OB PEDS HESI EXIT EXAM 2025-2026 / HESI OB PEDS
EXIT EXAM ACTUAL EXAM ACTUAL 100 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Overview:
This exam preparation resource focuses on the essential areas of obstetrics and pediatrics tested
on the HESI Exit Exam. Covering maternity care, neonatal health, growth and development,
pediatric disorders, and family-centered nursing, it ensures learners are equipped with the clinical
reasoning skills and content mastery needed to succeed. Each question includes clear rationales
to enhance understanding and retention.
Key Features:
100 exam-style questions with verified correct answers.
Detailed rationales provided for every question.
Comprehensive coverage of OB and pediatric nursing topics.
Fully aligned with 2025–2026 HESI Exit Exam standards.
Realistic exam-style practice to strengthen test-taking strategies.
Purpose:
Prepares nursing students for the OB/Peds HESI Exit Exam.
Reinforces critical knowledge in maternity and pediatric nursing.
Builds test-taking confidence through realistic practice questions.
Supports mastery of clinical judgment and critical thinking skills.
Recommended For:
Nursing students preparing for the OB Peds HESI Exit Exam.
Final-semester RN students seeking focused review in OB and pediatrics.
Learners wanting rationales to deepen understanding of correct answers.
Nurse educators using reliable test prep materials for student success.
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.
When it comes to X-linked recessive linked recessive trait, the trait is carried on the x chromosome,
therefore, usually affects male offspring. What is the chance for a pregnant woman carrier her offspring
to get the disease?
, A. Male child: 75% of having the disease
B. Female child: 50% of having the disease
C. Male child: 50% of having the disease
D. Female child: 25% of having disease - answer-C.
With each pregnancy of a woman who is a carrier there is a 25% chance of having a child with
hemophilia. If the child is male, he has a 50% chance of having hemophilia. If the child is female, she has
a 50% chance of being a carrier.
Supplemental iron is not givento clients with sickle cell anemia because the anemia is not caused by iron
deficiency. What aspect is very important in treatment of sickle cell disease because it promotes
hemodilution and circulation of red cells through the blood vessels?
A. HgbAS
B. HGBS
C. Hydration
D. Hydrotherapy - answer-C.
Hydration is very important in treatment of sickle cell disease because it promotes hemodilution and
curculation of red cells through blood vessels
An infant with hypothyroidism is often described as a "good, quite baby" by the parents. What early
disease detection is essential in preventing mental retardation in infants?
A. Hyperthyroidism
B. Phenylketonuria
C. Diabetes Mellitus
D. Ketoacidosis - answer-B.
Early detection of hypothyroidism and phenylketonuria is essential in preventing mental retardation in
infants. Knowledge of normal groth and development is important, sin a lack of attaintment can be used
to detect the existence of these metabolic/endocrine disorders and attainment can be used for
evaluating the treatments effecct
Diabetis mellitus (DM) in children was typically diagnosed as insulin dependent diabetes until recently.
What diabetes type has been discovered to occur more often in Native Americans, African Americans,
and Hispanic children and adolescents?
A. Type 1
EXIT EXAM ACTUAL EXAM ACTUAL 100 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Overview:
This exam preparation resource focuses on the essential areas of obstetrics and pediatrics tested
on the HESI Exit Exam. Covering maternity care, neonatal health, growth and development,
pediatric disorders, and family-centered nursing, it ensures learners are equipped with the clinical
reasoning skills and content mastery needed to succeed. Each question includes clear rationales
to enhance understanding and retention.
Key Features:
100 exam-style questions with verified correct answers.
Detailed rationales provided for every question.
Comprehensive coverage of OB and pediatric nursing topics.
Fully aligned with 2025–2026 HESI Exit Exam standards.
Realistic exam-style practice to strengthen test-taking strategies.
Purpose:
Prepares nursing students for the OB/Peds HESI Exit Exam.
Reinforces critical knowledge in maternity and pediatric nursing.
Builds test-taking confidence through realistic practice questions.
Supports mastery of clinical judgment and critical thinking skills.
Recommended For:
Nursing students preparing for the OB Peds HESI Exit Exam.
Final-semester RN students seeking focused review in OB and pediatrics.
Learners wanting rationales to deepen understanding of correct answers.
Nurse educators using reliable test prep materials for student success.
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.
When it comes to X-linked recessive linked recessive trait, the trait is carried on the x chromosome,
therefore, usually affects male offspring. What is the chance for a pregnant woman carrier her offspring
to get the disease?
, A. Male child: 75% of having the disease
B. Female child: 50% of having the disease
C. Male child: 50% of having the disease
D. Female child: 25% of having disease - answer-C.
With each pregnancy of a woman who is a carrier there is a 25% chance of having a child with
hemophilia. If the child is male, he has a 50% chance of having hemophilia. If the child is female, she has
a 50% chance of being a carrier.
Supplemental iron is not givento clients with sickle cell anemia because the anemia is not caused by iron
deficiency. What aspect is very important in treatment of sickle cell disease because it promotes
hemodilution and circulation of red cells through the blood vessels?
A. HgbAS
B. HGBS
C. Hydration
D. Hydrotherapy - answer-C.
Hydration is very important in treatment of sickle cell disease because it promotes hemodilution and
curculation of red cells through blood vessels
An infant with hypothyroidism is often described as a "good, quite baby" by the parents. What early
disease detection is essential in preventing mental retardation in infants?
A. Hyperthyroidism
B. Phenylketonuria
C. Diabetes Mellitus
D. Ketoacidosis - answer-B.
Early detection of hypothyroidism and phenylketonuria is essential in preventing mental retardation in
infants. Knowledge of normal groth and development is important, sin a lack of attaintment can be used
to detect the existence of these metabolic/endocrine disorders and attainment can be used for
evaluating the treatments effecct
Diabetis mellitus (DM) in children was typically diagnosed as insulin dependent diabetes until recently.
What diabetes type has been discovered to occur more often in Native Americans, African Americans,
and Hispanic children and adolescents?
A. Type 1
