OB PEDS HESI EXIT EXAM 2025-2026 / HESI OB PEDS
EXIT TEST BANK EXAM ACTUAL 350 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES
Overview
This comprehensive HESI OB/Peds study resource is designed to help nursing students master
core maternal–newborn and pediatric nursing concepts while preparing confidently for HESI-
style exit assessments. Packed with 350 high-quality, exam-style practice questions and
correct, detailed rationales, this guide reflects the clinical judgment, prioritization, and content
depth expected on OB/Peds HESI exams for the 2025–2026 cycle. All material has been expert-
reviewed and graded A+ for accuracy and educational value.
Key Features
✅ 350 Exam-Style Practice Questions — Each with correct, detailed rationales
✅ Updated to Align With 2025–2026 HESI OB/Peds Standards
✅ Covers All Major Maternal–Newborn Nursing Areas:
Pregnancy, Antepartum, Intrapartum & Postpartum Care
High-Risk Pregnancy & Obstetric Complications
Labor, Delivery, Fetal Monitoring & Emergency OB Situations
Newborn Assessment, Thermoregulation & Feeding
Neonatal Complications & Safety
Maternal–Newborn Pharmacology
✅ A+ Graded, Expert-Verified Content
Purpose
• Provide a complete, structured review for OB/Peds-focused HESI exit exam preparation
• Strengthen clinical judgment, prioritization, safety, and family-centered care skills
• Support nursing students striving for high performance on HESI-style assessments
,Recommended For
• Students preparing for the HESI OB/Peds Exit Exam
• Learners seeking detailed, rationale-supported practice questions
• Tutors, faculty, and study groups building high-quality OB & Peds review materials
Your Complete HESI OB/Peds Study Resource
With 350 exam-style questions and A+ graded rationales, this guide is one of the most
comprehensive, reliable, and effective tools for mastering maternal–newborn and pediatric
nursing concepts for the 2025–2026 HESI exam cycle.
A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle of children's
vitamin pills. Which intervention should the nurse implement first?
Insert N/G tube for gastric lavage.
Determine the child's pulse and respirations.
Assess the child's level of consciousness.
Administer an IV D5/0.25 NS as prescribed. - ANSWER-Determine the child's pulse and respirations.
The most important principle in dealing with a poisoning is to treat the child first, not the poison. Initiate
immediate life support measures with assessment of vital signs (B), in particular, respirations. Inserting
an airway or initiating mechanical ventilation may be necessary. Assessment and identification of the
poison should occur prior to (A). (C and D) should occur after assessing the airway.
To take the vital signs of a 4-month-old child, which order provides the most accurate results?
Respiratory rate, heart rate, then rectal temperature.
Heart rate, rectal temperature, then respiratory rate.
Rectal temperature, heart rate, then respiratory rate.
Rectal temperature, respiratory rate, then heart rate. - ANSWER-Respiratory rate, heart rate, then
rectal temperature.
,The respiratory rate should be taken first (A) in infants, since touching them or performing unpleasant
procedures usually makes them cry, elevating the heart rate and making respirations difficult to count
(B). Rectal temperature is the most invasive procedure, and is most likely to precipitate crying, so should
be done last (C and D).
The parents of a 3-week-old infant report that the child eats well but vomits after each feeding. What
information is most important for the nurse to obtain?
Description of vomiting episodes in past 24 hours.
Number of wet diapers in last 24 hours.
Feeding and sleep schedule.
Amount of formula consumed during the past 24 hours. - ANSWER-Description of vomiting episodes
in past 24 hours.
A description of the vomiting episodes (A) will assist the nurse in determining the reason for the
symptoms, which may be helpful in developing a plan of care for this infant. (B and C) provide related
information but are not as helpful as (A). (D) may be related to the vomiting, but the nurse should first
obtain a better description of the vomiting episodes.
A 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician prescribes
dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25 ml/hour. Prior to
initiating the infusion, the nurse should obtain which assessment finding?
