HESI OB PEDS EXAM 2026 CERTIFICATION
EVALUATION TEST PAPER QUESTIONS
SOLUTIONS GRADED A PLUS
◉ Early detection of rheumatoid arthritis can decrease the amount
of bone and joint destruction and often the disease will go into
remission. What activity recommendations should the nurse provide
a client with rheumatoid arthritis?
A. Exercise of painful, swollen joints to strengthen them
B. Exercise joint to the point of pain so that the pain lessens
C. Make Jerky movements during the exercise so that the pain
lessens
D. Perform exercises slowly and smoothly.
Answer: D.
A nurse should advise the client to perform exercises slowly and
smoothly so that no extra pain occurs
◉ A patient who is 32 weeks gestation has the following symptoms:
dark, red vaginal bleeding, 100 bpm FHR, rigid abdomen and severe
pain. What is the difference between abruptio placentae and
placenta previa?
A. Aruptio placentae: painless bright red bleeding occurring in the
third trimester
,B. Abruptio placentae: occurs in the second trimester
C. Placenta previa: occurs in the second trimester
D. Placenta previa: painless bright red bleeding occurring in the
third trimester.
Answer: D.
The nurse must use knowledge base to diffferentiate betewwn
abruptia placentae from placenta previa.
◉ A patient who is 32 weeks gestation is experiencing dark red
vaginal bleeding and the nurse determines the FHR to be 100 bpm
and her abdomen is rigid and board like. What action should the
nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam.
Answer: A.
The nurse should immediately notify the healthcare provider and no
abdominal or vaginal manipulation or exams should be done.
Administer O2 per face mask and monitor for bleeding at IV sites
and gums due to the increased risk of DIC
◉ A nurse must use knowledge base to differentiate between
abruptio placentae from plaventa previa. What assessments should
,be done in case of a patient suspected of abruptio placentae or
placenta previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased risk of
DIC.
Answer: D.
Patients with abruptio placentae or placventa previa should have No
abdominal or vaginal manipulation. No Leopold's maneuvers. No
vaginal exams. No rectal exams, enemas, or suppositories. No
internal monitoring
◉ A patient suspected of abruptio placentae or placenta previa
should be monitorized for bleeding at IV sites and gums due to
increased risk of DIC. What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension.
Answer: A.
DIC is related to fetal demise, infection/sepis, pregnancy-induced
hypertension ( Preeclampsia) and abruptio placentae. Cervical
carcinoma is related to podophyllin
, ◉ If a child is on oral iron medication, the family should be taught by
the nurse how it should be administered. Out of the following
options, what oral iron administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth.
Answer: C.
Iron can be fatal in severe overdose and as a result, it should be kept
away from children. Also, do not give with dairy products.
◉ In autosomal recessive disease, both parents must be
hererozygous, or carriers of the recessive trait, for the disease to be
expressed in their offspring. If both parents are heterozygous, what
is the chance the baby to have the disease as well?
A. 1:2
B. 1:3
C. 1:4
D. 1:1.
Answer: C.
With each pregnancy, there is a 1:4 chance of the infant having the
disease.
EVALUATION TEST PAPER QUESTIONS
SOLUTIONS GRADED A PLUS
◉ Early detection of rheumatoid arthritis can decrease the amount
of bone and joint destruction and often the disease will go into
remission. What activity recommendations should the nurse provide
a client with rheumatoid arthritis?
A. Exercise of painful, swollen joints to strengthen them
B. Exercise joint to the point of pain so that the pain lessens
C. Make Jerky movements during the exercise so that the pain
lessens
D. Perform exercises slowly and smoothly.
Answer: D.
A nurse should advise the client to perform exercises slowly and
smoothly so that no extra pain occurs
◉ A patient who is 32 weeks gestation has the following symptoms:
dark, red vaginal bleeding, 100 bpm FHR, rigid abdomen and severe
pain. What is the difference between abruptio placentae and
placenta previa?
A. Aruptio placentae: painless bright red bleeding occurring in the
third trimester
,B. Abruptio placentae: occurs in the second trimester
C. Placenta previa: occurs in the second trimester
D. Placenta previa: painless bright red bleeding occurring in the
third trimester.
Answer: D.
The nurse must use knowledge base to diffferentiate betewwn
abruptia placentae from placenta previa.
◉ A patient who is 32 weeks gestation is experiencing dark red
vaginal bleeding and the nurse determines the FHR to be 100 bpm
and her abdomen is rigid and board like. What action should the
nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam.
Answer: A.
The nurse should immediately notify the healthcare provider and no
abdominal or vaginal manipulation or exams should be done.
Administer O2 per face mask and monitor for bleeding at IV sites
and gums due to the increased risk of DIC
◉ A nurse must use knowledge base to differentiate between
abruptio placentae from plaventa previa. What assessments should
,be done in case of a patient suspected of abruptio placentae or
placenta previa.
A. abdominal or vaginal manipulation
B. Leopold's maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to increased risk of
DIC.
Answer: D.
Patients with abruptio placentae or placventa previa should have No
abdominal or vaginal manipulation. No Leopold's maneuvers. No
vaginal exams. No rectal exams, enemas, or suppositories. No
internal monitoring
◉ A patient suspected of abruptio placentae or placenta previa
should be monitorized for bleeding at IV sites and gums due to
increased risk of DIC. What isn't DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension.
Answer: A.
DIC is related to fetal demise, infection/sepis, pregnancy-induced
hypertension ( Preeclampsia) and abruptio placentae. Cervical
carcinoma is related to podophyllin
, ◉ If a child is on oral iron medication, the family should be taught by
the nurse how it should be administered. Out of the following
options, what oral iron administration advise is inappropriate?
A. Oral iron should be given on empty stomach
B. Oral iron should be given with citrus juices
C. Oral iron shoule be given with dairy products
D. A dropper or straw should be used to avoid discoloring teeth.
Answer: C.
Iron can be fatal in severe overdose and as a result, it should be kept
away from children. Also, do not give with dairy products.
◉ In autosomal recessive disease, both parents must be
hererozygous, or carriers of the recessive trait, for the disease to be
expressed in their offspring. If both parents are heterozygous, what
is the chance the baby to have the disease as well?
A. 1:2
B. 1:3
C. 1:4
D. 1:1.
Answer: C.
With each pregnancy, there is a 1:4 chance of the infant having the
disease.
