Page 1 of 244
EXIT HESI V1 Exam Guide – 171 Questions &
Answers – Rheumatoid Arthritis, Diabetes,
Anemia, Pharmacology, Pain Management,
Maternity – 100% Guaranteed Pass ||
Complete A+ Guide
Q1. A client with RA reports morning stiffness lasting 2 hours.
Which intervention is most appropriate?
A) Apply heat packs before rising
B) Rest in bed until stiffness subsides
C) Perform high-impact aerobics
D) Increase methotrexate dose on own
Answer: A) Apply heat packs before rising
Rationale: Heat increases blood flow and reduces morning
stiffness. Rest (B) promotes joint contractures. High-impact (C)
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worsens joint damage. Client should not adjust DMARDs
independently (D).
Diabetes
Q2. A client with type 1 diabetes is found diaphoretic and
confused. Blood glucose is 52 mg/dL. What is the priority
action?
A) Give 15g rapid-acting carbohydrate
B) Administer glucagon IM
C) Call the provider
D) Recheck glucose in 1 hour
Answer: A) Give 15g rapid-acting carbohydrate
Rationale: Hypoglycemia with intact airway/consciousness
(confused but conscious) → oral glucose (juice, soda, glucose
tabs). Glucagon (B) is for unconscious or unable to swallow.
Recheck in 15 min, not 1 hr (D).
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Anemia
Q3. A client with pernicious anemia asks why they need
lifelong vitamin B12 injections. Best response?
A) “Your stomach cannot absorb oral B12 due to lack of
intrinsic factor.”
B) “Injections work faster than pills.”
C) “Oral B12 causes kidney damage over time.”
D) “Your body destroys B12 if taken by mouth.”
Answer: A) “Your stomach cannot absorb oral B12 due to lack
of intrinsic factor.”
Rationale: Pernicious anemia = autoimmune destruction of
parietal cells → no intrinsic factor → oral B12 not absorbed.
Injections bypass this.
Pharmacology
Q4. A client on warfarin has an INR of 4.5. Which finding
requires immediate nursing intervention?
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A) Bruising on lower extremities
B) Bleeding gums after brushing
C) Coffee-ground emesis
D) Small paper cut on finger
Answer: C) Coffee-ground emesis
Rationale: Coffee-ground emesis indicates upper GI bleeding.
INR 4.5 is above therapeutic range (2-3), increasing bleeding
risk. Minor bruising (A) and gum bleeding (B) are expected.
Paper cut (D) is minor.
Pain Management
Q5. A postoperative client rates pain 8/10. Respiratory rate
is 10/min. What should the nurse do first?
A) Administer morphine as ordered
B) Hold opioid and notify provider
C) Encourage deep breathing
D) Give naloxone
EXIT HESI V1 Exam Guide – 171 Questions &
Answers – Rheumatoid Arthritis, Diabetes,
Anemia, Pharmacology, Pain Management,
Maternity – 100% Guaranteed Pass ||
Complete A+ Guide
Q1. A client with RA reports morning stiffness lasting 2 hours.
Which intervention is most appropriate?
A) Apply heat packs before rising
B) Rest in bed until stiffness subsides
C) Perform high-impact aerobics
D) Increase methotrexate dose on own
Answer: A) Apply heat packs before rising
Rationale: Heat increases blood flow and reduces morning
stiffness. Rest (B) promotes joint contractures. High-impact (C)
,Page 2 of 244
worsens joint damage. Client should not adjust DMARDs
independently (D).
Diabetes
Q2. A client with type 1 diabetes is found diaphoretic and
confused. Blood glucose is 52 mg/dL. What is the priority
action?
A) Give 15g rapid-acting carbohydrate
B) Administer glucagon IM
C) Call the provider
D) Recheck glucose in 1 hour
Answer: A) Give 15g rapid-acting carbohydrate
Rationale: Hypoglycemia with intact airway/consciousness
(confused but conscious) → oral glucose (juice, soda, glucose
tabs). Glucagon (B) is for unconscious or unable to swallow.
Recheck in 15 min, not 1 hr (D).
,Page 3 of 244
Anemia
Q3. A client with pernicious anemia asks why they need
lifelong vitamin B12 injections. Best response?
A) “Your stomach cannot absorb oral B12 due to lack of
intrinsic factor.”
B) “Injections work faster than pills.”
C) “Oral B12 causes kidney damage over time.”
D) “Your body destroys B12 if taken by mouth.”
Answer: A) “Your stomach cannot absorb oral B12 due to lack
of intrinsic factor.”
Rationale: Pernicious anemia = autoimmune destruction of
parietal cells → no intrinsic factor → oral B12 not absorbed.
Injections bypass this.
Pharmacology
Q4. A client on warfarin has an INR of 4.5. Which finding
requires immediate nursing intervention?
, Page 4 of 244
A) Bruising on lower extremities
B) Bleeding gums after brushing
C) Coffee-ground emesis
D) Small paper cut on finger
Answer: C) Coffee-ground emesis
Rationale: Coffee-ground emesis indicates upper GI bleeding.
INR 4.5 is above therapeutic range (2-3), increasing bleeding
risk. Minor bruising (A) and gum bleeding (B) are expected.
Paper cut (D) is minor.
Pain Management
Q5. A postoperative client rates pain 8/10. Respiratory rate
is 10/min. What should the nurse do first?
A) Administer morphine as ordered
B) Hold opioid and notify provider
C) Encourage deep breathing
D) Give naloxone
