HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
The RNteachesaptnewlydx'd with DM1aboutstoringHumulinN insulin.Whichstatement
x x x x x x x x x x x x x x x
indicates to the RN that the pt understood the d/c teaching?
x x x x x x x x x x x
a) "Iwouldkeeptheinsulin inthecabinetduringthedayonly."
x x x x x x x x x x x
b) "IknowIhavetokeepmyinsulin intherefrigeratoratalltimes."
x x x x x x x x x x x x x
c) "Icanstoretheopeninsulinbottlesinthekitchen cabinetfor1month."
x x x x x x x x x x x x x
d) "Thebestplaceformy insulin isonthe windowsill,but inthecupboardis justas good." -
x x x x x x x x x x x x x x x x x x
CORRECT ANSWERS c) "I can store the open insulin bottles in the kitchen cabinet for 1 month."
x x x x x x x x x x x x x x x x
Rationale:
Aninsulinvialincurrentusecanbekeptatroomtemperaturefor1monthwithout
x x x x x x x x x x x x x x x
significantlossofactivity.Directsunlightandheatmustbeavoided.Therefore,options1,2, and 4
x x x x x x x x x x x x x x x x
are incorrect.
x x
TheRNiscaringforaptscheduledforatranssphenoidalhypophysectomy.Thepre-op teaching
x x x x x x x x x x x x x x
instructions would include which statement?
x x x x x
a) "Yourhairwillneedtobe shaved." x x x x x x
b) "Youwillreceivespinalanesthesia." x x x x
c) "Youwillneedtoambulateaftersurgery." x x x x x x
d) "Brushing yourteethneeds to be avoided forat least 2 weeks post-op." - CORRECT x x x x x x x x x x x x x x
ANSWERS d)"Brushingyourteethneedstobeavoidedforatleast2weekspost-op."
x x x x x x x x x x x x x x
Rationale:
Atranssphenoidalhypophysectomyisasurgicalapproachthatusesthenasalsinusesand
x x x x x x x x x x x x
noseforaccesstothepituitarygland.Based onthe locationofthesurgicalprocedure, spinal
x x x x x x x x x x x x x x x
anesthesia would not be used. In addition, the hair would not be shaved. Although ambulating is
x x x x x x x x x x x x x x x x
important,specific to this procedure is avoiding brushing theteeth to prevent disruption of the
x x x x x x x x x x x x x x x
surgical site.
x x
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
During a routine prenatal visit, a pt complains of easily bleeding gums when brushing. The RN
x x x x x x x x x x x x x x x
does an assessment & teaches the pt about proper nutrition to minimize this problem. Which pt
x x x x x x x x x x x x x x x x
statement indicates an understanding?
x x x x
a) "I willdrink8oz ofwater with each meal."
x x x x x x x x x
b) "Iwilleat3servingsofcracked wheatbreadeach day."
x x x x x x x x x x
c) "Iwilleat2saltinecrackersbeforeIgetupeachmorning."
x x x x x x x x x x x
d) "Iwilleatfreshfruits&veggiesfor snacks&for desserteachday." - CORRECT ANSWERS
x x x x x x x x x x x x x x x x
d)"Iwill eatfreshfruits&veggiesfor snacks &for dessert eachday."
x x x x x x x x x x x x x x
Rationale:
Freshfruitsandvegetablesprovide vitaminsandmineralsneededforhealthygums.Drinking water
x x x x x x x x x x x x x
with meals has nodirect effect on gums. Cracked wheat bread may abrade the tender gums. Eating
x x x x x x x x x x x x x x x x x
saltine crackers can also abrade the tender gums.
x x x x x x x x
A6yochildwasjustdx'dwithHodgkin'sdisease&chemoisplannedtobeginimmediately. The
x x x x x x x x x x x x x x x x x
parent asks the RN why XDR was not ordered as part of tx.The RN should make which response?
x x x x x x x x x x x x x x x x x x x
a) "It'svery costly&chemoworks justas well." x x x x x x x x
b) "I'm not sure. I'lldiscuss it with theHCP." x x x x x x x x
c) "Sometimesagehasto dowiththedecisionfor XDR." x x x x x x x x x
d) "TheHCPwouldprefer thatyoudiscussthetxoptionswiththeoncologist." - CORRECT
x x x x x x x x x x x x x x
ANSWERS c) "Sometimes age has to do with the decision for XDR."
