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Exam (elaborations)

HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE ALL ANSWERS CORRECT

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HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE ALL ANSWERS CORRECT

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October 4, 2025
Number of pages
368
Written in
2025/2026
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HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
H H H H H H H


2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
H H H H H H H H


FOR SUCCESS
H




TheHRNHteachesHaHptHnewlyHdx'dHwithHDM1HaboutHstoringHHumulinHNHinsulin.HWhichHstatement
HindicatesHtoHtheHRNHthatHtheHptHunderstoodHtheHd/cHteaching?




a) "IHwouldHkeepHtheHinsulinHinHtheHcabinetHduringHtheHdayHonly."
b) "IHknowHIHhaveHtoHkeepHmyHinsulinHinHtheHrefrigeratorHatHallHtimes."
c) "IHcanHstoreHtheHopenHinsulinHbottlesHinHtheHkitchenHcabinetHforH1Hmonth."
d) "TheHbestHplaceHforHmyHinsulinHisHonHtheHwindowsill,HbutHinHtheHcupboardHisHjustHasHgood."
H-HCORRECTHANSWERS

c)H"IHcanHstoreHtheHopenHinsulinHbottlesHinHtheHkitchenHcabinetHforH1Hmonth."


Rationale:
AnHinsulinHvialHinHcurrentHuseHcanHbeHkeptHatHroomHtemperatureHforH1HmonthHwithout
significantHlossHofHactivity.HDirectHsunlightHandHheatHmustHbeHavoided.HTherefore,HoptionsH1,H2,H
andH4HareHincorrect.


TheHRNHisHcaringHforHaHptHscheduledHforHaHtranssphenoidalHhypophysectomy.HTheHpre-
opHteachingHinstructionsHwouldHincludeHwhichHstatement?


a) "YourHhairHwillHneedHtoHbeHshaved."
b) "YouHwillHreceiveHspinalHanesthesia."
c) "YouHwillHneedHtoHambulateHafterHsurgery."
d) "BrushingHyourHteethHneedsHtoHbeHavoidedHforHatHleastH2HweeksHpost-op."H-
H CORRECTHANSWERS

d)H"BrushingHyourHteethHneedsHtoHbeHavoidedHforHatHleastH2HweeksHpost-op."


Rationale:
AHtranssphenoidalHhypophysectomyHisHaHsurgicalHapproachHthatHusesHtheHnasalHsinusesHand
noseHforHaccessHtoHtheHpituitaryHgland.HBasedHonHtheHlocationHofHtheHsurgicalHprocedure,Hspina
lHanesthesiaHwouldHnotHbeHused.HInHaddition,HtheHhairHwouldHnotHbeHshaved.HAlthoughHambul
atingHisHimportant,HspecificHtoHthisHprocedureHisHavoidingHbrushingHtheHteethHtoHpreventHdisru
ptionHofHtheHsurgicalHsite.

,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
H H H H H H H


2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
H H H H H H H H


FOR SUCCESS
H


DuringHaHroutineHprenatalHvisit,HaHptHcomplainsHofHeasilyHbleedingHgumsHwhenHbrushing.HTh
eHRNHdoesHanHassessmentH&HteachesHtheHptHaboutHproperHnutritionHtoHminimizeHthisHproble
m.HWhichHptHstatementHindicatesHanHunderstanding?


a) "IHwillHdrinkH8HozHofHwaterHwithHeachHmeal."
b) "IHwillHeatH3HservingsHofHcrackedHwheatHbreadHeachHday."
c) "IHwillHeatH2HsaltineHcrackersHbeforeHIHgetHupHeachHmorning."
d) "IHwillHeatHfreshHfruitsH&HveggiesHforHsnacksH&HforHdessertHeachHday."H-H CORRECTHANSWERS
d)H"IHwillHeatHfreshHfruitsH&HveggiesHforHsnacksH&HforHdessertHeachHday."


Rationale:
FreshHfruitsHandHvegetablesHprovideHvitaminsHandHmineralsHneededHforHhealthyHgums.HDrinkin
gHwaterHwithHmealsHhasHnoHdirectHeffectHonHgums.HCrackedHwheatHbreadHmayHabradeHtheHten
derHgums.HEatingHsaltineHcrackersHcanHalsoHabradeHtheHtenderHgums.


AH6HyoHchildHwasHjustHdx'dHwithHHodgkin'sHdiseaseH&HchemoHisHplannedHtoHbeginHimmediately.H
TheHparentHasksHtheHRNHwhyHXDRHwasHnotHorderedHasHpartHofHtx.HTheHRNHshouldHmakeHwhich
Hresponse?




a) "It'sHveryHcostlyH&HchemoHworksHjustHasHwell."
b) "I'mHnotHsure.HI'llHdiscussHitHwithHtheHHCP."
c) "SometimesHageHhasHtoHdoHwithHtheHdecisionHforHXDR."
d) "TheHHCPHwouldHpreferHthatHyouHdiscussHtheHtxHoptionsHwithHtheHoncologist."H-
H CORRECTHANSWERS c)H"SometimesHageHhasHtoHdoHwithHtheHdecisionHforHXDR."




