HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS

HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS

Thea1RNa1teachesa1aa1pta1newlya1dx'da1witha1DM1a1abouta1storinga1Humulina1Na1insulin.a1Whi
cha1statementa1indicatesa1toa1thea1RNa1thata1thea1pta1understooda1thea1d/ca1teaching?


a) "Ia1woulda1keepa1thea1insulina1ina1thea1cabineta1duringa1thea1daya1only."
b) "Ia1knowa1Ia1havea1toa1keepa1mya1insulina1ina1thea1refrigeratora1ata1alla1times."
c) "Ia1cana1storea1thea1opena1insulina1bottlesa1ina1thea1kitchena1cabineta1fora11a1month."
d) "Thea1besta1placea1fora1mya1insulina1isa1ona1thea1windowsill,a1buta1ina1thea1cupboarda1isa
1justa1asa1good."a1-a1CORRECTa1ANSWERS
c)a1"Ia1cana1storea1thea1opena1insulina1bottlesa1ina1thea1kitchena1cabineta1fora11a1month.
"


Rationale:
Ana1insulina1viala1ina1currenta1usea1cana1bea1kepta1ata1rooma1temperaturea1fora11a1montha1wit
hout
significanta1lossa1ofa1activity.a1Directa1sunlighta1anda1heata1musta1bea1avoided.a1Therefore,a1o
ptionsa11,a12,a1anda14a1area1incorrect.


Thea1RNa1isa1caringa1fora1aa1pta1scheduleda1fora1aa1transsphenoidala1hypophysectomy.a1Thea1p
re-opa1teachinga1instructionsa1woulda1includea1whicha1statement?


a) "Youra1haira1willa1needa1toa1bea1shaved."
b) "Youa1willa1receivea1spinala1anesthesia."
c) "Youa1willa1needa1toa1ambulatea1aftera1surgery."
d) "Brushinga1youra1teetha1needsa1toa1bea1avoideda1fora1ata1leasta12a1weeksa1post-
op."a1-a 1 CORRECTa1ANSWERS
d)a1"Brushinga1youra1teetha1needsa1toa1bea1avoideda1fora1ata1leasta12a1weeksa1post-
op."


Rationale:
Aa1transsphenoidala1hypophysectomya1isa1aa1surgicala1approacha1thata1usesa1thea1nasala1sinu
sesa1and
nosea1fora1accessa1toa1thea1pituitarya1gland.a1Baseda1ona1thea1locationa1ofa1thea1surgicala1pro
cedure,a1spinala1anesthesiaa1woulda1nota1bea1used.a1Ina1addition,a1thea1haira1woulda1nota1be
a1shaved.a1Althougha1ambulatinga1isa1important,a1specifica1toa1thisa1procedurea1isa1avoidinga
1brushinga1thea1teetha1toa1preventa1disruptiona1ofa1thea1surgicala1site.

,Duringa1aa1routinea1prenatala1visit,a1aa1pta1complainsa1ofa1easilya1bleedinga1gumsa1whena1
brushing.a1Thea1RNa1doesa1ana1assessmenta1&a1teachesa1thea1pta1abouta1propera1nutrition
a1toa1minimizea1thisa1problem.a1Whicha1pta1statementa1indicatesa1ana1understanding?




a) "Ia1willa1drinka18a1oza1ofa1watera1witha1eacha1meal."
b) "Ia1willa1eata13a1servingsa1ofa1crackeda1wheata1breada1eacha1day."
c) "Ia1willa1eata12a1saltinea1crackersa1beforea1Ia1geta1upa1eacha1morning."
d) "Ia1willa1eata1fresha1fruitsa1&a1veggiesa1fora1snacksa1&a1fora1desserta1eacha1day."a1-
a 1 CORRECTa1ANSWERS
d)a1"Ia1willa1eata1fresha1fruitsa1&a1veggiesa1fora1snacksa1&a1fora1desserta1eacha1day."


