Hesi health assessment v2

Feb 7, 2024 · HESI 1 - V1 and V2 REVIEW - Health Assessment 1 Exam Questions & Answers 2024/2025 Verified Answers A+ Guaranteed!! [Show more] Preview 2 out of 11 pages. View example

Hesi health assessment v2. The nurse is assessing an ulcer on a client's lower extremity, which is likely the result of either venous or arterial insufficiency. Which assessment technique should the nurse …

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Evidence integration in epidemiology and risk assessment Paolo Boffetta, MD, MPH. May 26, 2022. Webinar series, hosted by HESI Environmental Epidemiology Committee. Hazard identification and risk assessment are based on integration of human data, primarily coming from epidemiology and clinical studies, with experimental and mechanistic studies.a. Observe the direction of movement. b. Auscultate the area of movement. c. Lightly palpate the area of movement. d. Percuss the area of movement., During a skin assessment, the nurse notes, round and discrete lesions that are dark red in color and will not blanch. The lesions range from 1 to 3 mm in size.Quiz yourself with questions and answers for HESI V2 health assessment, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material. ... A male client arrives at the clinic for follow-up health assessment after recent antibiotic treatment for pneumonia without ... The HESI Exit Exam is the ultimate practice exam to see if you’re ready for the real deal. With question formats and exam blueprints that mirror actual credentialing exams, our exit exams measure your readiness for board exams and can reliably assess your chances of passing. Plus, the results of exit exams allow you to identify and address ... Later this year, Stockton, a city in California with a 25% poverty rate, will conduct an unusual experiment: Roughly 100 of its citizens will receive $500 a month for 12-18 months,...HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. HESI Prep - Health Assessment Practice Questions. Teacher 124 terms. Haleigh_Hope. Preview. English Test Review. 6 terms. kyang572. Preview. Analysing Style - matching nouns and adjectives. Teacher 12 terms. MsPodesta. Preview. Terms in this set (330)

Just made a 95% on my HESI! Studying/Testing. Hey everyone! This is my first post here. I'm applying for a fast-track program for fall 2022 and I just took my HESI exam. Got a pretty good score so I figured I'd share my study process in case anyone on this sub is taking it soon! I'm 30 years old and kind of going through a career change.HEALTH ASSESSMENT FOR HESI V1 NEW UPDATE EXAM SUMMER 2022 GRADED (A) SOLUTION 1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. ... Exam (elaborations) - Hesi 1 - v1 and v2 review - health assessment 1 new summer solution 2022 exam 5. Exam (elaborations) - Hesi …HESI Health Assessment Nursing Rn V2 Questions With Answers 2023 Update HESI Health Assessment Version 1 Exam Questions & Answers 2023 Update. 100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached. Previously searched by you. Previously searched by you.HESI Health Assessment V1 and V2 Exam Review Questions And Answers Latest Update 2022/2023( With Complete Solution Rated A) 100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attachedA. White blood cell count. The nurse is performing a cranial nerve exam on an 87-year-old client. The nurse notes that the client has a reduced upward gaze, a decreased corneal reflex, a high frequency hearing loss, and a reduced gag reflex. What action should the nurse take next?A. Continue the assessment of the next pairs of cranial nervesB.HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. HESI Prep - Health Assessment Practice Questions. Teacher 124 terms. Haleigh_Hope. Preview. Exam 1 . 50 terms. bshirle14. ... Assessment Packet. 48 terms. anna_gor. Preview. Terms in this set (349) aneurysm. visible, prominent pulsation or dialation.

Health Assessment II HESI. 48 terms. Amanda-Salinas. Health Assessment Hesi Practice. 134 terms. Nicolli_olli. Teacher. 1st Edition • ISBN: 9780312388065 Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. 3rd Edition • ISBN: 9781111786786 Darlene Smith-Worthington, Sue Jefferson.Pond dredging is a crucial process in maintaining the health and functionality of a pond. Over time, ponds can accumulate sediment, debris, and vegetation that can hinder their abi...HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. Perioperative Nursing Med Surg . 73 terms. JAStuckey1. Preview. Chapter 58. 14 terms. kissmiazz_23. Preview. Chapter 08 101. 24 terms. Taylor_Lovejoy5. Preview (OB Unit 4) Ch 14 Physiological and behavioral adaptations of the newborn. 86 terms. lynn_B2414. …Information. AI Chat. Hesi health assessment questions and answers. Course. Health Assess Interv & Eval (HSC 489) 5Documents. Students shared 5 documents in this …Study Hesi V2 using smart web & mobile flashcards created by top students, teachers, and professors. Prep for a quiz or learn for fun! Top Hesi V2 Flashcards Ranked by Quality

