HESI Exit v3 (NGN style Qs & Case studies)
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. Cleft Lip - Feeding - ANSWER ✓ Nipples with flange to occlude cleft
Large, soft nipples with large holes
hold baby at 60-80 degrees
molded nipple
breastfeeding encourages
bubble baby frequently
after surgical procedure feed from the side
2. Myocardial Infarction (MI) - ANSWER ✓ EKG Changes
ST Elevation
T inversion
Wider Q Wave
3. Early Decelerations - Fetal Heart Rate - ANSWER ✓ Means Head
compression
mirror image of contraction
Normal fetal HR 120-160
JUST OBSERVE
4. CPR in Pregnancy - ANSWER ✓ Cephalad position
L lateral uterine displacement
no Sodium based drugs
Mag toxicity = Calcium Gluconate to fix
5. 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
6. 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 )
7. 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
8. Ectopic Pregnancy - ANSWER ✓ HCG Elevation
Transvaginal ultrasound
unilateral or bilateral abd. pain
medical emergency
9. The nurse is has just admitted a client with severe depression. From which
focus should the nurse identify a priority nursing diagnosis?
Nutrition
Elimination
Activity
Safety - ANSWER ✓ Safety
10.While explaining an illness to a 10 year-old, what should the nurse keep in
mind about the cognitive development at this age?
, They are able to make simple association of ideas
They are able to think logically in organizing facts
Interpretation of events originate from their own perspective
Conclusions are based on previous experiences - ANSWER ✓ They are able
to think logically in organizing facts
Rationale: Think logically in organizing facts
11.The nurse enters the room as a 3 year-old is having a generalized seizure.
Which intervention should the nurse do first?
Clear the area of any hazards
Place the child on the side
Restrain the child
Give the prescribed anticonvulsant - ANSWER ✓ Place the child on the side
12.The nurse is caring for a 75 year old client in congestive heart failure. Which
finding suggests that digitalis levels should be reviewed?
Extreme fatigue
Increased appetite
Intense itching
Constipation - ANSWER ✓ Extreme fatigue
13.The nurse is teaching a client with atrial fibrillation about the use of
Coumadin (warfarin) at home. Which of these should be emphasized to the
client to avoid?
Large indoor gatherings
Exposure to sunlight
Active physical exercise
Foods rich in vitamin K - ANSWER ✓ Foods rich in vitamin K
14.A nurse caring for premature newborns in an intensive care setting carefully
monitors oxygen concentration. What is the most common complication of
this therapy?
Intraventricular hemorrhage
Retinopathy of prematurity
Bronchial pulmonary dysplasia
Necrotizing enterocolitis - ANSWER ✓ Retinopathy of prematurity
, 15.A nurse manager is using the technique of brainstorming to help solve a
problem. One nurse criticizes another nurse's contribution and begins to find
objections to the suggestion. The nurse manager's best response is to
Let's move on to a new action that deals with the problem.
I think you need to reserve judgment until after all suggestions are offered.
Very well thought out. Your analytic skills and interest are incredible.
Let's move to the 'what if...' as related to these objections for an exploration
of spin off ideas. - ANSWER ✓ Let's move to the 'what if...' as related to
these objections for an exploration of spin off ideas.
16.The nurse is caring for an acutely ill 10 year-old client. Which of the
following assessments would require the nurses immediate attention?
Rapid bounding pulse
Temperature of 38.5 degrees Celsius
Profuse Diaphoresis
Slow, irregular respirations - ANSWER ✓ Slow, irregular respirations
17.A child is diagnosed with poison ivy. The mother tells the nurse that she
does not know how her child contracted the rash since he had not been
playing in wooded areas. As the nurse asks questions about possible contact,
which of the following would the nurse recognize as highest risk for
exposure?
Playing with toys in a back yard flower garden
Eating small amounts of grass while playing "farm"
Playing with cars on the pavement near burning leaves
Throwing a ball to a neighborhood child who has poison ivy - ANSWER ✓
Playing with cars on the pavement near burning leaves
18.The nurse is teaching a group of adults about modifiable cardiac risk factors.
Which of the following should the nurse focus on first?
