ONLYSTUDENTS STORE 2025 ALL THE BEST
HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST
UPDATE 2024/2025 ALL ANSWERS CORRECT
ELABORATED BEST GRADED A+ FOR SUCCESS
The RN teaches a pt newly dx'd with DM1 about storing Humulin N insulin. Which
statement indicates to the RN that the pt understood the d/c teaching?
a) "I would keep the insulin in the cabinet during the day only."
b) "I know I have to keep my insulin in the refrigerator at all times."
c) "I can store the open insulin bottles in the kitchen cabinet for 1 month."
d) "The best place for my insulin is on the windowsill, but in the cupboard is just as
good." - CORRECT ANSWERS c) "I can store the open insulin bottles in the
kitchen cabinet for 1 month."
Rationale:
An insulin vial in current use can be kept at room temperature for 1 month without
significant loss of activity. Direct sunlight and heat must be avoided. Therefore,
options 1, 2, and 4 are incorrect.
The RN is caring for a pt scheduled for a transsphenoidal hypophysectomy. The pre-
op teaching instructions would include which statement?
a) "Your hair will need to be shaved."
b) "You will receive spinal anesthesia."
c) "You will need to ambulate after surgery."
ONLYSTUDENTS STORE 1 DO NOT COPY
,ONLYSTUDENTS STORE 2025 ALL THE BEST
d) "Brushing your teeth needs to be avoided for at least 2 weeks post-op." -
CORRECT ANSWERS d) "Brushing your teeth needs to be avoided for at least 2
weeks post-op."
Rationale:
A transsphenoidal hypophysectomy is a surgical approach that uses the nasal
sinuses and nose for access to the pituitary gland. Based on the location of the
surgical procedure, spinal anesthesia would not be used. In addition, the hair would
not be shaved. Although ambulating is important, specific to this procedure is
avoiding brushing the teeth to prevent disruption of the surgical site.
During a routine prenatal visit, a pt complains of easily bleeding gums when brushing.
The RN does an assessment & teaches the pt about proper nutrition to minimize this
problem. Which pt statement indicates an understanding?
a) "I will drink 8 oz of water with each meal."
b) "I will eat 3 servings of cracked wheat bread each day."
c) "I will eat 2 saltine crackers before I get up each morning."
d) "I will eat fresh fruits & veggies for snacks & for dessert each day." - CORRECT
ANSWERS d) "I will eat fresh fruits & veggies for snacks & for dessert each day."
Rationale:
Fresh fruits and vegetables provide vitamins and minerals needed for healthy gums.
Drinking water with meals has no direct effect on gums. Cracked wheat bread may
abrade the tender gums. Eating saltine crackers can also abrade the tender gums.
ONLYSTUDENTS STORE 2 DO NOT COPY
,ONLYSTUDENTS STORE 2025 ALL THE BEST
A 6 yo child was just dx'd with Hodgkin's disease & chemo is planned to begin
immediately. The parent asks the RN why XDR was not ordered as part of tx. The
RN should make which response?
a) "It's very costly & chemo works just as well."
b) "I'm not sure. I'll discuss it with the HCP."
c) "Sometimes age has to do with the decision for XDR."
d) "The HCP would prefer that you discuss the tx options with the oncologist." -
CORRECT ANSWERS c) "Sometimes age has to do with the decision for XDR."
Rationale:
Radiation therapy is usually delayed, whenever possible, until a child is 8 years old
to prevent retardation of bone growth and soft tissue development. Options 1, 2, and
4 are inappropriate responses to the parent and place the parent's question on hold.
The RN is doing an initial assessment on a newborn infant. When assessing the
infant's head, the RN notes that the ears are low-set. Which RN action is most
appropriate?
a) Document the findings.
b) Arrange for a hearing test.
c) Notify the pediatrician.
d) Cover the ears with gauze pads. - CORRECT ANSWERS c) Notify the
pediatrician.
Rationale:
ONLYSTUDENTS STORE 3 DO NOT COPY
, ONLYSTUDENTS STORE 2025 ALL THE BEST
Low or oddly placed ears are associated with various congenital defects and need to
be reported immediately. Although the findings need to be documented, the most
appropriate action would be to notify the pediatrician. Options 2 and 4 are inaccurate
and inappropriate nursing actions.
What PO2 value indicates respiratory failure in adults? - CORRECT ANSWERS
PO2 < 60 mmHg
What blood value indicates hypercapnia? - CORRECT ANSWERS PCO2 > 45
mmHg
What condition occurs when the PO2 is < 60 mmHg (acute hypoxemia), the CO2
tension rises > 50 mmHg (acute hypercarbia, hypercapnia) & the pH drops < 7.35, or
both? - CORRECT ANSWERS Acute respiratory failure
What are the S/S of respiratory failure in adults? - CORRECT ANSWERS
Dyspnea, SOB
Tachypnea
Intercostal & sternal retractions
Cyanosis
Tachycardia
Cough that produces sputum
Fatigue
Fever
Crackles, wheezes
ONLYSTUDENTS STORE 4 DO NOT COPY
HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST
UPDATE 2024/2025 ALL ANSWERS CORRECT
ELABORATED BEST GRADED A+ FOR SUCCESS
The RN teaches a pt newly dx'd with DM1 about storing Humulin N insulin. Which
statement indicates to the RN that the pt understood the d/c teaching?
a) "I would keep the insulin in the cabinet during the day only."
b) "I know I have to keep my insulin in the refrigerator at all times."
c) "I can store the open insulin bottles in the kitchen cabinet for 1 month."
d) "The best place for my insulin is on the windowsill, but in the cupboard is just as
good." - CORRECT ANSWERS c) "I can store the open insulin bottles in the
kitchen cabinet for 1 month."
