HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
o o o o o o o
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+F
o o o o o o o o
OR SUCCESS
o
TheoRNoteachesoaoptonewlyodx'dowithoDM1oaboutostoringoHumulinoNoinsulin.oWhichostatementoin
dicatesotootheoRNothatotheoptounderstoodotheod/coteaching?
a) "Iowouldokeepotheoinsulinoinotheocabinetoduringotheodayoonly."
b) "IoknowoIohaveotookeepomyoinsulinoinotheorefrigeratoroatoallotimes."
c) "Iocanostoreotheoopenoinsulinobottlesoinotheokitchenocabinetoforo1omonth."
d) "Theobestoplaceoforomyoinsulinoisoonotheowindowsill,obutoinotheocupboardoisojustoasogood."o-
CORRECToANSWERS
c)o"Iocanostoreotheoopenoinsulinobottlesoinotheokitchenocabinetoforo1o
month."
Rationale:
Anoinsulinovialoinocurrentouseocanobeokeptoatoroomotemperatureoforo1omonthowithout
significantolossoofoactivity.oDirectosunlightoandoheatomustobeoavoided.oTherefore,ooptionso1,o2,oan
do4oareoincorrect.
TheoRNoisocaringoforoaoptoscheduledoforoaotranssphenoidalohypophysectomy.oTheopre-
opoteachingoinstructionsowouldoincludeowhichostatement?
a) "Yourohairowilloneedotoobeoshaved."
b) "Youowilloreceiveospinaloanesthesia."
c) "Youowilloneedotooambulateoafterosurgery."
d) "Brushingoyouroteethoneedsotoobeoavoidedoforoatoleasto2oweeksopost-op."o-
oCORRECToANSWERS
d)o"Brushingoyouroteethoneedsotoobeoavoidedoforoatoleasto2oweeksopost-op."
Rationale:
Aotranssphenoidalohypophysectomyoisoaosurgicaloapproachothatousesotheonasalosinusesoandon
oseoforoaccessotootheopituitaryogland.oBasedoonotheolocationoofotheosurgicaloprocedure,ospinaloa
nesthesiaowouldonotobeoused.oInoaddition,otheohairowouldonotobeoshaved.oAlthough
ambulatingoisoimportant,ospecificotoothisoprocedureoisoavoidingobrushingotheoteethotoopreventod
isruptionoofotheosurgicalosite.
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
o o o o o o o
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+F
o o o o o o o o
OR SUCCESS
o
Duringoaoroutineoprenatalovisit,oaoptocomplainsoofoeasilyobleedingogumsowhenobrushing.oTheo
RNodoesoanoassessmento&oteachesotheoptoaboutoproperonutritionotoominimizeothisoproblem.o
Whichoptostatementoindicatesoanounderstanding?
a) "Iowillodrinko8oozoofowaterowithoeachomeal."
b) "Iowilloeato3oservingsoofocrackedowheatobreadoeachoday."
c) "Iowilloeato2osaltineocrackersobeforeoIogetoupoeachomorning."
d) "Iowilloeatofreshofruitso&oveggiesoforosnackso&oforodessertoeachoday."o-o CORRECToANSWERS
d)o"Iowilloeatofreshofruitso&oveggiesoforosnackso&oforodessertoeachoday."
Rationale:
Freshofruitsoandovegetablesoprovideovitaminsoandomineralsoneededoforohealthyogums.oDrinkingo
waterowithomealsohasonoodirectoeffectoonogums.oCrackedowheatobreadomayoabradeotheotendero
gums.oEatingosaltineocrackersocanoalsooabradeotheotenderogums.
Ao6oyoochildowasojustodx'dowithoHodgkin'sodiseaseo&ochemooisoplannedotoobeginoimmediately.oT
heoparentoasksotheoRNowhyoXDRowasonotoorderedoasopartoofotx.oTheoRNoshouldomakeowhichores
ponse?
a) "It'soveryocostlyo&ochemooworksojustoasowell."
b) "I'monotosure.oI'llodiscussoitowithotheoHCP."
c) "SometimesoageohasotoodoowithotheodecisionoforoXDR."
d) "TheoHCPowouldopreferothatoyouodiscussotheotxooptionsowithotheooncologist."o-
oCORRECToANSWERS c)o"SometimesoageohasotoodoowithotheodecisionoforoXDR."
