HESI PN Exit Karen HESI Exam
Version 2, HESI EXIT PRACTICE,
Real Hesi PN QUESTIONS AND
VERIFIED ANSWERS LATEST
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Karen HESI Exam Version 2
,The nurse is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus
that is displaced above and to the right of the umbilicus. Which action should the nurse take?
Encourage voiding
Which type of anesthesia, used with a client in labor, produces a loss of sensation only to the vagina and
perineum?
Pudendal block
When performing the daily head-to-toe assessment of a 1-day-old newborn, the nurse observes a yellow
tint to the skin on the forehead, sternum and abdomen. Which action should the nurse take?
Measure bilirubin levels using transcutaneous bilirubinometry
A woman at 36-weeks' gestation who is Rh negative is admitted to labor and delivery reporting
abdominal cramp. She is placed on a strict bedrest and the fetal heart rate and contraction pattern are
monitored with an external fetal monitor. Two hours after admission, the nurse notes a large amount of
bright red vaginal bleeding. Which nursing intervention has the highest priority?
Assess the fetal heart rate & client's contraction pattern
Assessment findings of a 4-hour-old newborn include: axillary temperature of 96.8° F (35.8° C), heart
rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness,
hypotonic, and weak cry. Based on these findings, which action should the nurse implement?
Swaddle the infant in a warm blanket
Karen HESI Exam Version 2
,A multiparous client is involuntarily pushing while being wheeled into the labor triage area. The nurse
observes the fetal head presenting at the perineum. Which action should the nurse take?
Apply suprapubic pressure
After two miscarriages, a client is Instructed to increase her daily intake of foods that includes folic acid.
The client does not like green leafy vegetables and states she is allergic to soy. Which food should the
nurse suggest that the client eat to obtain folic acid
Strawberries
While assessing a 40-week gestation primigravida in active labor, the client's membranes rupture
spontaneously and the nurse notes that the amniotic fluid is meconium stained. Which additional
finding is most important for the nurse to report to the healthcare provider?
Fetal heart rate of 100 to 110 beats/minute
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 101.20 F (38.4° C), with severe abdominal or uterine
tenderness on palpation. The nurse knows that these findings are indicative of which condition?
Chorioamnionitis
The nurse is caring for a client who is 10-weeks' gestation and palpates the funds at 2 fingerbreadths
above the pubic symphysis. The client reports nausea, vomiting, and scant dark brown vaginal discharge.
Which action should the nurse take?
Obtain HCG levels
Karen HESI Exam Version 2
, A gravida 3 para 3 who is Rh-negative delivers a full-term infant at home with the assistance of a nurse
midwife. Two days later, the client calls the clinic to ask if it is necessary to see the healthcare provider
since the infant is healthy, and she is not having any complications. The woman's history indicates that
both previously born infants were Rh-negative. Which response should the nurse provide?
The newborn's blood type should be tested to determine the need for rhogam
A is necessary to see the healthcare provider since the infant is healthy, and she is not having any
complications. The woman's history indicates that both previously born infants were Rh-negative. Which
response should the nurse provide?
The newborn's blood type should be tested to determine the need for rhogam
The nurse is caring for a client who is 24-weeks gestation and reports increased thirst and urination.
Which diagnostic test result should the nurse report to the healthcare provider?
Oral glucose challenge test
At a prenatal visit, a primigravida client confides to the nurse that her partner is abusive. Which
information should the nurse provide?
Safety plan to keep in a purse at all times
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the
nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which
action should the nurse take first?
Karen HESI Exam Version 2
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