Frequency of emesis in the last 8 hours.
Serum BUN and creatinine levels.
Current blood sugar level.
Appearance of the stool. - ANSWER-Serum BUN and creatinine levels.
Regardless of a client's age, adequate renal function must be present before adding potassium to IV
fluids (B). (A) is important in determining the need for fluid replacement. (C) is not indicated. (D) is
useful information, but will not impact administration of the prescribed IV solution.
Which finding in a 19-year-old female client should trigger further assessment by the nurse?
Menstruation has not occurred.
, Reports no tetanus immunization since childhood.
Denies having any wisdom teeth.
History of painful, inward growth on bottom of foot. - ANSWER-Menstruation has not occurred.
Menstruation is an expected secondary sex characteristic that occurs with pubescence and typically
occurs by age 18, so (A) should prompt further investigation to determine the cause of this primary
amenorrhea. Children receive tetanus as part of the DPT childhood immunization series, and a booster is
not typically given until age 16 (B). Wisdom teeth are the third molar teeth of the permanent dentition
and are the last to erupt, so (C) is a normal finding. (D) describes a plantar surface wart, harmless but
painful because of the pressure with walking or standing.
The nurse is giving a liquid iron preparation to a 3-year-old child. Which technique should the nurse
implement to engage the child's cooperation?
Use a colorful straw.
Mix the medication in water.
Administer the medication using an oral syringe.
Ask the pharmacy to provide an enteric tablet. - ANSWER-Use a colorful straw.
A liquid iron preparation administered through a straw may help the child to accept the medication
since young children consider drinking from a colorful straw fun (A). (B) may cause staining of the child's
teeth. (C) is often used if the child is uncooperative. (D) is ineffective and should be requested from the
healthcare provider.
When evaluating the effectiveness of interventions to improve the nutritional status of an infant with
gastro-esophageal reflux, which intervention is most important for the nurse to implement?
Record weight daily.
Assess for signs of anemia.
Document sleeping patterns.
Teach parenting skills. - ANSWER-Record weight daily.
EXIT TEST BANK EXAM ACTUAL 350 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES
Overview
This comprehensive HESI OB/Peds study resource is designed to help nursing students master
core maternal–newborn and pediatric nursing concepts while preparing confidently for HESI-
style exit assessments. Packed with 350 high-quality, exam-style practice questions and
correct, detailed rationales, this guide reflects the clinical judgment, prioritization, and content
depth expected on OB/Peds HESI exams for the 2025–2026 cycle. All material has been expert-
reviewed and graded A+ for accuracy and educational value.
Key Features
✅ 350 Exam-Style Practice Questions — Each with correct, detailed rationales
✅ Updated to Align With 2025–2026 HESI OB/Peds Standards
✅ Covers All Major Maternal–Newborn Nursing Areas:
Pregnancy, Antepartum, Intrapartum & Postpartum Care
High-Risk Pregnancy & Obstetric Complications
Labor, Delivery, Fetal Monitoring & Emergency OB Situations
Newborn Assessment, Thermoregulation & Feeding
Neonatal Complications & Safety
Maternal–Newborn Pharmacology
✅ A+ Graded, Expert-Verified Content
Purpose
• Provide a complete, structured review for OB/Peds-focused HESI exit exam preparation
• Strengthen clinical judgment, prioritization, safety, and family-centered care skills
• Support nursing students striving for high performance on HESI-style assessments
,Recommended For
• Students preparing for the HESI OB/Peds Exit Exam
• Learners seeking detailed, rationale-supported practice questions
• Tutors, faculty, and study groups building high-quality OB & Peds review materials
Your Complete HESI OB/Peds Study Resource
With 350 exam-style questions and A+ graded rationales, this guide is one of the most
comprehensive, reliable, and effective tools for mastering maternal–newborn and pediatric
nursing concepts for the 2025–2026 HESI exam cycle.
A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle of children's
vitamin pills. Which intervention should the nurse implement first?