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Inability to slowly lower the arm when abducted. 20 of 20. Quiz yourself with questions and answers for HESI 1 - V1 and V2 REVIEW - Health Assessment 1, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material. Hesi practice hes! 2023 health assessment rn 44 questions out of 55 hesi health assessment picture questions answers picture of mannequin had white dry lips. Skip to …Embry’s work also includes the Risk Assessment in the 21st Century (RISK21) Committee, which developed a scientific, transparent, and efficient approach for human health risk assessment, including a web-based tool that has led to outreach and training activities on risk assessment approaches worldwide.Get higher grades by finding the best HESIHEALTHASSESSMENT notes available, written by your fellow students at Chamberlain College of Nursing.Your workspace should be a comfortable combination of personality and productivity; a space that you enjoy working in, but also one that helps you get things done. This graphic doe...Inability to slowly lower the arm when abducted. 20 of 20. Quiz yourself with questions and answers for HESI 1 - V1 and V2 REVIEW - Health Assessment 1, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material.

Download HESI 1 - V1 and V2 REVIEW - Health Assessment 1 and Physical Examination 2022. and more Nursing Exams in PDF only on Docsity! HESI 1 - V1 and V2 REVIEW - Health Assessment 1 and Physical Examination 2022 The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Hesi practice hes! 2023 health assessment rn 44 questions out of 55 hesi health assessment picture questions answers picture of mannequin had white dry lips. Skip to document. University; High School. Books; ... Health Assessment Hesi. Concepts of Nursing I. Lecture notes. 92% (61) 4. Gas Exchange concept notebook. Concepts of …HESI 1 - V1 and V2 REVIEW - Health Assessment 1. The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? - answers-Barrel chest. The nurse is assessing bowel sounds for a hospitalized client.HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. HESI Prep - Health Assessment Practice Questions. Teacher 124 terms. Haleigh_Hope. Preview. English Test Review. 6 terms. kyang572. Preview. Analysing Style - matching nouns and adjectives. Teacher 12 terms. MsPodesta. Preview. Terms in this set (330)client’s concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks duration. B. Describe having a “body-wracking dry cough” of 6 weeks duration. C. Expresses concern of “lung cancer” symptoms for last 6 weeks. D. Young adult male presents with fears that he has “lung cancer”.Hesi practice hes! 2023 health assessment rn 44 questions out of 55 hesi health assessment picture questions answers picture of mannequin had white dry lips. Skip to …client’s concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks duration. B. Describe having a “body-wracking dry cough” of 6 weeks duration. C. Expresses concern of “lung cancer” symptoms for last 6 weeks. D. Young adult male presents with fears that he has “lung cancer”. Health Assessment II HESI. 48 terms. Amanda-Salinas. Health Assessment Hesi Practice. 134 terms. Nicolli_olli. Teacher. 1st Edition • ISBN: 9780312388065 Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. 3rd Edition • ISBN: 9781111786786 Darlene Smith-Worthington, Sue Jefferson. Pond dredging is a crucial process in maintaining the health and functionality of a pond. Over time, ponds can accumulate sediment, debris, and vegetation that can hinder their abi...1. establish a code with family and friends to signify violence, 2. plan an escape route to use if the abuser blocks main exit, 3.have a bag ready that has extra clothes for self and children. IPV- difficulty leaving victim of intimate partner violence what 3 things should you do. permission to be angry.Mental Health HESI health 31 questions rn 2022 female client with history of drinking who was admitted hours ago after receiving treatment for minor abrasions ... (Elavil) that he uses to help him sleep. After reviewing his assessment findings with the healthcare provider, a serum creatinine is obtained. ... 2022 HESI Mental Health Psych 2022 ...

HESI V2 health assessment. A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's ...