Rationale:
RadiationHtherapyHisHusuallyHdelayed,HwheneverHpossible,HuntilHaHchildHisH8HyearsHoldHtoHpr
eventHretardationHofHboneHgrowthHandHsoftHtissueHdevelopment.HOptionsH1,H2,HandH4HareHin
appropriateHresponsesHtoHtheHparentHandHplaceHtheHparent'sHquestionHonHhold.


TheHRNHisHdoingHanHinitialHassessmentHonHaHnewbornHinfant.HWhenHassessingHtheHinfant'sHhead
,HtheHRNHnotesHthatHtheHearsHareHlow-set.HWhichHRNHactionHisHmostHappropriate?


a) DocumentHtheHfindings.

,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
H H H H H H H


2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
H H H H H H H H


FOR SUCCESS
H

b) ArrangeHforHaHhearingHtest.
c) NotifyHtheHpediatrician.
d) CoverHtheHearsHwithHgauzeHpads.H-H CORRECTHANSWERS c)HNotifyHtheHpediatrician.


Rationale:
LowHorHoddlyHplacedHearsHareHassociatedHwithHvariousHcongenitalHdefectsHandHneedHtoHbeHrep
ortedHimmediately.HAlthoughHtheHfindingsHneedHtoHbeHdocumented,HtheHmostHappropriateHact
ionHwouldHbeHtoHnotifyHtheHpediatrician.HOptionsH2HandH4HareHinaccurateHandHinappropriateHnu
rsingHactions.




WhatHPO2HvalueHindicatesHrespiratoryHfailureHinHadults?H-H CORRECTHANSWERS
PO2H<H60
mmHg
H




WhatHbloodHvalueHindicatesHhypercapnia?H-H CORRECTHANSWERS PCO2H>H45HmmHg


WhatHconditionHoccursHwhenHtheHPO2HisH<H60HmmHgH(acuteHhypoxemia),HtheHCO2HtensionHr
isesH>H50HmmHgH(acuteHhypercarbia,Hhypercapnia)H&HtheHpHHdropsH<H7.35,HorHboth?H-
CORRECTHANSWERS AcuteHrespiratoryHfailure


WhatHareHtheHS/SHofHrespiratoryHfailureHinHadults?H-H CORRECTHANSWERS
Dyspnea,HSOB
Tachypnea
H



IntercostalH&HsternalHretraction
sHCyanosis
Tachycardia
CoughHthatHproducesHsputumHF
atigue
Fever
Crackles,Hwheezes
ChestHpainH(especiallyHwhenHtryingHtoHdeepHbreathe)HHypotensi
on
Confusion

, HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
H H H H H H H


2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
H H H H H H H H


FOR SUCCESS
H

Agitation,Hrestlessness


WhatHareHtheHcommonHcausesHofHrespiratoryHfailureHinHpeds?H-H CORRECTHANSWERS
CHD
RDS
H



Infection,Hsepsis
NMHdiseasesHTr
H



auma,HburnsHAs
piration
FVOH&HdehydrationHAnesthes
iaH&HnarcoticHOD
StructuralHanomaliesHresultingHinHairwayHobstruction


WhatHpercentageHofHO2HshouldHaHchildHinHsevereHrespiratoryHdistressHreceive?H-
H CORRECTHANSWERS 100%HO2




WhatHisHshock?H-H CORRECTHANSWERS
Widespread,HseriousHreductionHofHtissueHperfusion,
whichHleadsHtoHgeneralizedHimpairmentHofHcellularHfunction.
H




WhatHisHtheHmostHcommonHcauseHofHshock?H-H CORRECTHANSWERS Hypovolemia


WhatHcausesHsepticHshock?H-
H CORRECTHANSWERSH ReleaseHofHendotoxinsHfromHbacteria,HwhichHactHonHtheHnervesHinH

peripheralHvascularHspaces,HcausingHvascularHpooling,HreducedHvenousHreturn,Hdecreased
HCOH&HresultsHinHpoorHsystemicHperfusion.




WhatHisHtheHgoalHofHtxHforHhypovolemicHshock?H-H CORRECTHANSWERS
QuickHrestorationHof
COH&HtissueHperfusion.
H




It'sHimportantHtoHdifferentiateHbetweenHhypovolemicH&HcardiogenicHshock.HHowHmightHtheHR
NHdetermineHtheHexistenceHofHcardiogenicHshock?H-
H CORRECTHANSWERSH H/oHMIHwithHLVHfailureHorHpossibleHcardiomyopathy,HwithHS/SHofHpulmo

naryHedema.

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