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HESI COMP 2 2025 | BRAND NEW EXAM
QUESTIONS WITH VERIFIED ANSWERS
A client with severe preeclampsia is receiving magnesium sulfate 2 grams IV
hourly. The nurse assesses the client and finds: blood pressure 140/90, pulse 100,
respirations 10, deep tendon reflexes 1+, and urinary output 130 ml in 4 hours.
The nurse will discontinue the magnesium infusion based on which assessment
finding?
A . Deep tendon reflexes 1+.
B. Blood pressure of 140/90.
C. Respirations of 10.
D Urinary output of 130 ml in 4 hours. -correct-answer-C.
With respirations less than 12 (C), the client is at risk for developing respiratory
arrest and the magnesium sulfate should be discontinued. Other cardinal signs of
magnesium toxicity include urinary output <100 ml/4 hours (or 25 ml/hour) (D)
and absent reflexes. Reflexes of 1+ (A) are hypoactive but present. A client with
preeclampsia can seize with blood pressures lower than 140/90 (B). Magnesium
sulfate is not an antihypertensive. Category: Maternity
A client at 26-weeks gestation comes to the labor and delivery unit and complains,
"Something is not right." Which finding should the nurse assess further?
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A . Estriol is absent from the maternal saliva.
B. The cervix is effacing and dilated to 2 cm.
C. Fetal fibronectin is absent in vaginal secretions.
D. Irregular mild uterine contractions occurring daily. -correct-answer-B.
Cervical changes (B), such as shortened endocervical length, effacement, and
dilation accompanied by regular contractions indicate labor at any gestation
period, so the client should be monitored for pre-term labor. Estriol is a form of
estrogen found in plasma at 9-weeks gestation, and increased levels of salivary
estriol, not (A), have been shown to occur before preterm birth. The presence of
fetal fibronectin in vaginal secretions, not (C), between 24 and 36 weeks of
gestation has a 20% to 40% positive predictive value for preterm labor. Irregular
mild contractions (D) that do not cause cervical change indicate Braxton Hicks
contractions or false labor. Category: Maternity
A client who delivered a 9 pound 2 ounce infant 3 hours ago is experiencing
uterine atony. Which action should the nurse implement first?
A . Massage the fundus.
B. Catheterize the bladder.
C Establish venous access.
D. Prep for surgical intervention. -correct-answer-A.
The initial management for uterine atony is fundal massage (A) to prevent
postpartum hemorrhage. (B and D) are actions that can be implemented if fundal
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massage is unsuccessful. A client who is 3-hours post-delivery usually has IV fluids
infusing, so the venous access (C) may only need to be assessed. Category:
Maternity
A young adult female comes to the health clinic to confirm a positive home
pregnancy test. After determining the client's last menstrual period (LMP) as
February 14, what expected date of birth (EDB) should the nurse calculate?
A . January 7.
B October 17.
C. November 21.
D. December 11. -correct-answer-C.
Nägele's rule for calculation of EDB is determined by adding 7 days to the first day
of the LMP and then subtracting 3 months, so (C) is the correct calculation. (A, B,
and D) incorrectly apply Nägele's rule. Category: Maternity
A multigravida at 41-weeks gestation is receiving an oxytocin (Pitocin) infusion for
induction of labor. The nurse notes the fetal heart rate (FHR) drops sharply from
the baseline for 30 seconds during the peak of a contraction and then returns to
the baseline before the end of the contraction. What action should the nurse
implement at this time?
A. Discontinue the oxytocin (Pitocin) infusion.
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B. Notify the healthcare provider.
C. Administer 10 L of oxygen via face mask.
D. Place the client on her left side. -correct-answer-D.
A sharp drop in the FHR from the baseline that returns quickly to the FHR baseline
is a variable deceleration. Variable deceleration occurs when the umbilical cord is
being compressed, so the nurse should change the client's position (D) to
determine if this resolves the cord compression. (A, B, and C) are actions that can
be implemented if the FHR patterns indicates fetal stress, such as decreased
variability in the FHR, but are not indicated at this time. Category: Maternity
The new parents express concern that they did not have the opportunity to hold
and bond with their infant immediately after birth because the mother received
anesthesia during an emergency cesarean delivery. What information should the
nurse provide?
A. The baby is healthy and they should not worry about the delay between birth
and their first visit.
B. Early contact is essential for optimum parent-infant relationships.
C. The time immediately after birth is the critical period for human attachment.
D. Bonding is a process that occurs over time and begins with the first parent-
newborn contact. -correct-answer-D.