1. establish a code with family and friends to signify violence, 2. plan an escape route to use if the abuser blocks main exit, 3.have a bag ready that has extra clothes for self and children. IPV- difficulty leaving victim of intimate partner violence what 3 things should you do. permission to be angry. HESI VERSION 2(V2) EXIT EXAM WITH 100% CORRECT ANSWERS HESI EXIT Exam V2 Latest 2022 GRADED A. HESI EXIT Exam V2 Latest 2022. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? Make certain the child is maintained in correct body alignment. HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. Health Assessment HESI. 330 terms. Lesli_Janelle86. Preview. Adrenal Insufficiency and ...Home » Training » HESI® Preparation Suite (Case Studies, Patient Reviews, Practice Tests) » HESI: Practice Tests: 1. Introduction 2. Course Structures and Folders 3. Functionality and Submissions 4. Settings and …HESI® for Health Professions Analyze and improve student performance from admission to graduation with Elsevier's complete review and testing solution. HESI exams and assessments and preparation products work seamlessly together to help analyze and improve student performance, promote clinical judgment, and help your students and …Elsevier Adaptive Quizzing (EAQ) This formative assessment tool serves up personalized questions to help students succeed in their courses, study more effectively for high-stakes exams, and remediate on weak topics. It’s ideal for use throughout the curriculum to prepare and remediate students for everything from midterms, to HESI summative ...Study with Quizlet and memorize flashcards containing terms like During the initial physical assessment of a newly admitted client with a pressure ulcer, a LPN observes that the client's skin is dry and scaly. The nurse applies emollients and reinforces the dressing on the pressure ulcer. Legally, were the nurse's actions adequate?, A visitor comes to the …

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hesi 1 v1 and v2 review health assessment 1 exam 20222023 with 100 correct answers. the nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Written for. Institution HESI V1; Course HESI V1; Seller Follow. ACADEMICLINK Member since 1 year 861 documents sold 1) The nurse hears bilateral louder, longer, and lower tones when percussing over the lungs of a. 4-year old child. What should the nurse do next? a) Palpate over the area for increa sed pain and tenderness. b) c) Refer the child immediately because of an increased amount of air in the lu ngs. HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. BSN 246 week1 HESI Prep. 15 terms. fireman121. Preview. unit 9 exam 5 . 42 terms ...HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. HESI Prep - Health Assessment Practice Questions. Teacher 124 terms. Haleigh_Hope. Preview. Exam 1 . 50 terms. bshirle14. ... Assessment Packet. 48 terms. anna_gor. Preview. Terms in this set (349) aneurysm. visible, prominent pulsation or dialation.HESI 1 - V1 and V2 REVIEW - Health Assessment 1 with Complete Solutions The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? - Correct Answer Barrel chest The nurse is assessing bowel sou...Rovsing's sign. pressing on the left quadrant causes pain on the right. Murphy's sign. Pain with palpation of gall bladder; pt. takes breath in while you palpate (seen with cholecystitis) Study with Quizlet and memorize flashcards containing terms like hyperopia, presbyopia, myopia and more.HESI 1 - V1 and V2 REVIEW - Health Assessment 1 with Complete Solutions The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? - Correct Answer Barrel chest The nurse is assessing bowel sou... [Show more]Download HESI 1 - V1 and V2 REVIEW - Health Assessment 1 and Physical Examination 2022. and more Nursing Exams in PDF only on Docsity! HESI 1 - V1 and V2 REVIEW - Health Assessment 1 and Physical Examination 2022 The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Study with Quizlet and memorize flashcards containing terms like In assessing the flexion of a client's neck, which action should the nurse instruct the client to perform? Tilt the chin toward the ceiling. Move the chin toward each shoulder. Press the chin against the chest. Direct one ear toward the shoulder., During a physical exam, the nurse observes the external genitalia of an older adult ... Are you preparing for your upcoming HESI exam? The Health Education Systems, Inc. (HESI) exam is a crucial step in your journey towards becoming a healthcare professional. One of t... ….