x x x x x x x x x x x
Rationale:
Radiation therapy is usually delayed, whenever possible, until a child is 8 years old to prevent
x x x x x x x x x x x x x x x
retardationofbonegrowthandsofttissuedevelopment.Options1,2,and4are inappropriate
x x x x x x x x x x x x x x x
responses to the parent and place the parent's question on hold.
x x x x x x x x x x x
The RNisdoinganinitialassessmentonanewborn infant.When assessingthe infant'shead, the RN
x x x x x x x x x x x x x x x x x
notes that the ears are low-set. Which RN action is most appropriate?
x x x x x x x x x x x x
a) Documentthe findings. x x
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
b) Arrangeforahearingtest. x x x x
c) Notify the pediatrician. x x
d) Coverthe earswith gauzepads.- CORRECT ANSWERS
x x x x x x x x c) Notifythe pediatrician.
x x x
Rationale:
Low or oddly placed ears are associated with various congenital defects and need to be reported
x x x x x x x x x x x x x x x
immediately.Althoughthefindingsneedtobedocumented,themostappropriate actionwouldbe
x x x x x x x x x x x x x x
tonotifythepediatrician.Options2and4areinaccurateandinappropriate nursing actions.
x x x x x x x x x x x x x x
What PO2 value indicates respiratory failure in adults? - CORRECT ANSWERS
x x x x x x x x x x PO2<60 x x
mmHg
x
Whatbloodvalueindicateshypercapnia?- CORRECTANSWERS
x x x x x x x PCO2 > 45 mmHg x x x
WhatconditionoccurswhenthePO2is< 60mmHg(acutehypoxemia),theCO2tension rises > 50
x x x x x x x x x x x x x x x x x
mmHg (acute hypercarbia, hypercapnia) & the pH drops < 7.35, or both? -
x x x x x x x x x x x x x
CORRECTANSWERS Acuterespiratoryfailure x x x
What are the S/S of respiratory failure in adults? - CORRECT ANSWERS
x x x x x x x x x x x Dyspnea,SOB x
x Tachypnea
Intercostal&sternalretractions x x x
x Cyanosis
Tachycardia
Coughthatproducessputum
x x x
x Fatigue
Fever
Crackles,wheezes x
Chestpain(especiallywhentryingtodeepbreathe) Hypotension
x x x x x x x x
Confusion
, HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
Agitation,restlessness x
What are the common causes of respiratory failure in peds? - CORRECT ANSWERS
x x x x x x x x x x x x CHD
RDS
x
Infection,sepsis x
x NM diseases x
x Trauma, burns x
x Aspiration
FVO & dehydration Anesthesia x x x
&narcoticOD
x x x
Structuralanomaliesresultinginairwayobstruction x x x x x
WhatpercentageofO2shouldachildinsevererespiratorydistressreceive? - CORRECT
x x x x x x x x x x x x x
ANSWERS 100% O2
x x
What is shock? - CORRECT ANSWERS Widespread,seriousreductionoftissueperfusion,
x x x x x x x x x x
which leads to generalized impairment of cellular function.
x x x x x x x x
Whatisthe mostcommoncauseofshock? - CORRECT ANSWERS
x x x x x x x x x x Hypovolemia
What causes septic shock? - CORRECT ANSWERS Release of endotoxins from bacteria,
x x x x x x x x x x x
which act on the nerves in peripheral vascular spaces, causing vascular pooling, reduced
x x x x x x x x x x x x x
venous return, decreased CO & results in poor systemic perfusion.
x x x x x x x x x x
What is the goal of tx for hypovolemic shock? - CORRECT ANSWERS
x x x x x x x x x x x Quickrestorationof x x
CO & tissue perfusion.
x x x x
It's important to differentiate between hypovolemic & cardiogenic shock. How might the RN
x x x x x x x x x x x x
determine the existence of cardiogenic shock? - CORRECT ANSWERS H/o MI with LV failure or
x x x x x x x x x x x x x x x
possible cardiomyopathy, with S/S of pulmonary edema.
x x x x x x x
Ifaptisincardiogenicshock,whatmightresultfromadministrationofvolume-expanding fluids,
x x x x x x x x x x x x x x
and what intervention can the RN expect to perform in the event of such an
x x x x x x x x x x x x x x x
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
The RNteachesaptnewlydx'd with DM1aboutstoringHumulinN insulin.Whichstatement
x x x x x x x x x x x x x x x
indicates to the RN that the pt understood the d/c teaching?
