HESI EXIT VERSION 3 2026 ACTUAL
EXAM SCRIPT COMPLETE
QUESTIONS AND VERIFIED
ANSWERS GRADE A+
◉ Myocardial Infarction (MI). Answer: EKG Changes
ST Elevation
T inversion
Wider Q Wave
◉ Early Decelerations - Fetal Heart Rate. Answer: Means Head
compression
mirror image of contraction
Normal fetal HR 120-160
JUST OBSERVE
◉ CPR in Pregnancy. Answer: Cephalad position
L lateral uterine displacement
no Sodium based drugs
Mag toxicity = Calcium Gluconate to fix
◉ Hyperglycemia in elderly. Answer: Greater than 110 if fasting
Greater than 140 for 2 hour test
normal is 80-125
,Excessive urine output
Have pt. administer their own insulin
Sliding scale insulin
◉ Colorectal cancer - Surgical Care and care of Colostomy. Answer:
Monitor vital signs, stoma, Q 4 hours
Should be Beefy Red (normal)
Dusky appearance (necrotic)
Small amount of bleeding is normal
NG suctioning until bowel sounds are present
No lifting greater than 10 lbs or pulling for 6 weeks
wash with mild soap, warm H20, pat dry
do not wash off markings
KNOW! Low fat, high fiber cruciferous diet (Brussel Sprouts,
cauliflower, broccoli, cabbage )
◉ Osteoporosis plan of care. Answer: RISK IS LOW CALCIUM
INTAKE
Watch for stairs, waxed floor, rugs,
medicate for pain
High Protein, High calcium, High iron diet
Weight bearing and strengthening exercises
fall prevention: Non-skid socks
encourage activity of D.L.
,Side rails in bathrooms
◉ Ectopic Pregnancy. Answer: HCG Elevation
Transvaginal ultrasound
unilateral or bilateral abd. pain
medical emergency
◉ Burn Neck Contractures. Answer: Neck stabilized and aligned
Airway management
Splinting, neck collars
◉ Pedicuosis (head lice). Answer: Direct contact
No sharing personal items
Nits (whitish sacs)
Keeping staff separate
SCHOOL NURSE - send note home to parents
◉ Date Rape. Answer: Ask if consensual - had any conceptual sex
recently
◉ DKA Labs. Answer: ANION GAP
Metabolic Acidosis - PH < 7.15
, ◉ Advance Directive. Answer: Living Will
Prepared when person is still alive competent, able to make decisions
about life sustaining measures
◉ Pavlik Harness. Answer: used for hip dysplasia in infants
Remove only to take baths
◉ Cystectomy / Urinary Diversion. Answer: Bricker Ileal Conduit
Proximal end of ileal is closed
Distal end out through Stoma in Abdominal wall
Pouch for urine collection worn continuously
Stent may be in place for 3 weeks after surgery to promote Urine Flow
KNOW - Clean skin with mild soap, warm water, pat dry
Don't wash off ink mark outlining radiation field.
◉ UAP. Answer: Can pick up blood from lab
◉ Cocaine Abused Baby - overdose. Answer: Tachycardia
High BP
Cardiac arrhythmias
Chills
Nausea/Vomiting
EXAM SCRIPT COMPLETE
QUESTIONS AND VERIFIED
ANSWERS GRADE A+
◉ Myocardial Infarction (MI). Answer: EKG Changes
ST Elevation
T inversion
Wider Q Wave
◉ Early Decelerations - Fetal Heart Rate. Answer: Means Head
compression
mirror image of contraction
Normal fetal HR 120-160
JUST OBSERVE
◉ CPR in Pregnancy. Answer: Cephalad position
L lateral uterine displacement
no Sodium based drugs
Mag toxicity = Calcium Gluconate to fix
◉ Hyperglycemia in elderly. Answer: Greater than 110 if fasting
Greater than 140 for 2 hour test
normal is 80-125
,Excessive urine output
Have pt. administer their own insulin
Sliding scale insulin
◉ Colorectal cancer - Surgical Care and care of Colostomy. Answer:
Monitor vital signs, stoma, Q 4 hours
Should be Beefy Red (normal)
Dusky appearance (necrotic)
Small amount of bleeding is normal
NG suctioning until bowel sounds are present
No lifting greater than 10 lbs or pulling for 6 weeks
wash with mild soap, warm H20, pat dry
do not wash off markings
KNOW! Low fat, high fiber cruciferous diet (Brussel Sprouts,
cauliflower, broccoli, cabbage )
◉ Osteoporosis plan of care. Answer: RISK IS LOW CALCIUM
INTAKE
Watch for stairs, waxed floor, rugs,
medicate for pain
High Protein, High calcium, High iron diet
Weight bearing and strengthening exercises
fall prevention: Non-skid socks
encourage activity of D.L.
,Side rails in bathrooms
◉ Ectopic Pregnancy. Answer: HCG Elevation
Transvaginal ultrasound
unilateral or bilateral abd. pain
medical emergency
◉ Burn Neck Contractures. Answer: Neck stabilized and aligned
Airway management
Splinting, neck collars
◉ Pedicuosis (head lice). Answer: Direct contact
No sharing personal items
Nits (whitish sacs)
Keeping staff separate
SCHOOL NURSE - send note home to parents
◉ Date Rape. Answer: Ask if consensual - had any conceptual sex
recently
◉ DKA Labs. Answer: ANION GAP
Metabolic Acidosis - PH < 7.15
, ◉ Advance Directive. Answer: Living Will
Prepared when person is still alive competent, able to make decisions
about life sustaining measures
◉ Pavlik Harness. Answer: used for hip dysplasia in infants
Remove only to take baths
◉ Cystectomy / Urinary Diversion. Answer: Bricker Ileal Conduit
Proximal end of ileal is closed
Distal end out through Stoma in Abdominal wall
Pouch for urine collection worn continuously
Stent may be in place for 3 weeks after surgery to promote Urine Flow
KNOW - Clean skin with mild soap, warm water, pat dry
Don't wash off ink mark outlining radiation field.
◉ UAP. Answer: Can pick up blood from lab
◉ Cocaine Abused Baby - overdose. Answer: Tachycardia
High BP
Cardiac arrhythmias
Chills
Nausea/Vomiting