As we age, it’s natural for our memory to decline slightly. However, it’s important to monitor and assess our cognitive health regularly, especially for seniors. One effective way ...HESI Health Assessment V1 and V2 Exam Review The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? (Ans- Barrel chest The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right upper quadrant.HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. Health Assessment HESI. 330 terms. Lesli_Janelle86. Preview. Adrenal Insufficiency and ...HESI 1 - V1 and V2 REVIEW - Health Assessment 1 with Complete Solutions The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? - Correct Answer Barrel chest The nurse is assessing bowel sou... [Show more]The client has a chest measurement of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches. What important message should the nurse explain to the client to promote health promotion? - ANS A waist circumference is greater than 35 inches in women puts you at higher risk for type 2 diabetes and heart disease."HESI® Review & Testing Solutions. Elsevier's complete review and testing solution, HESI offers reliable assessments and preparation products that enable you to analyze and …Health Assessment (RNSG 1413) 32 Documents. Students shared 32 documents in this course. University Houston Community College. Info More info. Academic year: 2022/2023. ... HESI V2 A&P, Vocabulary, Grammar and Reading. AP V2 (I made 92) Carotid Artery provides a pulse reading in the neck.This client's Glasgow. Coma Scale (GCS) score is 12: Opening eyes to. sound is a score of 3, localizing to pain is a 5, and. confusion during a conversation is a 4 (3 + 5 + 4 =. 12). HESI 1 - V1 and V2 REVIEW - Health Assessment 1 Study. A client is in the clinic and is. reporting lower abdominal. pain and constipation.We've picked up great Chase Sapphire Reserve value the past few years, but things have changed. Here's what it's worth to us now. Increased Offer! Hilton No Annual Fee 70K + Free N... Hesi health assessment v2, Mike T. HEALTH ASSESSMENT FINAL 1) The nurse is examining a patient’s lower leg and notices a draining ulceration. Which of these actions is most appropriate in this situation? a) Wash hands and contact the physician. b) Continue to examine the ulceration and then wash hands. c) Wash hands, put on gloves, and continue., Share your videos with friends, family, and the world, Hesi practice hes! 2023 health assessment rn 44 questions out of 55 hesi health assessment picture questions answers picture of mannequin had white dry lips. Skip to document. University; High School. Books; ... Health Assessment Hesi. Concepts of Nursing I. Lecture notes. 92% (61) 4. Gas Exchange concept notebook. Concepts of …, Share your videos with friends, family, and the world, 100. When teaching a client about propranolol hydrochloride, the nurse should base. 1. Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and conduction. 2. Increases norepinephrine secretion and thus decreases blood pressure and heart. rate. , When it comes to choosing a charity to support, one important aspect to consider is the organization’s rating. Ratings provide valuable insights into a charity’s financial health, ..., Study with Quizlet and memorize flashcards containing terms like The nurse assumes care of a postoperative adult client with diabetes mellitus and learns that the client has a current blood glucose level of 720 mg. When assessing the client what is the priority? A. Assess for vital signs of fluid volume deficit. B. Observe wound drainage characteristics. C. …, A) Determine the communication method he prefers. B) Avoid using facial and hand gestures because most hearing-impaired people find this degrading. C) Request a sign language interpreter before meeting with him to help facilitate the communication. D) Speak loudly and with exaggerated facial movement when talking with him because this helps ..., HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. RED - WHAT YOUR FAVORITE COLOR SAYS ABOUT YOU - RED. 6 terms. ryan_moore594. Preview. sonnet 138. 12 terms. c_4shlynnn. Preview. HESI- Health Assessment 2022. 109 terms. krivera8898. Preview. HESI Health Assessment Practice Quiz. 20 terms. …, Health statistics provide a clear indicator as to the well-being of a population, individual or country, according to the U.S. National Library of Medicine. Statistics in medicine ..., client’s concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks duration. B. Describe having a “body-wracking dry cough” of 6 weeks duration. C. Expresses concern of “lung cancer” symptoms for last 6 weeks. D. Young adult male presents with fears that he has “lung cancer”., Health statistics provide a clear indicator as to the well-being of a population, individual or country, according to the U.S. National Library of Medicine. Statistics in medicine ..., Study with Quizlet and memorize flashcards containing terms like In assessing the flexion of a client's neck, which action should the nurse instruct the client to perform? Tilt the chin toward the ceiling. Move the chin toward each shoulder. Press the chin against the chest. Direct one ear toward the shoulder., During a physical exam, the nurse observes the …, HESI RN 2024 EXIT EXAM . Teacher 130 terms. BRIAN_KARIUKI75 ... 