x x x x x x x x x x x
a) "Iwouldkeeptheinsulin inthecabinetduringthedayonly."
x x x x x x x x x x x
b) "IknowIhavetokeepmyinsulin intherefrigeratoratalltimes."
x x x x x x x x x x x x x
c) "Icanstoretheopeninsulinbottlesinthekitchen cabinetfor1month."
x x x x x x x x x x x x x
d) "Thebestplaceformy insulin isonthe windowsill,but inthecupboardis justas good." -
x x x x x x x x x x x x x x x x x x
CORRECT ANSWERS c) "I can store the open insulin bottles in the kitchen cabinet for 1 month."
x x x x x x x x x x x x x x x x
Rationale:
Aninsulinvialincurrentusecanbekeptatroomtemperaturefor1monthwithout
x x x x x x x x x x x x x x x
significantlossofactivity.Directsunlightandheatmustbeavoided.Therefore,options1,2, and 4
x x x x x x x x x x x x x x x x
are incorrect.
x x
TheRNiscaringforaptscheduledforatranssphenoidalhypophysectomy.Thepre-op teaching
x x x x x x x x x x x x x x
instructions would include which statement?
x x x x x
a) "Yourhairwillneedtobe shaved." x x x x x x
b) "Youwillreceivespinalanesthesia." x x x x
c) "Youwillneedtoambulateaftersurgery." x x x x x x
d) "Brushing yourteethneeds to be avoided forat least 2 weeks post-op." - CORRECT x x x x x x x x x x x x x x
ANSWERS d)"Brushingyourteethneedstobeavoidedforatleast2weekspost-op."
x x x x x x x x x x x x x x
Rationale:
Atranssphenoidalhypophysectomyisasurgicalapproachthatusesthenasalsinusesand
x x x x x x x x x x x x
noseforaccesstothepituitarygland.Based onthe locationofthesurgicalprocedure, spinal
x x x x x x x x x x x x x x x
anesthesia would not be used. In addition, the hair would not be shaved. Although ambulating is
x x x x x x x x x x x x x x x x
important,specific to this procedure is avoiding brushing theteeth to prevent disruption of the
x x x x x x x x x x x x x x x
surgical site.
x x
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
During a routine prenatal visit, a pt complains of easily bleeding gums when brushing. The RN
x x x x x x x x x x x x x x x
does an assessment & teaches the pt about proper nutrition to minimize this problem. Which pt
x x x x x x x x x x x x x x x x
statement indicates an understanding?
x x x x
a) "I willdrink8oz ofwater with each meal."
x x x x x x x x x
b) "Iwilleat3servingsofcracked wheatbreadeach day."
x x x x x x x x x x
c) "Iwilleat2saltinecrackersbeforeIgetupeachmorning."
x x x x x x x x x x x
d) "Iwilleatfreshfruits&veggiesfor snacks&for desserteachday." - CORRECT ANSWERS
x x x x x x x x x x x x x x x x
d)"Iwill eatfreshfruits&veggiesfor snacks &for dessert eachday."
x x x x x x x x x x x x x x
Rationale:
Freshfruitsandvegetablesprovide vitaminsandmineralsneededforhealthygums.Drinking water
x x x x x x x x x x x x x
with meals has nodirect effect on gums. Cracked wheat bread may abrade the tender gums. Eating
x x x x x x x x x x x x x x x x x
saltine crackers can also abrade the tender gums.
x x x x x x x x
A6yochildwasjustdx'dwithHodgkin'sdisease&chemoisplannedtobeginimmediately. The
x x x x x x x x x x x x x x x x x
parent asks the RN why XDR was not ordered as part of tx.The RN should make which response?
x x x x x x x x x x x x x x x x x x x
a) "It'svery costly&chemoworks justas well." x x x x x x x x
b) "I'm not sure. I'lldiscuss it with theHCP." x x x x x x x x
c) "Sometimesagehasto dowiththedecisionfor XDR." x x x x x x x x x
d) "TheHCPwouldprefer thatyoudiscussthetxoptionswiththeoncologist." - CORRECT
x x x x x x x x x x x x x x
ANSWERS c) "Sometimes age has to do with the decision for XDR."