Bonding is a gradual emotional process and begins when the parents first make
contact with the infant (D). It does not have to begin in the first minutes after
birth. Telling the parents not to worry since their child is healthy (A) dismisses
HESI COMP 2 2025 | BRAND NEW EXAM
QUESTIONS WITH VERIFIED ANSWERS
A client with severe preeclampsia is receiving magnesium sulfate 2 grams IV
hourly. The nurse assesses the client and finds: blood pressure 140/90, pulse 100,
respirations 10, deep tendon reflexes 1+, and urinary output 130 ml in 4 hours.
The nurse will discontinue the magnesium infusion based on which assessment
finding?
A . Deep tendon reflexes 1+.
B. Blood pressure of 140/90.
C. Respirations of 10.
D Urinary output of 130 ml in 4 hours. -correct-answer-C.
With respirations less than 12 (C), the client is at risk for developing respiratory
arrest and the magnesium sulfate should be discontinued. Other cardinal signs of
magnesium toxicity include urinary output <100 ml/4 hours (or 25 ml/hour) (D)
and absent reflexes. Reflexes of 1+ (A) are hypoactive but present. A client with
preeclampsia can seize with blood pressures lower than 140/90 (B). Magnesium
sulfate is not an antihypertensive. Category: Maternity
A client at 26-weeks gestation comes to the labor and delivery unit and complains,
"Something is not right." Which finding should the nurse assess further?
,2|Page
A . Estriol is absent from the maternal saliva.
B. The cervix is effacing and dilated to 2 cm.
C. Fetal fibronectin is absent in vaginal secretions.
D. Irregular mild uterine contractions occurring daily. -correct-answer-B.
Cervical changes (B), such as shortened endocervical length, effacement, and
dilation accompanied by regular contractions indicate labor at any gestation
period, so the client should be monitored for pre-term labor. Estriol is a form of
estrogen found in plasma at 9-weeks gestation, and increased levels of salivary
estriol, not (A), have been shown to occur before preterm birth. The presence of
fetal fibronectin in vaginal secretions, not (C), between 24 and 36 weeks of
gestation has a 20% to 40% positive predictive value for preterm labor. Irregular
mild contractions (D) that do not cause cervical change indicate Braxton Hicks
contractions or false labor. Category: Maternity
A client who delivered a 9 pound 2 ounce infant 3 hours ago is experiencing
uterine atony. Which action should the nurse implement first?
A . Massage the fundus.
B. Catheterize the bladder.
C Establish venous access.
D. Prep for surgical intervention. -correct-answer-A.
The initial management for uterine atony is fundal massage (A) to prevent
postpartum hemorrhage. (B and D) are actions that can be implemented if fundal
,3|Page
massage is unsuccessful. A client who is 3-hours post-delivery usually has IV fluids
infusing, so the venous access (C) may only need to be assessed. Category:
Maternity
A young adult female comes to the health clinic to confirm a positive home
pregnancy test. After determining the client's last menstrual period (LMP) as
February 14, what expected date of birth (EDB) should the nurse calculate?
A . January 7.
B October 17.
C. November 21.
D. December 11. -correct-answer-C.
Nägele's rule for calculation of EDB is determined by adding 7 days to the first day
of the LMP and then subtracting 3 months, so (C) is the correct calculation. (A, B,
and D) incorrectly apply Nägele's rule. Category: Maternity
A multigravida at 41-weeks gestation is receiving an oxytocin (Pitocin) infusion for
induction of labor. The nurse notes the fetal heart rate (FHR) drops sharply from
the baseline for 30 seconds during the peak of a contraction and then returns to
the baseline before the end of the contraction. What action should the nurse
implement at this time?
A. Discontinue the oxytocin (Pitocin) infusion.
, 4|Page
B. Notify the healthcare provider.
C. Administer 10 L of oxygen via face mask.
D. Place the client on her left side. -correct-answer-D.
A sharp drop in the FHR from the baseline that returns quickly to the FHR baseline
is a variable deceleration. Variable deceleration occurs when the umbilical cord is
being compressed, so the nurse should change the client's position (D) to
determine if this resolves the cord compression. (A, B, and C) are actions that can
be implemented if the FHR patterns indicates fetal stress, such as decreased
variability in the FHR, but are not indicated at this time. Category: Maternity
The new parents express concern that they did not have the opportunity to hold
and bond with their infant immediately after birth because the mother received
anesthesia during an emergency cesarean delivery. What information should the
nurse provide?
A. The baby is healthy and they should not worry about the delay between birth
and their first visit.
B. Early contact is essential for optimum parent-infant relationships.
C. The time immediately after birth is the critical period for human attachment.
D. Bonding is a process that occurs over time and begins with the first parent-
newborn contact. -correct-answer-D.
Bonding is a gradual emotional process and begins when the parents first make
contact with the infant (D). It does not have to begin in the first minutes after
birth. Telling the parents not to worry since their child is healthy (A) dismisses
