HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
A pt is admitted to an acute care facility with a suspected dysfunction of the lower
brainstem. The RN should closely monitor this pt for which of the following?
a) Hypoxia
b) Fever
c) Visual disturbance
d) Gait alteration - CORRECT ANSWERS a) Hypoxia
Rationale:
Lower brainstem dysfunction alters bulbar functions, such as breathing, talking, swallowing,
and coughing. Therefore, the RN should monitor the pt closely for hypoxia. Temp control,
vision & gait aren't lower brainstem functions.
A 28 yo multigravid pt at 28 wks gestation dx'd with acute pyelonephritis is receiving IV fluids
and abx. After teaching the pt about the rationale for this aggressive therapy, the RN
determines that the pt needs further instruction when they say that acute pyelonephritis
can lead to which complication?
a) Congenital fetal anomalies
b) Maternal sepsis
c) IUGR
d) Preterm labor - CORRECT ANSWERS a) Congenital fetal anomalies
Rationale:
Congenital anomalies aren't related to maternal UTIs. A multigravid pt with acute
pyelonephritis is susceptible to preterm labor, PROM, maternal sepsis, IUGR, and fetal loss.
The most common organism responsible for UTIs is E. coli.
The RN is caring for a young child on the oncology unit who has developed
thrombocytopenia after CA tx. What's the priority for the RN to implement when caring for
this pt?
a) Ensure a safe environment.
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
b) Assess for S/S of infection.
c) Encourage high-protein foods.
d) Plan for extra nap times. - CORRECT ANSWERS a) Ensure a safe environment.
Rationale:
Providing a safe environment is a key RN task and is important to protect the child from
injury. It's important because the child is at high risk for bleeding due to their
thrombocytopenia. The other options are important for a child with CA, but they're not the
priority in relation to the child's thrombocytopenia.
The RN prepares to give meds via a G-tube and notes the measurement of the incremental
marking os 0.5 cm difference from what's recorded on the medical record. What action
should the RN take?
a) Don't aspirate or flush the tube and notify the HCP immediately.
b) Measure pH of aspirated contents and if > 5.5, this verifies placement.
c) Measure pH of aspirated contents and if < 5.5, this verifies placement.
d) Aspirate and note if tube feed is present as this verifies placement in the stomach. -
CORRECT ANSWERS c) Measure pH of aspirated contents and if < 5.5, this verifies
placement.
Rationale:
The RN first uses measurement of the incremental marking on the G-tube at the exit site and
compares this with what's documented in the chart. If there's a discrepancy noted, the RN
should test the pH of the aspirated contents. A pH of ≤ 5.5 from the tube aspirate
adequately confirms placement in the stomach.
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."
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
d) "The best place for my insulin is on the windowsill, but in the cupboard is just as good." -
CORRECT 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." - CORRECT
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.
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." - CORRECT ANSWERS
d) "I will eat fresh fruits & veggies for snacks & for dessert each day."
, HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
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." - CORRECT
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.
b) Arrange for a hearing test.
c) Notify the pediatrician.
d) Cover the ears with gauze pads. - CORRECT 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.
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
A pt is admitted to an acute care facility with a suspected dysfunction of the lower
brainstem. The RN should closely monitor this pt for which of the following?
a) Hypoxia
b) Fever
c) Visual disturbance
d) Gait alteration - CORRECT ANSWERS a) Hypoxia
Rationale:
Lower brainstem dysfunction alters bulbar functions, such as breathing, talking, swallowing,
and coughing. Therefore, the RN should monitor the pt closely for hypoxia. Temp control,
vision & gait aren't lower brainstem functions.
A 28 yo multigravid pt at 28 wks gestation dx'd with acute pyelonephritis is receiving IV fluids
and abx. After teaching the pt about the rationale for this aggressive therapy, the RN
determines that the pt needs further instruction when they say that acute pyelonephritis
can lead to which complication?
a) Congenital fetal anomalies
b) Maternal sepsis
c) IUGR
d) Preterm labor - CORRECT ANSWERS a) Congenital fetal anomalies
Rationale:
Congenital anomalies aren't related to maternal UTIs. A multigravid pt with acute
pyelonephritis is susceptible to preterm labor, PROM, maternal sepsis, IUGR, and fetal loss.
The most common organism responsible for UTIs is E. coli.
The RN is caring for a young child on the oncology unit who has developed
thrombocytopenia after CA tx. What's the priority for the RN to implement when caring for
this pt?
a) Ensure a safe environment.
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
b) Assess for S/S of infection.
c) Encourage high-protein foods.
d) Plan for extra nap times. - CORRECT ANSWERS a) Ensure a safe environment.
Rationale:
Providing a safe environment is a key RN task and is important to protect the child from
injury. It's important because the child is at high risk for bleeding due to their
thrombocytopenia. The other options are important for a child with CA, but they're not the
priority in relation to the child's thrombocytopenia.
The RN prepares to give meds via a G-tube and notes the measurement of the incremental
marking os 0.5 cm difference from what's recorded on the medical record. What action
should the RN take?
a) Don't aspirate or flush the tube and notify the HCP immediately.
b) Measure pH of aspirated contents and if > 5.5, this verifies placement.
c) Measure pH of aspirated contents and if < 5.5, this verifies placement.
d) Aspirate and note if tube feed is present as this verifies placement in the stomach. -
CORRECT ANSWERS c) Measure pH of aspirated contents and if < 5.5, this verifies
placement.
Rationale:
The RN first uses measurement of the incremental marking on the G-tube at the exit site and
compares this with what's documented in the chart. If there's a discrepancy noted, the RN
should test the pH of the aspirated contents. A pH of ≤ 5.5 from the tube aspirate
adequately confirms placement in the stomach.
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."
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
d) "The best place for my insulin is on the windowsill, but in the cupboard is just as good." -
CORRECT 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." - CORRECT
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.
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." - CORRECT ANSWERS
d) "I will eat fresh fruits & veggies for snacks & for dessert each day."
, HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
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." - CORRECT
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.
b) Arrange for a hearing test.
c) Notify the pediatrician.
d) Cover the ears with gauze pads. - CORRECT 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.
