HESI EXIT VERSION 3 2026 STUDY
GUIDE TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ 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
◉ 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
◉ 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
◉ UAP. Answer: Can pick up blood from lab
◉ Alcoholism. Answer: Hypo magnesium
Detox
◉ Unna Boot. Answer: Treats Venous Stasis Ulcers
Layers of Gauze and Unna Paste
◉ Near Drowning. Answer: Can cause PTSD
◉ Pyelonephritis - Chronic. Answer: Psychosocial part - how they deal
with it.
◉ Disaster Training - Safety/priority. Answer: Nurses own safety first
Red - first priority - immediate treatment
Yellow - 2nd - systemic injury - treat within 30-6- minutes
Green - minor injury - can wait several hours
, Black - NO HOPE
◉ How to avoid Medication Errors. Answer: Six Rights
ID Check
◉ Ventilated / Intubated Patient. Answer: Check for necrosis / erosion
from bleeding and trauma related to tube insertion or balloon
overinflated
◉ Medications delayed due to Procedure. Answer: Give when PT comes
back an reschedule next dose accordingly
◉ Hearing Aid. Answer: Make sure accurate fit
If it's whistling, take it out and re-insert
◉ Femur Fracture. Answer: Monitor for Compartment syndrome and
bleeding
◉ Pneumothorax. Answer: Monitor for presence of breath sounds
Chest X- Ray
O2 stats improved
remove air to fix collapsed lung
priority is ABC/s
check insertion site for redness, swelling, warmth, drainage
GUIDE TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ 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
◉ 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
◉ 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
◉ UAP. Answer: Can pick up blood from lab
◉ Alcoholism. Answer: Hypo magnesium
Detox
◉ Unna Boot. Answer: Treats Venous Stasis Ulcers
Layers of Gauze and Unna Paste
◉ Near Drowning. Answer: Can cause PTSD
◉ Pyelonephritis - Chronic. Answer: Psychosocial part - how they deal
with it.
◉ Disaster Training - Safety/priority. Answer: Nurses own safety first
Red - first priority - immediate treatment
Yellow - 2nd - systemic injury - treat within 30-6- minutes
Green - minor injury - can wait several hours
, Black - NO HOPE
◉ How to avoid Medication Errors. Answer: Six Rights
ID Check
◉ Ventilated / Intubated Patient. Answer: Check for necrosis / erosion
from bleeding and trauma related to tube insertion or balloon
overinflated
◉ Medications delayed due to Procedure. Answer: Give when PT comes
back an reschedule next dose accordingly
◉ Hearing Aid. Answer: Make sure accurate fit
If it's whistling, take it out and re-insert
◉ Femur Fracture. Answer: Monitor for Compartment syndrome and
bleeding
◉ Pneumothorax. Answer: Monitor for presence of breath sounds
Chest X- Ray
O2 stats improved
remove air to fix collapsed lung
priority is ABC/s
check insertion site for redness, swelling, warmth, drainage
