HESIEXITEXAMQUESTIONSANDANSWERSLATESTUPDATE
x x x x x x x
2025/2026ALLANSWERSCORRECTELABORATEDBESTGRADED A+ x x x x x x x
FOR SUCCESS
x x
The RN teaches a pt newly dx'd with DM1 about storing Humulin N insulin. Which statement
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) "I would keep the insulin in the cabinet during the day only."
x x x x x x x x x x x
b) "I know I have to keep my insulin in the refrigerator at all times."
x x x x x x x x x x x x x
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
d) "The best place for my insulin is on the windowsill, but in the cupboard is just as 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
x x x x x x x x x x x x x x x
month."
x
Rationale:
An insulin vial in current use can be kept at room temperature for 1 month without
x x x x x x x x x x x x x x x
significant loss of activity. Direct sunlight and heat must be avoided. Therefore, options 1, 2, and 4
x x x x x x x x x x x x x x x x
are incorrect.
x x
The RN is caring for apt scheduled for a transsphenoidal hypophysectomy. The pre-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) "Your hair will need to be shaved." x x x x x x
b) "You willreceive spinal anesthesia." x x x x
c) "Youwill need to ambulate after surgery."
x x x x x x
d) "Brushing your teeth needs to be avoided for at least 2 weeks post-op." - CORRECT x x x x x x x x x x x x x x
ANSWERS d) "Brushing your teeth needs to be avoided for at least 2 weeks post-op."
x x x x x x x x x x x x x x
Rationale:
A transsphenoidal hypophysectomy is a surgical approach that uses the nasal sinuses and
x x x x x x x x x x x x
nose for access to the pituitary gland. Based on the location of the surgical procedure, 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 the teeth to prevent disruption of the
x x x x x x x x x x x x x x x
surgical site.
x x
,HESIEXITEXAMQUESTIONSANDANSWERSLATESTUPDATE x x x x x x x
2025/2026ALLANSWERSCORRECTELABORATEDBESTGRADED A+ x x x x x x x
FOR SUCCESS
x x
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
x x x x x x x x x x x x x x x
pt statement indicates an understanding?
x x x x x
a) "I will drink 8 oz of water with each meal."
x x x x x x x x x
b) "I will eat 3 servings of cracked wheat bread each day."
x x x x x x x x x x
c) "I will eat 2 saltine crackers before I get up each morning."
x x x x x x x x x x x
d) "I will eat fresh fruits & veggies for snacks & for dessert each day." - CORRECT ANSWERS
x x x x x x x x x x x x x x x x
d) "I will eat fresh fruits & veggies for snacks & for dessert each day."
x x x x x x x x x x x x x x
Rationale:
Fresh fruits and vegetables provide vitamins and minerals needed for healthy gums. Drinking
x x x x x x x x x x x x
water with meals has no direct effect on gums. Cracked wheat bread may abrade the tender
x x x x x x x x x x x x x x x x
gums. Eating saltine crackers can also abrade the tender gums.
x x x x x x x x x x
A 6 yo child was just dx'd with Hodgkin's disease & chemo is planned to begin immediately. 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's very costly & chemo works just as well."
x x x x x x x x
b) "I'm not sure. I'll discuss it with the HCP." x x x x x x x x
c) "Sometimes age has to do with the decision for XDR." x x x x x x x x x
d) "The HCP would prefer that you discuss the tx options with the oncologist." - 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
retardation of bone growth and soft tissue development. Options 1, 2, and 4 are 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 RN is doing an initial assessment on a newborn infant. When assessing the infant's head, the
x x x x x x x x x x x x x x x x
RN 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 x
a) Document the findings. x x
,HESIEXITEXAMQUESTIONSANDANSWERSLATESTUPDATE
x x x x x x x
2025/2026ALLANSWERSCORRECTELABORATEDBESTGRADED A+ x x x x x x x
FOR SUCCESS
x x
b) Arrange for a hearing test. x x x x
c) Notify the pediatrician. x x
d) Cover the ears with gauze pads. - CORRECT ANSWERS
x x x x x x x x c) Notify the 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. Although the findings need to be documented, themost appropriate action would
x x x x x x x x x x x x x
be to notify the pediatrician. Options 2 and 4 are inaccurate and inappropriate nursing actions.
x 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
What blood valueindicates hypercapnia? - CORRECT ANSWERS
x x x x x x x PCO2 > 45 mmHg x x x
What condition occurs when the PO2 is < 60 mmHg (acute hypoxemia), the CO2 tension rises >
x x x x x x x x x x x x x x x x
50 mmHg (acute hypercarbia, hypercapnia) & the pH drops < 7.35, or both? -
x x x x x x x x x x x x x x
CORRECT ANSWERS 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
Tachypnea
x
Intercostal&sternalretractions x x x
Cyanosis
x
Tachycardia
Coughthatproducessputum x x x
Fatigue
x
Fever
Crackles, wheezes x
Chest pain (especially when trying to deep breathe) Hypotension
x x x x x x x x
Confusion
, HESIEXITEXAMQUESTIONSANDANSWERSLATESTUPDATE
x x x x x x x
2025/2026ALLANSWERSCORRECTELABORATEDBESTGRADED A+ x x x x x x x
FOR SUCCESS
x x
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
NM diseases
x x
Trauma, burns
x x
Aspiration
x
FVO & dehydration x x
Anesthesia&narcoticOD
x x x x
Structural anomalies resulting in airway obstruction x x x x x
What percentage of O2 should a child in severe respiratorydistress receive? - 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,seriousreduction oftissueperfusion,
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
What is the most common cause of shock? - 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
If a pt is in cardiogenic shock, what might result from administration of volume-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
x x x x x x x
2025/2026ALLANSWERSCORRECTELABORATEDBESTGRADED A+ x x x x x x x
FOR SUCCESS
x x
The RN teaches a pt newly dx'd with DM1 about storing Humulin N insulin. Which statement
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) "I would keep the insulin in the cabinet during the day only."