Rationale:
Radiationotherapyoisousuallyodelayed,owheneveropossible,ountiloaochildoiso8oyearsooldotoopreven
toretardationoofoboneogrowthoandosoftotissueodevelopment.oOptionso1,o2,oando4oareoinappropri
ateoresponsesotootheoparentoandoplaceotheoparent'soquestionoonohold.
TheoRNoisodoingoanoinitialoassessmentoonoaonewbornoinfant.oWhenoassessingotheoinfant'sohead,ot
heoRNonotesothatotheoearsoareolow-set.oWhichoRNoactionoisomostoappropriate?
a) Documentotheofindings.
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
o o o o o o o
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+F
o o o o o o o o
OR SUCCESS
o
b) Arrangeoforoaohearingotest.
c) Notifyotheopediatrician.
d) Coverotheoearsowithogauzeopads.o-o CORRECToANSWERS c)oNotifyotheopediatrician.
Rationale:
Lowoorooddlyoplacedoearsoareoassociatedowithovariousocongenitalodefectsoandoneedotoobe
reportedoimmediately.oAlthoughotheofindingsoneedotoobeodocumented,otheomostoappropriateo
actionowouldobeotoonotifyotheopediatrician.oOptionso2oando4oareoinaccurateoandoinappropriateo
nursingoactions.
WhatoPO2ovalueoindicatesorespiratoryofailureoinoadults?o-o CORRECToANSWERS
PO2o<o60o
mmHg
Whatobloodovalueoindicatesohypercapnia?o-o CORRECToANSWERS PCO2o>o45ommHg
WhatoconditionooccursowhenotheoPO2oiso<o60ommHgo(acuteohypoxemia),otheoCO2otensiono
riseso>o50ommHgo(acuteohypercarbia,ohypercapnia)o&otheopHodropso<o7.35,ooroboth?o-
oCORRECToANSWERS Acuteorespiratoryofailure
WhatoareotheoS/Sooforespiratoryofailureoinoadults?o-o CORRECToANSWERS
Dyspnea,oSOBo
Tachypnea
Intercostalo&osternaloretractionso
Cyanosis
Tachycardia
Coughothatoproducesosputumo
Fatigue
Fever
Crackles,owheezes
Chestopaino(especiallyowhenotryingotoodeepobreathe)oH
ypotension
Confusion
, HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
o o o o o o o
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+F
o o o o o o o o
OR SUCCESS
o
Agitation,orestlessness
Whatoareotheocommonocausesooforespiratoryofailureoinopeds?o-o CORRECToANSWERS
CHDo
RDS
Infection,osepsiso
NModiseasesoTr
auma,oburnsoAs
piration
FVOo&odehydration
Anesthesiao&onarcoticoOD
Structuraloanomaliesoresultingoinoairwayoobstruction
WhatopercentageoofoO2oshouldoaochildoinosevereorespiratoryodistressoreceive?o-
oCORRECTo
ANSWERS 100%oO2
Whatoisoshock?o-o CORRECToANSWERS
Widespread,oseriousoreductionoofotissueoperfusion,o
whicholeadsotoogeneralizedoimpairmentoofocellularofunction.
Whatoisotheomostocommonocauseoofoshock?o-o CORRECToANSWERS Hypovolemia
Whatocausesosepticoshock?o-
oCORRECToANSWERSoReleaseoofoendotoxinsofromobacteria,owhichoactoonotheonervesoinope
ripheralovascularospaces,ocausingovascularopooling,oreducedovenousoreturn,odecreasedoCOo
&oresultsoinopoorosystemicoperfusion.
Whatoisotheogoaloofotxoforohypovolemicoshock?o-o CORRECToANSWERS
Quickorestorationoofo
COo&otissueoperfusion.
