HESI EXIT RN VERSION 2 ACTUAL PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A
PLUS COMPLETE REVIEW SET
◉ Grave's disease test.
Answer: -Radioactive Iodine Uptake to detect how the thyroid is
working
-Ultrasound
-Bloodwork
-Imaging tests
◉ Grave's disease treatment.
Answer: -Goal: inhibit production of thyroid hormones and block
effect on the body
-Radioactive iodine therapy: destroys overactive thyroid cells over
time
-Propylthiouracil, methimazole
-Betablockers
-Subtotal or full thyroidectomy (risk of damaging vocal cords and
parathyroid glands)
◉ Nursing interventions for a pt with COPD.
,Answer: -Sit upright (positioning)
-Pursed lip breathing
-Diaphragmatic breathing
-HOB up
-Not too much O2: decreases stimulus to breathe
-O2 is not first choice!
◉ Considerations when choosing an IV site.
Answer: -Avoid restricted extremities (fistula, breast CA
(mastectomy/lymphedema), cellulitis)
-If no upper extremities available, can use legs
-Infiltration is a problem, dont reinstill IV access; keep IV in but start
a new line
◉ Pheochromocytoma.
Answer: -Tumor on the adrenals that causes release of
catecholamines (epi and norepi)
-Can cause hypertensive crisis (above 240)
-Monitor BP frequently
-Mosly cardio sx: increased HR and BP
◉ General teaching points for pt taking meds.
,Answer: -Take the full dose of antibiotics (can build resistance)
-Pay attention to timing and whether you take with food or on an
empty stomach
◉ Describe post-surgical nursing assessment.
Answer: -VITALS!!
-Take VS first to give you "the lay of the land" and plan further
treatment
-Watch for shock and hemorrhaging
-Make sure BP is above 90
-Give O2 if decreased sat
-Look/ask about pain if HR increased
◉ Describe Lupus and pt education.
Answer: -*Autoimmune disorder
-Could have a decreased WBC count; increased risk for infection
-Avoid crowds, avoid sick people, avoid sunlight (trigger)
◉ Explain safe insulin administration practice and how to teach
another nurse.
Answer: -Give in SubQ fat, rotate spots
-Sliding scale dose is based on most recent glucose level
, -Check orders in the computer if forget dose/med
-Clean area with alcohol
-Make sure you have the right pt
◉ Assessment points for pt with constipation.
Answer: -Assess current medications
-Check measures that they're currently taking (daily enemas,
laxatives, etc)
-Assessment: no bowel sounds, abd distention
-Make a doctors appointment
-Assess current nutrition, diet, and exercise
-Drink more water
◉ Osteomalacia and implications for pt teaching.
Answer: -Focus on nutritional support
-Sunlight is a good source of vitamin D
-Vitamin D is important to absorb calcium and phosphorous
-Check vitamin D levels
◉ Osteomyelitis.
Answer: -Bone infection
-Treat with antibiotics
QUESTIONS WITH SOLUTIONS GRADED A
PLUS COMPLETE REVIEW SET
◉ Grave's disease test.
Answer: -Radioactive Iodine Uptake to detect how the thyroid is
working
-Ultrasound
-Bloodwork
-Imaging tests
◉ Grave's disease treatment.
Answer: -Goal: inhibit production of thyroid hormones and block
effect on the body
-Radioactive iodine therapy: destroys overactive thyroid cells over
time
-Propylthiouracil, methimazole
-Betablockers
-Subtotal or full thyroidectomy (risk of damaging vocal cords and
parathyroid glands)
◉ Nursing interventions for a pt with COPD.
,Answer: -Sit upright (positioning)
-Pursed lip breathing
-Diaphragmatic breathing
-HOB up
-Not too much O2: decreases stimulus to breathe
-O2 is not first choice!
◉ Considerations when choosing an IV site.
Answer: -Avoid restricted extremities (fistula, breast CA
(mastectomy/lymphedema), cellulitis)
-If no upper extremities available, can use legs
-Infiltration is a problem, dont reinstill IV access; keep IV in but start
a new line
◉ Pheochromocytoma.
Answer: -Tumor on the adrenals that causes release of
catecholamines (epi and norepi)
-Can cause hypertensive crisis (above 240)
-Monitor BP frequently
-Mosly cardio sx: increased HR and BP
◉ General teaching points for pt taking meds.
,Answer: -Take the full dose of antibiotics (can build resistance)
-Pay attention to timing and whether you take with food or on an
empty stomach
◉ Describe post-surgical nursing assessment.
Answer: -VITALS!!
-Take VS first to give you "the lay of the land" and plan further
treatment
-Watch for shock and hemorrhaging
-Make sure BP is above 90
-Give O2 if decreased sat
-Look/ask about pain if HR increased
◉ Describe Lupus and pt education.
Answer: -*Autoimmune disorder
-Could have a decreased WBC count; increased risk for infection
-Avoid crowds, avoid sick people, avoid sunlight (trigger)
◉ Explain safe insulin administration practice and how to teach
another nurse.
Answer: -Give in SubQ fat, rotate spots
-Sliding scale dose is based on most recent glucose level
, -Check orders in the computer if forget dose/med
-Clean area with alcohol
-Make sure you have the right pt
◉ Assessment points for pt with constipation.
Answer: -Assess current medications
-Check measures that they're currently taking (daily enemas,
laxatives, etc)
-Assessment: no bowel sounds, abd distention
-Make a doctors appointment
-Assess current nutrition, diet, and exercise
-Drink more water
◉ Osteomalacia and implications for pt teaching.
Answer: -Focus on nutritional support
-Sunlight is a good source of vitamin D
-Vitamin D is important to absorb calcium and phosphorous
-Check vitamin D levels
◉ Osteomyelitis.
Answer: -Bone infection
-Treat with antibiotics
