
B. 70
C. 65
D. 75 - CORRECT ANSWER D. 75
A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks
the nurse, "Why is my baby sister eating my mommy's breast?" How should the nurse
respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice - CORRECT ANSWER A.
Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
The nurse is examining an infant for possible cryptorchidism. Which exam technique
should be used?
,A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach - CORRECT ANSWER
D. Place the infant in warm room and use a calm approach
The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 - CORRECT
ANSWER A. Betamethasone (Celestone) 12 mg deep IM
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours
to prevent urinary retention. The home health nurse notes that the child has developed
episodes of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action
is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change - CORRECT ANSWER
C. Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia. Findings
include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry
vision and a severe frontal headache. Which medication should the nurse anticipate for
this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - CORRECT ANSWER D. Magnesium sulfate
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 101.2F, with severe
abdominal or uterine tenderness on palpation. The nurse knows that these findings are
indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection. - CORRECT ANSWER B. Chorioamnionitis
A male infant with a 2-day history of fever and diarrhea is brought to a clinic by his
mother who tells the nurse that the child refuses to drink anything. The nurse
, determines that the child has a weak cry with no tears. Which prescription is most
important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket - CORRECT ANSWER B. Infuse normal saline
intravenously
A 6-month old child who had a cleft-lip repair has elbow restraints in place. What
nursing intervention should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands
B. record observations of the restraints q2h and ensure that they are in place at all
times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises - CORRECT ANSWER
D. remove restraints one at a time to provide ROM exercises
A new mother calls the nurse stating that she wants to start feeding her 6-month-old
child something besides breast milk, but is concerned that the infant is too young to
start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
D. reassure the mother that the infant is old enough to eat iron-fortified cereal -
CORRECT ANSWER D. reassure the mother that the infant is old enough to eat
iron-fortified cereal
While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal
heart rate pattern that falls and rises abruptly with a "V" shaped appearance. What
action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position - CORRECT ANSWER D. Change the maternal
position
A postpartum client who is Rh-negative refuses to receive Rho (D) immune globulin
(RhoGam) after delivery of an infant who is Rh-positive. Which information should the
nure provide this client?
A. RhoGam is not necessary unless all her pregnancies are Rh-positive
B. The R-positive factor from the fetus threatens her blood cells
C. The mother should receive RhoGam when the baby is Rh-negative
[QUESTIONS AND ANSWERS] WITH STUDY GUIDE DETAILED AND
VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
What is the priority nursing assessment immediately following the birth of an infant with
esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord - CORRECT ANSWER A. body temperature
What is the most important assessment for the nurse to conduct following the
administration of epidural anesthesia to a client who is at 40-weeks gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure - CORRECT ANSWER D. Maternal blood pressure
A 34-week primigravida with pregnancy induced hypertension (PIH) is receiving
Ringer's Lactate 500 ml with magnesium sulfate 20 grams at the rate of 3 grams/hour.
How many ml/hour should the nurse program the infusion pump? (Enter numeric value
only)
A. 120
B. 70
C. 65
D. 75 - CORRECT ANSWER D. 75
A mother of a 3-year-old boy has just given birth to a new baby girl. The little boy asks
the nurse, "Why is my baby sister eating my mommy's breast?" How should the nurse
respond? (Select all that apply)
A. Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
D. Suggest that the baby can also drink from a bottle
E. Clarify that breastfeeding is his mother's choice - CORRECT ANSWER A.
Explain that newborns get milk from their mothers in this way
B. Reassure the older brother that it does not hurt his mother
C. Remind him that his mother breastfed him too
The nurse is examining an infant for possible cryptorchidism. Which exam technique
should be used?
,A. Place the infant in side-lying to facilitate the exam
B. Hold the penis and retract the foreskin gently
C. Cleanse the penis with an antiseptic-soaked pad
D. Place the infant in warm room and use a calm approach - CORRECT ANSWER
D. Place the infant in warm room and use a calm approach
The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
A. Betamethasone (Celestone) 12 mg deep IM
B. Butorphanol 1 mg IV push q2h PRN pain
C. Ampicillin 1 Gram IV push q8h
D. Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x3 - CORRECT
ANSWER A. Betamethasone (Celestone) 12 mg deep IM
A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours
to prevent urinary retention. The home health nurse notes that the child has developed
episodes of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action
is most important for the nurse to take?
A. Auscultate the lungs for respiratory pneumonia.
B. Draw blood to analyze for streptococcal infection
C. Change to latex-free gloves when handling infant
D. Apply zinc oxide to perineum with each diaper change - CORRECT ANSWER
C. Change to latex-free gloves when handling infant
The nurse is caring for a female client, a primigravida, with preeclampsia. Findings
include +2 proteinuria, BP 172/112 mmHg, facial and hand swelling, complaints of blurry
vision and a severe frontal headache. Which medication should the nurse anticipate for
this client?
A. Clonidine hydrochloride
B. Carbamazepine
C. Furosemide
D. Magnesium sulfate - CORRECT ANSWER D. Magnesium sulfate
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 101.2F, with severe
abdominal or uterine tenderness on palpation. The nurse knows that these findings are
indicative of what condition?
A. Round ligament strain
B. Chorioamnionitis
C. Abruptio placenta
D. Viral infection. - CORRECT ANSWER B. Chorioamnionitis
A male infant with a 2-day history of fever and diarrhea is brought to a clinic by his
mother who tells the nurse that the child refuses to drink anything. The nurse
, determines that the child has a weak cry with no tears. Which prescription is most
important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket - CORRECT ANSWER B. Infuse normal saline
intravenously
A 6-month old child who had a cleft-lip repair has elbow restraints in place. What
nursing intervention should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's hands
B. record observations of the restraints q2h and ensure that they are in place at all
times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises - CORRECT ANSWER
D. remove restraints one at a time to provide ROM exercises
A new mother calls the nurse stating that she wants to start feeding her 6-month-old
child something besides breast milk, but is concerned that the infant is too young to
start eating solid foods. How should the nurse respond?
A. encourage the mother to schedule a developmental assessment of the infant
B. advise the mother to wait at least another month before starting any solid foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each meal
D. reassure the mother that the infant is old enough to eat iron-fortified cereal -
CORRECT ANSWER D. reassure the mother that the infant is old enough to eat
iron-fortified cereal
While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal
heart rate pattern that falls and rises abruptly with a "V" shaped appearance. What
action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position - CORRECT ANSWER D. Change the maternal
position
A postpartum client who is Rh-negative refuses to receive Rho (D) immune globulin
(RhoGam) after delivery of an infant who is Rh-positive. Which information should the
nure provide this client?
A. RhoGam is not necessary unless all her pregnancies are Rh-positive
B. The R-positive factor from the fetus threatens her blood cells
C. The mother should receive RhoGam when the baby is Rh-negative