Insert N/G tube for gastric lavage.
Determine the child's pulse and respirations.
Assess the child's level of consciousness.
Administer an IV D5/0.25 NS as prescribed. - ANSWER-Determine the child's pulse and respirations.
The most important principle in dealing with a poisoning is to treat the child first, not the poison. Initiate
immediate life support measures with assessment of vital signs (B), in particular, respirations. Inserting
an airway or initiating mechanical ventilation may be necessary. Assessment and identification of the
poison should occur prior to (A). (C and D) should occur after assessing the airway.
To take the vital signs of a 4-month-old child, which order provides the most accurate results?
Respiratory rate, heart rate, then rectal temperature.
Heart rate, rectal temperature, then respiratory rate.
Rectal temperature, heart rate, then respiratory rate.
Rectal temperature, respiratory rate, then heart rate. - ANSWER-Respiratory rate, heart rate, then
rectal temperature.
,The respiratory rate should be taken first (A) in infants, since touching them or performing unpleasant
procedures usually makes them cry, elevating the heart rate and making respirations difficult to count
(B). Rectal temperature is the most invasive procedure, and is most likely to precipitate crying, so should
be done last (C and D).
The parents of a 3-week-old infant report that the child eats well but vomits after each feeding. What
information is most important for the nurse to obtain?
Description of vomiting episodes in past 24 hours.
Number of wet diapers in last 24 hours.
Feeding and sleep schedule.
Amount of formula consumed during the past 24 hours. - ANSWER-Description of vomiting episodes
in past 24 hours.
A description of the vomiting episodes (A) will assist the nurse in determining the reason for the
symptoms, which may be helpful in developing a plan of care for this infant. (B and C) provide related
information but are not as helpful as (A). (D) may be related to the vomiting, but the nurse should first
obtain a better description of the vomiting episodes.
A 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician prescribes
dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25 ml/hour. Prior to
initiating the infusion, the nurse should obtain which assessment finding?
Frequency of emesis in the last 8 hours.
Serum BUN and creatinine levels.
Current blood sugar level.
Appearance of the stool. - ANSWER-Serum BUN and creatinine levels.
Regardless of a client's age, adequate renal function must be present before adding potassium to IV
fluids (B). (A) is important in determining the need for fluid replacement. (C) is not indicated. (D) is
useful information, but will not impact administration of the prescribed IV solution.
Which finding in a 19-year-old female client should trigger further assessment by the nurse?
Menstruation has not occurred.
, Reports no tetanus immunization since childhood.
Denies having any wisdom teeth.
History of painful, inward growth on bottom of foot. - ANSWER-Menstruation has not occurred.
Menstruation is an expected secondary sex characteristic that occurs with pubescence and typically
occurs by age 18, so (A) should prompt further investigation to determine the cause of this primary
amenorrhea. Children receive tetanus as part of the DPT childhood immunization series, and a booster is
not typically given until age 16 (B). Wisdom teeth are the third molar teeth of the permanent dentition
and are the last to erupt, so (C) is a normal finding. (D) describes a plantar surface wart, harmless but
painful because of the pressure with walking or standing.
The nurse is giving a liquid iron preparation to a 3-year-old child. Which technique should the nurse
implement to engage the child's cooperation?
Use a colorful straw.
Mix the medication in water.
Administer the medication using an oral syringe.
Ask the pharmacy to provide an enteric tablet. - ANSWER-Use a colorful straw.
A liquid iron preparation administered through a straw may help the child to accept the medication
since young children consider drinking from a colorful straw fun (A). (B) may cause staining of the child's
teeth. (C) is often used if the child is uncooperative. (D) is ineffective and should be requested from the
healthcare provider.
When evaluating the effectiveness of interventions to improve the nutritional status of an infant with
gastro-esophageal reflux, which intervention is most important for the nurse to implement?
Record weight daily.
Assess for signs of anemia.
Document sleeping patterns.
Teach parenting skills. - ANSWER-Record weight daily.
