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HESI EXIT EXAM 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
A radiographer prepares to perform an AP projection of the
distal femur on a patient with a suspected femoral fracture.
Which represents the best approach for positioning both the
patient and the x-ray tube?
A. Rotate the leg 15 degrees medially; place the cathode end of
the tube toward the foot.
B. Rotate the leg 15 degrees medially; place the anode end of
the tube toward the foot.
C. Do not rotate the leg; place the anode end of the tube
toward the foot.
D. Do not rotate the leg; place the cathode end of the tube
toward the foot. - correct answer- C. Do not rotate the leg;
place the anode end of the tube toward the foot.
On an accurately positioned PA chest radiograph, the
manubrium of the sternum is seen at the level of which thoracic
vertebrae when the patient is sthenic?
A. Third
B. Fourth
C. Second
D. Fifth - correct answer- B. Fourth
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According to Merrill's Atlas, which location represents the
correct CR placement for an axiolateral oblique mandible
projection for the ramus?
A. The acanthion
B. The point of contact between the lips
C. The occlusal plane
D. The region of interest - correct answer- D. The region of
interest
The only saddle joint in the body is found between which two
bones?
A. Trapezium and the first metacarpal
B. Trapezium and the navicular
C. Navicular and first metatarsal
D. Scaphoid and trapezium - correct answer- A. Trapezium and
the first metacarpal
Which is the disease process that causes increased
radiodensity in the lung fields on an image due to inflammation
and accumulation of fluid?
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A. Primary Tuberculosis
B. Pneumothorax
C. Pneumonia
D. Pleurisy - correct answer- C. Pneumonia
Which study is considered a nonfunctional examination of the
urinary system?
A. Retrograde urogram
B. Voiding cystourethrogram
C. Intravenous urogram
D. Hypertensive urogram - correct answer- A. Retrograde
urogram
How should the radiographer position the patient best to
demonstrate a left axillary 6th rib fracture?
A. Upright and 45 degree LPO
B. Supine and 45 degree LPO
C. Upright Posterior (PA)
D. Prone - correct answer- A. Upright and 45 degree LPO
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Which CR orientation is recommended for a radiographic image
of the contrast-filled urinary bladder with the patient in the
supine position?
A. 2 inches inferior to the pubic symphysis with a 10 to 15
degree cephalad angle
B. 2 inches superior to the pubic symphysis with a 10 to 15
degree caudad angle
C. 1 inch proximal to the tip of the coccyx with a 10 to 15
degree cephalad angle
D. 1 inch distal to the tip of the coccyx with a 10 to 15 degree
caudad angle - correct answer- B. 2 inches superior to the
pubic symphysis with a 10 to 15 degree caudad angle
A request for a shoulder exam comes from the ER. The patient
has a large deformity anterior to the shoulder and the physician
suspects an anterior dislocation. Which are the most common
appropriate views to take on this patient?
A. Posterior (PA) internal and external rotation views
B. Posterior (PA) neutral and external rotation views
C. AP projection in neutral rotation and PA oblique scapular Y
D. Anterioposterior (AP) projections in internal, external, and
neutral rotation - correct answer- C. AP projection in neutral
rotation and PA oblique scapular Y
HESI EXIT EXAM 2025 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
A radiographer prepares to perform an AP projection of the
distal femur on a patient with a suspected femoral fracture.
Which represents the best approach for positioning both the
patient and the x-ray tube?
A. Rotate the leg 15 degrees medially; place the cathode end of
the tube toward the foot.
B. Rotate the leg 15 degrees medially; place the anode end of
the tube toward the foot.
C. Do not rotate the leg; place the anode end of the tube
toward the foot.
D. Do not rotate the leg; place the cathode end of the tube
toward the foot. - correct answer- C. Do not rotate the leg;
place the anode end of the tube toward the foot.
On an accurately positioned PA chest radiograph, the
manubrium of the sternum is seen at the level of which thoracic
vertebrae when the patient is sthenic?
A. Third
B. Fourth
C. Second
D. Fifth - correct answer- B. Fourth
,2 | Page
According to Merrill's Atlas, which location represents the
correct CR placement for an axiolateral oblique mandible
projection for the ramus?
A. The acanthion
B. The point of contact between the lips
C. The occlusal plane
D. The region of interest - correct answer- D. The region of
interest
The only saddle joint in the body is found between which two
bones?
A. Trapezium and the first metacarpal
B. Trapezium and the navicular
C. Navicular and first metatarsal
D. Scaphoid and trapezium - correct answer- A. Trapezium and
the first metacarpal
Which is the disease process that causes increased
radiodensity in the lung fields on an image due to inflammation
and accumulation of fluid?
,3 | Page
A. Primary Tuberculosis
B. Pneumothorax
C. Pneumonia
D. Pleurisy - correct answer- C. Pneumonia
Which study is considered a nonfunctional examination of the
urinary system?
A. Retrograde urogram
B. Voiding cystourethrogram
C. Intravenous urogram
D. Hypertensive urogram - correct answer- A. Retrograde
urogram
How should the radiographer position the patient best to
demonstrate a left axillary 6th rib fracture?
A. Upright and 45 degree LPO
B. Supine and 45 degree LPO
C. Upright Posterior (PA)
D. Prone - correct answer- A. Upright and 45 degree LPO
, 4 | Page
Which CR orientation is recommended for a radiographic image
of the contrast-filled urinary bladder with the patient in the
supine position?
A. 2 inches inferior to the pubic symphysis with a 10 to 15
degree cephalad angle
B. 2 inches superior to the pubic symphysis with a 10 to 15
degree caudad angle
C. 1 inch proximal to the tip of the coccyx with a 10 to 15
degree cephalad angle
D. 1 inch distal to the tip of the coccyx with a 10 to 15 degree
caudad angle - correct answer- B. 2 inches superior to the
pubic symphysis with a 10 to 15 degree caudad angle
A request for a shoulder exam comes from the ER. The patient
has a large deformity anterior to the shoulder and the physician
suspects an anterior dislocation. Which are the most common
appropriate views to take on this patient?
A. Posterior (PA) internal and external rotation views
B. Posterior (PA) neutral and external rotation views
C. AP projection in neutral rotation and PA oblique scapular Y
D. Anterioposterior (AP) projections in internal, external, and
neutral rotation - correct answer- C. AP projection in neutral
rotation and PA oblique scapular Y
