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HESI EXIT EXAM QUESTIONS AND
ANSWERS
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HESI EXIT EXAM QUESTIONS AND
ANSWERS LATEST
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UPDATE2025/2026 ALL ANSWERS
VERIFIED GRADED A+
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3/27/2025
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JIMSE
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, HESI EXIT EXAM QUESTIONS AND ANSWERS
LATEST UPDATE
2025/2026 ALL ANSWERS VERIFIED GRADED A+
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." * VERIFIED 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."
d) "Brushing your teeth needs to be avoided for at least 2 weeks post*op." * VERIFIED 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.
1
,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." * VERIFIED 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.
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." * VERIFIED 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.
2
, b) Arrange for a hearing test.
c) Notify the pediatrician.
d) Cover the ears with gauze pads. * VERIFIED ANSWERS c. Notify the pediatrician.
Rationale:
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? * VERIFIED ANSWERS PO2 < 60
mmHg
What blood value indicates hypercapnia? * VERIFIED 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? *
VERIFIED ANSWERS Acute respiratory failure
What are the S/S of respiratory failure in adults? * VERIFIED ANSWERS Dyspnea, SOB
Tachypnea
Intercostal & sternal retractions
Cyanosis
Tachycardia
Cough that produces sputum Fatigue
Fever
Crackles, wheezes
Chest pain (especially when trying to deep breathe. Hypotension
Confusion
3
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HESI EXIT EXAM QUESTIONS AND
ANSWERS
uiopasdfghjklzxcvbnmqwertyui
HESI EXIT EXAM QUESTIONS AND
ANSWERS LATEST
opasdfghjklzxcvbnmqwertyuiop
UPDATE2025/2026 ALL ANSWERS
VERIFIED GRADED A+
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3/27/2025
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JIMSE
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wertyuiopasdfghjklzxcvbnmqw
, HESI EXIT EXAM QUESTIONS AND ANSWERS
LATEST UPDATE
2025/2026 ALL ANSWERS VERIFIED GRADED A+
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." * VERIFIED 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."
d) "Brushing your teeth needs to be avoided for at least 2 weeks post*op." * VERIFIED 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.
1
,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." * VERIFIED 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.
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." * VERIFIED 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.
2
, b) Arrange for a hearing test.
c) Notify the pediatrician.
d) Cover the ears with gauze pads. * VERIFIED ANSWERS c. Notify the pediatrician.
Rationale:
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? * VERIFIED ANSWERS PO2 < 60
mmHg
What blood value indicates hypercapnia? * VERIFIED 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? *
VERIFIED ANSWERS Acute respiratory failure
What are the S/S of respiratory failure in adults? * VERIFIED ANSWERS Dyspnea, SOB
Tachypnea
Intercostal & sternal retractions
Cyanosis
Tachycardia
Cough that produces sputum Fatigue
Fever
Crackles, wheezes
Chest pain (especially when trying to deep breathe. Hypotension
Confusion
3