Rationale:
An insulin vial in current use can be kept at room temperature for 1 month without
significant loss of activity. Direct sunlight and heat must be avoided. Therefore,
options 1, 2, and 4 are incorrect.
The RN is caring for a pt scheduled for a transsphenoidal hypophysectomy. The pre-
op teaching instructions would include which statement?
a) "Your hair will need to be shaved."
b) "You will receive spinal anesthesia."
c) "You will need to ambulate after surgery."
ONLYSTUDENTS STORE 1 DO NOT COPY
,ONLYSTUDENTS STORE 2025 ALL THE BEST
d) "Brushing your teeth needs to be avoided for at least 2 weeks post-op." -
CORRECT ANSWERS d) "Brushing your teeth needs to be avoided for at least 2
weeks post-op."
Rationale:
A transsphenoidal hypophysectomy is a surgical approach that uses the nasal
sinuses and nose for access to the pituitary gland. Based on the location of the
surgical procedure, spinal anesthesia would not be used. In addition, the hair would
not be shaved. Although ambulating is important, specific to this procedure is
avoiding brushing the teeth to prevent disruption of the surgical site.
During a routine prenatal visit, a pt complains of easily bleeding gums when brushing.
The RN does an assessment & teaches the pt about proper nutrition to minimize this
problem. Which pt statement indicates an understanding?
a) "I will drink 8 oz of water with each meal."
b) "I will eat 3 servings of cracked wheat bread each day."
c) "I will eat 2 saltine crackers before I get up each morning."
d) "I will eat fresh fruits & veggies for snacks & for dessert each day." - CORRECT
ANSWERS d) "I will eat fresh fruits & veggies for snacks & for dessert each day."
Rationale:
Fresh fruits and vegetables provide vitamins and minerals needed for healthy gums.
Drinking water with meals has no direct effect on gums. Cracked wheat bread may
abrade the tender gums. Eating saltine crackers can also abrade the tender gums.
ONLYSTUDENTS STORE 2 DO NOT COPY
,ONLYSTUDENTS STORE 2025 ALL THE BEST
A 6 yo child was just dx'd with Hodgkin's disease & chemo is planned to begin
immediately. The parent asks the RN why XDR was not ordered as part of tx. The
RN should make which response?
a) "It's very costly & chemo works just as well."
b) "I'm not sure. I'll discuss it with the HCP."
c) "Sometimes age has to do with the decision for XDR."
d) "The HCP would prefer that you discuss the tx options with the oncologist." -
CORRECT ANSWERS c) "Sometimes age has to do with the decision for XDR."
Rationale:
Radiation therapy is usually delayed, whenever possible, until a child is 8 years old
to prevent retardation of bone growth and soft tissue development. Options 1, 2, and
4 are inappropriate responses to the parent and place the parent's question on hold.
The RN is doing an initial assessment on a newborn infant. When assessing the
infant's head, the RN notes that the ears are low-set. Which RN action is most
appropriate?
a) Document the findings.
b) Arrange for a hearing test.
c) Notify the pediatrician.
d) Cover the ears with gauze pads. - CORRECT ANSWERS c) Notify the
pediatrician.
Rationale:
ONLYSTUDENTS STORE 3 DO NOT COPY
, ONLYSTUDENTS STORE 2025 ALL THE BEST
Low or oddly placed ears are associated with various congenital defects and need to
be reported immediately. Although the findings need to be documented, the most
appropriate action would be to notify the pediatrician. Options 2 and 4 are inaccurate
and inappropriate nursing actions.
What PO2 value indicates respiratory failure in adults? - CORRECT ANSWERS
PO2 < 60 mmHg
What blood value indicates hypercapnia? - CORRECT ANSWERS PCO2 > 45
mmHg
What condition occurs when the PO2 is < 60 mmHg (acute hypoxemia), the CO2
tension rises > 50 mmHg (acute hypercarbia, hypercapnia) & the pH drops < 7.35, or
both? - CORRECT ANSWERS Acute respiratory failure
What are the S/S of respiratory failure in adults? - CORRECT ANSWERS
Dyspnea, SOB
Tachypnea
Intercostal & sternal retractions
Cyanosis
Tachycardia
Cough that produces sputum
Fatigue
Fever
Crackles, wheezes
ONLYSTUDENTS STORE 4 DO NOT COPY
