MATERNITY HESI EXIT NEWEST 2024-2025
COMPLETE 190 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
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You're discharging a patient who just gave birth to a baby at 39
weeks gestation. The patient had gestational diabetes throughout
her pregnancy. Her blood glucose levels have now returned to
normal. When should the patient first follow-up with her
physician for blood glucose testing?
A. 1-3 years
B. 6-12 weeks postpartum
C. 1 year postpartum
D. Not applicable since this condition has resolved and only
occurs during pregnancy - ANSWER- B.
Rationale; Patients who've had gestational diabetes are at
high risk for developing Type 2 diabetes. She should first
follow-up with her physician at 6-12 weeks postpartum for
initial blood glucose testing. After this, she should follow-up
,2|Page
1-3 years for blood glucose testing since there is a high risk
of her developing Type 2 diabetes.
Which of the following patient statements about the diabetic diet
regime is correct?
A. "I'll try to consume about 20% carbs and 40% fats on a daily
basis."
B. "Foods that are high in mono and poly fats are avocados,
olives, and nuts."
C. "Meats increase the glycemic index; therefore, I should only
consume 5% of them on a daily basis."
D. "I should completely avoid starchy vegetables like potatoes
and corn." - ANSWER- B
A patient with diabetes asks you about what type of exercise
they should perform throughout the week. The best response is:
A. Lifting weights
B. Sprinting
C. Swimming
D. Jumping - ANSWER- C.
Rationale; Aerobic exercise is the best and swimming is the
only option that is an aerobic exercise.
,3|Page
Which of the following statements are INCORRECT about
exercise management for the diabetic patient?
A. "I will check my blood glucose prior to exercise. If it is less
than 200 I will eat a complex carb snack prior to exercising."
B. "I plan on exercising for an extended period. So I will check
my blood glucose prior, during, and after exercising."
C. "My blood glucose is 268 and I have ketones in my urine.
Therefore, I will avoid exercising today."
D. All of the options are correct statements. - ANSWER- A.
A patient has a blood glucose of 58 and is sweating, cold, and
clammy. The patient is conscious. What is your next nursing
intervention?
A. Recheck the blood glucose in 5 minutes.
B. Give the patient 15 grams of a complex carbohydrate.
C. No intervention is needed because this is a normal blood
glucose.
D. Give the patient 15 grams of a simple carbohydrate. -
ANSWER- D
Rationale; Simple carbohydrates work faster than complex.
Example of a simple carbohydrate would be 4 oz of fruit
juice or soda, glucose tablet or gel, etc.
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A patient with Type 2 Diabetes is started on the medication
Glyburide. Which of the following statements by the patient
causes concern?
A. "I will monitor my blood glucose regularly because I know
this medication can cause a low blood sugar."
B. "I will consume no more than 8 oz. of alcohol per week."
C. "I will continue monitoring my diet and participating in
exercise while taking this medication."
D. "This medication works by stimulating the beta cells in the
pancreas to make insulin." - ANSWER- B.
Rationale; Glyburide is a sulfonylureas diabetic medication
and a patient should NEVER consume alcohol while taking
this medication because it can cause severe hypoglycemia.
A patient is scheduled to take a morning dose of Metformin. The
patient is scheduled for surgery tomorrow. Which of the
following nursing interventions are correct?
A. Administer the medication as ordered.
B. Hold the dose and notify the doctor for further orders.
C. Administer the medication as ordered but hold the next day's
dose.
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