x x x x x x x x x x x
Rationale:
Radiation therapy is usually delayed, whenever possible, until a child is 8 years old to prevent
x x x x x x x x x x x x x x x
retardationofbonegrowthandsofttissuedevelopment.Options1,2,and4are inappropriate
x x x x x x x x x x x x x x x
responses to the parent and place the parent's question on hold.
x x x x x x x x x x x
The RNisdoinganinitialassessmentonanewborn infant.When assessingthe infant'shead, the RN
x x x x x x x x x x x x x x x x x
notes that the ears are low-set. Which RN action is most appropriate?
x x x x x x x x x x x x
a) Documentthe findings. x x
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
b) Arrangeforahearingtest. x x x x
c) Notify the pediatrician. x x
d) Coverthe earswith gauzepads.- CORRECT ANSWERS
x x x x x x x x c) Notifythe pediatrician.
x x x
Rationale:
Low or oddly placed ears are associated with various congenital defects and need to be reported
x x x x x x x x x x x x x x x
immediately.Althoughthefindingsneedtobedocumented,themostappropriate actionwouldbe
x x x x x x x x x x x x x x
tonotifythepediatrician.Options2and4areinaccurateandinappropriate nursing actions.
x x x x x x x x x x x x x x
What PO2 value indicates respiratory failure in adults? - CORRECT ANSWERS
x x x x x x x x x x PO2<60 x x
mmHg
x
Whatbloodvalueindicateshypercapnia?- CORRECTANSWERS
x x x x x x x PCO2 > 45 mmHg x x x
WhatconditionoccurswhenthePO2is< 60mmHg(acutehypoxemia),theCO2tension rises > 50
x x x x x x x x x x x x x x x x x
mmHg (acute hypercarbia, hypercapnia) & the pH drops < 7.35, or both? -
x x x x x x x x x x x x x
CORRECTANSWERS Acuterespiratoryfailure x x x
What are the S/S of respiratory failure in adults? - CORRECT ANSWERS
x x x x x x x x x x x Dyspnea,SOB x
x Tachypnea
Intercostal&sternalretractions x x x
x Cyanosis
Tachycardia
Coughthatproducessputum
x x x
x Fatigue
Fever
Crackles,wheezes x
Chestpain(especiallywhentryingtodeepbreathe) Hypotension
x x x x x x x x
Confusion
, HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
Agitation,restlessness x
What are the common causes of respiratory failure in peds? - CORRECT ANSWERS
x x x x x x x x x x x x CHD
RDS
x
Infection,sepsis x
x NM diseases x
x Trauma, burns x
x Aspiration
FVO & dehydration Anesthesia x x x
&narcoticOD
x x x
Structuralanomaliesresultinginairwayobstruction x x x x x
WhatpercentageofO2shouldachildinsevererespiratorydistressreceive? - CORRECT
x x x x x x x x x x x x x
ANSWERS 100% O2
x x
What is shock? - CORRECT ANSWERS Widespread,seriousreductionoftissueperfusion,
x x x x x x x x x x
which leads to generalized impairment of cellular function.
x x x x x x x x
Whatisthe mostcommoncauseofshock? - CORRECT ANSWERS
x x x x x x x x x x Hypovolemia
What causes septic shock? - CORRECT ANSWERS Release of endotoxins from bacteria,
x x x x x x x x x x x
which act on the nerves in peripheral vascular spaces, causing vascular pooling, reduced
x x x x x x x x x x x x x
venous return, decreased CO & results in poor systemic perfusion.
x x x x x x x x x x
What is the goal of tx for hypovolemic shock? - CORRECT ANSWERS
x x x x x x x x x x x Quickrestorationof x x
CO & tissue perfusion.
x x x x
It's important to differentiate between hypovolemic & cardiogenic shock. How might the RN
x x x x x x x x x x x x
determine the existence of cardiogenic shock? - CORRECT ANSWERS H/o MI with LV failure or
x x x x x x x x x x x x x x x
possible cardiomyopathy, with S/S of pulmonary edema.
x x x x x x x
Ifaptisincardiogenicshock,whatmightresultfromadministrationofvolume-expanding fluids,
x x x x x x x x x x x x x x
and what intervention can the RN expect to perform in the event of such an
x x x x x x x x x x x x x x x