It'soimportantotoodifferentiateobetweenohypovolemico&ocardiogenicoshock.oHowomightotheoRNo
determineotheoexistenceoofocardiogenicoshock?o-o CORRECToANSWERS
H/ooMIowithoLVofailureo
oropossibleocardiomyopathy,owithoS/Soofopulmonaryoedema.
o o o o o o o
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+F
o o o o o o o o
OR SUCCESS
o
TheoRNoteachesoaoptonewlyodx'dowithoDM1oaboutostoringoHumulinoNoinsulin.oWhichostatementoin
dicatesotootheoRNothatotheoptounderstoodotheod/coteaching?
a) "Iowouldokeepotheoinsulinoinotheocabinetoduringotheodayoonly."
b) "IoknowoIohaveotookeepomyoinsulinoinotheorefrigeratoroatoallotimes."
c) "Iocanostoreotheoopenoinsulinobottlesoinotheokitchenocabinetoforo1omonth."
d) "Theobestoplaceoforomyoinsulinoisoonotheowindowsill,obutoinotheocupboardoisojustoasogood."o-
CORRECToANSWERS
c)o"Iocanostoreotheoopenoinsulinobottlesoinotheokitchenocabinetoforo1o
month."
Rationale:
Anoinsulinovialoinocurrentouseocanobeokeptoatoroomotemperatureoforo1omonthowithout
significantolossoofoactivity.oDirectosunlightoandoheatomustobeoavoided.oTherefore,ooptionso1,o2,oan
do4oareoincorrect.
TheoRNoisocaringoforoaoptoscheduledoforoaotranssphenoidalohypophysectomy.oTheopre-
opoteachingoinstructionsowouldoincludeowhichostatement?
a) "Yourohairowilloneedotoobeoshaved."
b) "Youowilloreceiveospinaloanesthesia."
c) "Youowilloneedotooambulateoafterosurgery."
d) "Brushingoyouroteethoneedsotoobeoavoidedoforoatoleasto2oweeksopost-op."o-
oCORRECToANSWERS
d)o"Brushingoyouroteethoneedsotoobeoavoidedoforoatoleasto2oweeksopost-op."
Rationale:
Aotranssphenoidalohypophysectomyoisoaosurgicaloapproachothatousesotheonasalosinusesoandon
oseoforoaccessotootheopituitaryogland.oBasedoonotheolocationoofotheosurgicaloprocedure,ospinaloa
nesthesiaowouldonotobeoused.oInoaddition,otheohairowouldonotobeoshaved.oAlthough
ambulatingoisoimportant,ospecificotoothisoprocedureoisoavoidingobrushingotheoteethotoopreventod
isruptionoofotheosurgicalosite.
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
o o o o o o o
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+F
o o o o o o o o
OR SUCCESS
o
Duringoaoroutineoprenatalovisit,oaoptocomplainsoofoeasilyobleedingogumsowhenobrushing.oTheo
RNodoesoanoassessmento&oteachesotheoptoaboutoproperonutritionotoominimizeothisoproblem.o
Whichoptostatementoindicatesoanounderstanding?
a) "Iowillodrinko8oozoofowaterowithoeachomeal."
b) "Iowilloeato3oservingsoofocrackedowheatobreadoeachoday."
c) "Iowilloeato2osaltineocrackersobeforeoIogetoupoeachomorning."
d) "Iowilloeatofreshofruitso&oveggiesoforosnackso&oforodessertoeachoday."o-o CORRECToANSWERS
d)o"Iowilloeatofreshofruitso&oveggiesoforosnackso&oforodessertoeachoday."
Rationale:
Freshofruitsoandovegetablesoprovideovitaminsoandomineralsoneededoforohealthyogums.oDrinkingo
waterowithomealsohasonoodirectoeffectoonogums.oCrackedowheatobreadomayoabradeotheotendero
gums.oEatingosaltineocrackersocanoalsooabradeotheotenderogums.
Ao6oyoochildowasojustodx'dowithoHodgkin'sodiseaseo&ochemooisoplannedotoobeginoimmediately.oT
heoparentoasksotheoRNowhyoXDRowasonotoorderedoasopartoofotx.oTheoRNoshouldomakeowhichores
ponse?
a) "It'soveryocostlyo&ochemooworksojustoasowell."
b) "I'monotosure.oI'llodiscussoitowithotheoHCP."
c) "SometimesoageohasotoodoowithotheodecisionoforoXDR."
d) "TheoHCPowouldopreferothatoyouodiscussotheotxooptionsowithotheooncologist."o-
oCORRECToANSWERS c)o"SometimesoageohasotoodoowithotheodecisionoforoXDR."