x x x x x x x x x x x
b) "I know I have to keep my insulin in the refrigerator at all times."
x x x x x x x x x x x x x
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
d) "The best place for my insulin is on the windowsill, but in the cupboard is just as 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
x x x x x x x x x x x x x x x
month."
x
Rationale:
An insulin vial in current use can be kept at room temperature for 1 month without
x x x x x x x x x x x x x x x
significant loss of activity. Direct sunlight and heat must be avoided. Therefore, options 1, 2, and 4
x x x x x x x x x x x x x x x x
are incorrect.
x x
The RN is caring for apt scheduled for a transsphenoidal hypophysectomy. The pre-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) "Your hair will need to be shaved." x x x x x x
b) "You willreceive spinal anesthesia." x x x x
c) "Youwill need to ambulate after surgery."
x x x x x x
d) "Brushing your teeth needs to be avoided for at least 2 weeks post-op." - CORRECT x x x x x x x x x x x x x x
ANSWERS d) "Brushing your teeth needs to be avoided for at least 2 weeks post-op."
x x x x x x x x x x x x x x
Rationale:
A transsphenoidal hypophysectomy is a surgical approach that uses the nasal sinuses and
x x x x x x x x x x x x
nose for access to the pituitary gland. Based on the location of the surgical procedure, 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 the teeth to prevent disruption of the
x x x x x x x x x x x x x x x
surgical site.
x x
,HESIEXITEXAMQUESTIONSANDANSWERSLATESTUPDATE x x x x x x x
2025/2026ALLANSWERSCORRECTELABORATEDBESTGRADED A+ x x x x x x x
FOR SUCCESS
x x
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
x x x x x x x x x x x x x x x
pt statement indicates an understanding?
x x x x x
a) "I will drink 8 oz of water with each meal."
x x x x x x x x x
b) "I will eat 3 servings of cracked wheat bread each day."
x x x x x x x x x x
c) "I will eat 2 saltine crackers before I get up each morning."
x x x x x x x x x x x
d) "I will eat fresh fruits & veggies for snacks & for dessert each day." - CORRECT ANSWERS
x x x x x x x x x x x x x x x x
d) "I will eat fresh fruits & veggies for snacks & for dessert each day."
x x x x x x x x x x x x x x
Rationale:
Fresh fruits and vegetables provide vitamins and minerals needed for healthy gums. Drinking
x x x x x x x x x x x x
water with meals has no direct effect on gums. Cracked wheat bread may abrade the tender
x x x x x x x x x x x x x x x x
gums. Eating saltine crackers can also abrade the tender gums.
x x x x x x x x x x
A 6 yo child was just dx'd with Hodgkin's disease & chemo is planned to begin immediately. 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's very costly & chemo works just as well."
x x x x x x x x
b) "I'm not sure. I'll discuss it with the HCP." x x x x x x x x
c) "Sometimes age has to do with the decision for XDR." x x x x x x x x x
d) "The HCP would prefer that you discuss the tx options with the oncologist." - 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
retardation of bone growth and soft tissue development. Options 1, 2, and 4 are 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 RN is doing an initial assessment on a newborn infant. When assessing the infant's head, the
x x x x x x x x x x x x x x x x
RN 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 x
a) Document the findings. x x
,HESIEXITEXAMQUESTIONSANDANSWERSLATESTUPDATE
x x x x x x x
2025/2026ALLANSWERSCORRECTELABORATEDBESTGRADED A+ x x x x x x x
FOR SUCCESS
x x
b) Arrange for a hearing test. x x x x
c) Notify the pediatrician. x x
d) Cover the ears with gauze pads. - CORRECT ANSWERS
x x x x x x x x c) Notify the 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. Although the findings need to be documented, themost appropriate action would
x x x x x x x x x x x x x
be to notify the pediatrician. Options 2 and 4 are inaccurate and inappropriate nursing actions.
x 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
What blood valueindicates hypercapnia? - CORRECT ANSWERS
x x x x x x x PCO2 > 45 mmHg x x x
What condition occurs when the PO2 is < 60 mmHg (acute hypoxemia), the CO2 tension rises >
x x x x x x x x x x x x x x x x
50 mmHg (acute hypercarbia, hypercapnia) & the pH drops < 7.35, or both? -
x x x x x x x x x x x x x x
CORRECT ANSWERS 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
Tachypnea
x
Intercostal&sternalretractions x x x
Cyanosis
x
Tachycardia
Coughthatproducessputum x x x
Fatigue
x
Fever
Crackles, wheezes x
Chest pain (especially when trying to deep breathe) Hypotension
x x x x x x x x
Confusion
, HESIEXITEXAMQUESTIONSANDANSWERSLATESTUPDATE
x x x x x x x
2025/2026ALLANSWERSCORRECTELABORATEDBESTGRADED A+ x x x x x x x
FOR SUCCESS
x x
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
NM diseases
x x
Trauma, burns
x x
Aspiration
x
FVO & dehydration x x
Anesthesia&narcoticOD
x x x x
Structural anomalies resulting in airway obstruction x x x x x
What percentage of O2 should a child in severe respiratorydistress receive? - 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,seriousreduction oftissueperfusion,
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
What is the most common cause of shock? - 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
If a pt is in cardiogenic shock, what might result from administration of volume-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
