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
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
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.
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."
,HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
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.
b) Arrange for a hearing test.
c) Notify the pediatrician.
d) Cover the ears with gauze pads. - CORRECT ANSWERS c) Notify the
pediatrician.
Rationale:
Low or oddly placed ears are associated with various congenital defects
and need to be reported immediately. Although the findings need to be
documented, the most appropriate action would be to notify the
pediatrician. Options 2 and 4 are inaccurate and inappropriate nursing
actions.
What PO2 value indicates respiratory failure in adults? - CORRECT
ANSWERS PO2 < 60 mmHg
What blood value indicates hypercapnia? - CORRECT ANSWERS PCO2 >
45 mmHg
, HESI EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+
FOR SUCCESS
What condition occurs when the PO2 is < 60 mmHg (acute hypoxemia), the
CO2 tension rises > 50 mmHg (acute hypercarbia, hypercapnia) & the pH
drops < 7.35, or both? - CORRECT ANSWERS Acute respiratory failure
What are the S/S of respiratory failure in adults? - CORRECT ANSWERS
Dyspnea, SOB
Tachypnea
Intercostal & sternal retractions
Cyanosis
Tachycardia
Cough that produces sputum
Fatigue
Fever
Crackles, wheezes
Chest pain (especially when trying to deep breathe)
Hypotension
Confusion
Agitation, restlessness
What are the common causes of respiratory failure in peds? - CORRECT
ANSWERS CHD
RDS
Infection, sepsis
NM diseases
Trauma, burns
Aspiration
FVO & dehydration
Anesthesia & narcotic OD
Structural anomalies resulting in airway obstruction
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