Rationale:
Fresha1fruitsa1anda1vegetablesa1providea1vitaminsa1anda1mineralsa1neededa1fora1healthya1gu
ms.a1Drinkinga1watera1witha1mealsa1hasa1noa1directa1effecta1ona1gums.a1Crackeda1wheata1bre
ada1maya1abradea1thea1tendera1gums.a1Eatinga1saltinea1crackersa1cana1alsoa1abradea1thea1te
ndera1gums.


Aa16a1yoa1childa1wasa1justa1dx'da1witha1Hodgkin'sa1diseasea1&a1chemoa1isa1planneda1toa1begin
a1immediately.a1Thea1parenta1asksa1thea1RNa1whya1XDRa1wasa1nota1ordereda1asa1parta1ofa1tx
.a1Thea1RNa1shoulda1makea1whicha1response?


a) "It'sa1verya1costlya1&a1chemoa1worksa1justa1asa1well."
b) "I'ma1nota1sure.a1I'lla1discussa1ita1witha1thea1HCP."
c) "Sometimesa1agea1hasa1toa1doa1witha1thea1decisiona1fora1XDR."
d) "Thea1HCPa1woulda1prefera1thata1youa1discussa1thea1txa1optionsa1witha1thea1oncologist."
a1-a 1 CORRECTa1ANSWERS
c)a1"Sometimesa1agea1hasa1toa1doa1witha1thea1decisiona1fora1XDR."


Rationale:
Radiationa1therapya1isa1usuallya1delayed,a1whenevera1possible,a1untila1aa1childa1isa18a1yea
rsa1olda1toa1preventa1retardationa1ofa1bonea1growtha1anda1softa1tissuea1development.a1Op
tionsa11,a12,a1anda14a1area1inappropriatea1responsesa1toa1thea1parenta1anda1placea1thea1p
arent'sa1questiona1ona1hold.


Thea1RNa1isa1doinga1ana1initiala1assessmenta1ona1aa1newborna1infant.a1Whena1assessinga1thea1
infant'sa1head,a1thea1RNa1notesa1thata1thea1earsa1area1low-
set.a1Whicha1RNa1actiona1isa1mosta1appropriate?

,a) Documenta1thea1findings.

, b) Arrangea1fora1aa1hearinga1test.
c) Notifya1thea1pediatrician.
d) Covera1thea1earsa1witha1gauzea1pads.a1-a 1 CORRECTa1ANSWERS
c)a1Notifya1thea1pediatrician.


Rationale:
Lowa1ora1oddlya1placeda1earsa1area1associateda1witha1variousa1congenitala1defectsa1anda1nee
da1toa1bea1reporteda1immediately.a1Althougha1thea1findingsa1needa1toa1bea1documented,a1th
ea1mosta1appropriatea1actiona1woulda1bea1toa1notifya1thea1pediatrician.a1Optionsa12a1anda14a1
area1inaccuratea1anda1inappropriatea1nursinga1actions.




Whata1PO2a1valuea1indicatesa1respiratorya1failurea1ina1adults?a1-
a 1 CORRECTa1ANSWERS
PO2a1<a1
60a1mmHg


Whata1blooda1valuea1indicatesa1hypercapnia?a1-a 1 CORRECTa1ANSWERS
PCO2a1>a145a1mmHg


Whata1conditiona1occursa1whena1thea1PO2a1isa1<a160a1mmHga1(acutea1hypoxemia),a1thea1C
O2a1tensiona1risesa1>a150a1mmHga1(acutea1hypercarbia,a1hypercapnia)a1&a1thea1pHa1drop
sa1<a17.35,a1ora1both?a1-
CORRECTa1ANSWERS Acutea1respiratorya1failure


Whata1area1thea1S/Sa1ofa1respiratorya1failurea1ina1adults?a1-a 1 CORRECTa1ANSWERS
Dyspnea,a1SO
Ba1Tachypnea
Intercostala1&a1sternala1retracti
onsa1Cyanosis
Tachycardia
Cougha1thata1producesa1sputum
a1Fatigue

Fever
Crackles,a1wheezes
Chesta1paina1(especiallya1whena1tryinga1toa1deepa1breathe)a1Hy