Rationale:
Radiationotherapyoisousuallyodelayed,owheneveropossible,ountiloaochildoiso8oyearsooldotoopreven
toretardationoofoboneogrowthoandosoftotissueodevelopment.oOptionso1,o2,oando4oareoinappropri
ateoresponsesotootheoparentoandoplaceotheoparent'soquestionoonohold.
TheoRNoisodoingoanoinitialoassessmentoonoaonewbornoinfant.oWhenoassessingotheoinfant'sohead,ot
heoRNonotesothatotheoearsoareolow-set.oWhichoRNoactionoisomostoappropriate?
a) Documentotheofindings.
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
o o o o o o o
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+F
o o o o o o o o
OR SUCCESS
o
b) Arrangeoforoaohearingotest.
c) Notifyotheopediatrician.
d) Coverotheoearsowithogauzeopads.o-o CORRECToANSWERS c)oNotifyotheopediatrician.
Rationale:
Lowoorooddlyoplacedoearsoareoassociatedowithovariousocongenitalodefectsoandoneedotoobe
reportedoimmediately.oAlthoughotheofindingsoneedotoobeodocumented,otheomostoappropriateo
actionowouldobeotoonotifyotheopediatrician.oOptionso2oando4oareoinaccurateoandoinappropriateo
nursingoactions.
WhatoPO2ovalueoindicatesorespiratoryofailureoinoadults?o-o CORRECToANSWERS
PO2o<o60o
mmHg
Whatobloodovalueoindicatesohypercapnia?o-o CORRECToANSWERS PCO2o>o45ommHg
WhatoconditionooccursowhenotheoPO2oiso<o60ommHgo(acuteohypoxemia),otheoCO2otensiono
riseso>o50ommHgo(acuteohypercarbia,ohypercapnia)o&otheopHodropso<o7.35,ooroboth?o-
oCORRECToANSWERS Acuteorespiratoryofailure
WhatoareotheoS/Sooforespiratoryofailureoinoadults?o-o CORRECToANSWERS
Dyspnea,oSOBo
Tachypnea
Intercostalo&osternaloretractionso
Cyanosis
Tachycardia
Coughothatoproducesosputumo
Fatigue
Fever
Crackles,owheezes
Chestopaino(especiallyowhenotryingotoodeepobreathe)oH
ypotension
Confusion
, HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
o o o o o o o
2025/2026 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+F
o o o o o o o o
OR SUCCESS
o
Agitation,orestlessness
Whatoareotheocommonocausesooforespiratoryofailureoinopeds?o-o CORRECToANSWERS
CHDo
RDS
Infection,osepsiso
NModiseasesoTr
auma,oburnsoAs
piration
FVOo&odehydration
Anesthesiao&onarcoticoOD
Structuraloanomaliesoresultingoinoairwayoobstruction
WhatopercentageoofoO2oshouldoaochildoinosevereorespiratoryodistressoreceive?o-
oCORRECTo
ANSWERS 100%oO2
Whatoisoshock?o-o CORRECToANSWERS
Widespread,oseriousoreductionoofotissueoperfusion,o
whicholeadsotoogeneralizedoimpairmentoofocellularofunction.
Whatoisotheomostocommonocauseoofoshock?o-o CORRECToANSWERS Hypovolemia
Whatocausesosepticoshock?o-
oCORRECToANSWERSoReleaseoofoendotoxinsofromobacteria,owhichoactoonotheonervesoinope
ripheralovascularospaces,ocausingovascularopooling,oreducedovenousoreturn,odecreasedoCOo
&oresultsoinopoorosystemicoperfusion.
Whatoisotheogoaloofotxoforohypovolemicoshock?o-o CORRECToANSWERS
Quickorestorationoofo
COo&otissueoperfusion.
It'soimportantotoodifferentiateobetweenohypovolemico&ocardiogenicoshock.oHowomightotheoRNo
determineotheoexistenceoofocardiogenicoshock?o-o CORRECToANSWERS
H/ooMIowithoLVofailureo
oropossibleocardiomyopathy,owithoS/Soofopulmonaryoedema.