Weight reduction
Stress management
Physical exercise
Smoking cessation - ANSWER ✓ Smoking cessation
19.A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving Lactated
Ringer's solution at 75 mL/hour IV. One hour after admission to the unit, the
nurse notes 300 mL of blood in the suction canister, the client's heart rate is
TEST STUDY GUIDE 2025/2026 QUESTIONS BANK
AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. Cleft Lip - Feeding - ANSWER ✓ Nipples with flange to occlude cleft
Large, soft nipples with large holes
hold baby at 60-80 degrees
molded nipple
breastfeeding encourages
bubble baby frequently
after surgical procedure feed from the side
2. Myocardial Infarction (MI) - ANSWER ✓ EKG Changes
ST Elevation
T inversion
Wider Q Wave
3. Early Decelerations - Fetal Heart Rate - ANSWER ✓ Means Head
compression
mirror image of contraction
Normal fetal HR 120-160
JUST OBSERVE
4. CPR in Pregnancy - ANSWER ✓ Cephalad position
L lateral uterine displacement
no Sodium based drugs
Mag toxicity = Calcium Gluconate to fix
5. 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
6. 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 )
7. 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
8. Ectopic Pregnancy - ANSWER ✓ HCG Elevation
Transvaginal ultrasound
unilateral or bilateral abd. pain
medical emergency
9. The nurse is has just admitted a client with severe depression. From which
focus should the nurse identify a priority nursing diagnosis?
Nutrition
Elimination
Activity
Safety - ANSWER ✓ Safety
10.While explaining an illness to a 10 year-old, what should the nurse keep in
mind about the cognitive development at this age?
, They are able to make simple association of ideas
They are able to think logically in organizing facts
Interpretation of events originate from their own perspective
Conclusions are based on previous experiences - ANSWER ✓ They are able
to think logically in organizing facts
Rationale: Think logically in organizing facts
11.The nurse enters the room as a 3 year-old is having a generalized seizure.
Which intervention should the nurse do first?
Clear the area of any hazards
Place the child on the side
Restrain the child
Give the prescribed anticonvulsant - ANSWER ✓ Place the child on the side
12.The nurse is caring for a 75 year old client in congestive heart failure. Which
finding suggests that digitalis levels should be reviewed?
Extreme fatigue
Increased appetite
Intense itching
Constipation - ANSWER ✓ Extreme fatigue
13.The nurse is teaching a client with atrial fibrillation about the use of
Coumadin (warfarin) at home. Which of these should be emphasized to the
client to avoid?
Large indoor gatherings
Exposure to sunlight
Active physical exercise
Foods rich in vitamin K - ANSWER ✓ Foods rich in vitamin K
14.A nurse caring for premature newborns in an intensive care setting carefully
monitors oxygen concentration. What is the most common complication of
this therapy?
Intraventricular hemorrhage
Retinopathy of prematurity
Bronchial pulmonary dysplasia
Necrotizing enterocolitis - ANSWER ✓ Retinopathy of prematurity
, 15.A nurse manager is using the technique of brainstorming to help solve a
problem. One nurse criticizes another nurse's contribution and begins to find
objections to the suggestion. The nurse manager's best response is to
Let's move on to a new action that deals with the problem.
I think you need to reserve judgment until after all suggestions are offered.
Very well thought out. Your analytic skills and interest are incredible.
Let's move to the 'what if...' as related to these objections for an exploration
of spin off ideas. - ANSWER ✓ Let's move to the 'what if...' as related to
these objections for an exploration of spin off ideas.
16.The nurse is caring for an acutely ill 10 year-old client. Which of the
following assessments would require the nurses immediate attention?
Rapid bounding pulse
Temperature of 38.5 degrees Celsius
Profuse Diaphoresis
Slow, irregular respirations - ANSWER ✓ Slow, irregular respirations
17.A child is diagnosed with poison ivy. The mother tells the nurse that she
does not know how her child contracted the rash since he had not been
playing in wooded areas. As the nurse asks questions about possible contact,
which of the following would the nurse recognize as highest risk for
exposure?
Playing with toys in a back yard flower garden
Eating small amounts of grass while playing "farm"
Playing with cars on the pavement near burning leaves
Throwing a ball to a neighborhood child who has poison ivy - ANSWER ✓
Playing with cars on the pavement near burning leaves
18.The nurse is teaching a group of adults about modifiable cardiac risk factors.
Which of the following should the nurse focus on first?
Weight reduction
Stress management
Physical exercise
Smoking cessation - ANSWER ✓ Smoking cessation
19.A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving Lactated
Ringer's solution at 75 mL/hour IV. One hour after admission to the unit, the
nurse notes 300 mL of blood in the suction canister, the client's heart rate is
