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HESI Exit Exam 2024–2025: 100% Correct RN Questions and Answers with Rationales

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This document is a comprehensive and up-to-date compilation of HESI Exit Exam questions and answers for the 2024–2025 testing period. It includes detailed rationales for each correct answer, covering a wide range of nursing topics such as pharmacology, maternal-newborn care, pediatrics, psychiatric nursing, medical-surgical conditions, and emergency scenarios. The material is designed to reinforce clinical knowledge, critical thinking, and test readiness for nursing students preparing for the HESI Exit Exam, ensuring a high standard of accuracy and practical application.

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HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS

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."
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.

, HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
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."


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.

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