798 terms. houston-lover. Preview. Exit HESI Version 2. 157 terms. perfectionkim. Preview. Assessment of Elderly Patients. 17 terms. quizlette422173118. Preview. NRS exam 2- study guid . 65 terms ... A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the ..., HESI 1 - V1 and V2 REVIEW - Health Assessment 1. The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this ... [Show More] Preview 2 out of 17 pages. Generating Your Document., Health Assessment Hesi V2 Remediation. Health Assessment 100% (3) 1. Active Learning Template medication-Divalproex soduim. Health Assessment 100% (1) 5. Chapter 37 Nutrition Notes. Health Assessment 100% (8) 16. Test Bank - Biology, 8th Edition (Campbell, 2009) Health Assessment 100% (7) 28. Nclex Study Kit Final., 1) The nurse hears bilateral louder, longer, and lower tones when percussing over the lungs of a. 4-year old child. What should the nurse do next? a) Palpate over the area for increa sed pain and tenderness. b) c) Refer the child immediately because of an increased amount of air in the lu ngs., Embry’s work also includes the Risk Assessment in the 21st Century (RISK21) Committee, which developed a scientific, transparent, and efficient approach for human health risk assessment, including a web-based tool that has led to outreach and training activities on risk assessment approaches worldwide., HEALTH ASSESSMENT FOR HESI V1 NEW UPDATE EXAM SUMMER 2022 GRADED (A) SOLUTION 1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. ... Exam (elaborations) - Hesi 1 - v1 and v2 review - health assessment 1 new summer solution 2022 exam 5. Exam (elaborations) - Hesi …, Study with Quizlet and memorize flashcards containing terms like During the initial physical assessment of a newly admitted client with a pressure ulcer, a LPN observes that the client's skin is dry and scaly. The nurse applies emollients and reinforces the dressing on the pressure ulcer. Legally, were the nurse's actions adequate?, A visitor comes to the …, SMBfission has launched a tool to help a small business manage its online reputation. SMBfission has announced the launch of its Review Barrier Assessment, a free online reputation..., Health Assessment Hesi V2 Remediation. Health Assessment 100% (3) 1. Active Learning Template medication-Divalproex soduim. Health Assessment 100% (1) 2. , Correct answer is A. 2+ pitting edema indicate swelling in the lower extremities. Homans's sign is often used in the diagnosis of deep venous thrombosis of the leg. A positive Homans's sign (calf pain at dorsiflexion of the foot) is thought to be associated with the presence of thrombosis. HESI V2 health assessment. , HESI Health Assessment V1 and V2 Exam Review Latest Update 2023/2024. Module; HESI HEALTH ASSESSMENT; Institution; HESI HEALTH ASSESSMENT; The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? …, HESI 1 - V1 and V2 REVIEW - Health Assessment 1. 88 terms. Bela_415. Preview. intro to health final study guide. 119 terms. savannahcalapis2027. Preview. The Crucible Vocab. 7 terms. Jayci20078. Preview. Jeopardy questions for RW. 45 terms. KaleineyR. Preview. health assessment study guide: neuro/ assessment of older adult. 54 terms., Condo owners or potential owners should understand the differences between condo fees and assessments. In addition to the costs of buying the condo, owners generally pay fees and m..., Test Prep Book's HESI A2 Study Guide: Prep Book & Practice Test Questions for the HESI Admission Assessment Exam Developed by Test Prep Books for test takers trying to achieve a passing score on the HESI A2 exam, this comprehensive study guide includes: •Quick Overview •Test-Taking Strategies •Introduction …, Learn HESI V2 health assessment with free interactive flashcards. Choose from 5,000 different sets of HESI V2 health assessment flashcards on Quizlet., hesi practice exam evolve. 131 terms. madisynmonteiro. Preview. HESI Practice Exam. 131 terms. Lindsey1706. Preview. 457 - Exam 1 - Nursing Care of Chronic Conditions . ... Health Assessment of Older Adults. 24 terms. vanessa_eisel. Preview. Patient Education Standards and Strategies. 43 terms. Kschulze02. Preview. Intro to nursing topic 2 ..., Oct 6, 2021 · Mike T. HEALTH ASSESSMENT FINAL 1) The nurse is examining a patient’s lower leg and notices a draining ulceration. Which of these actions is most appropriate in this situation? a) Wash hands and contact the physician. b) Continue to examine the ulceration and then wash hands. c) Wash hands, put on gloves, and continue. , An individual health assessment is intended to help a person improve his health, stay healthy and discover health risks he may not be aware of, according to Humana and Aetna. An in..., Embry’s work also includes the Risk Assessment in the 21st Century (RISK21) Committee, which developed a scientific, transparent, and efficient approach for human health risk assessment, including a web-based tool that has led to outreach and training activities on risk assessment approaches worldwide., Just made a 95% on my HESI! Studying/Testing. Hey everyone! This is my first post here. I'm applying for a fast-track program for fall 2022 and I just took my HESI exam. Got a pretty good score so I figured I'd share my study process in case anyone on this sub is taking it soon! I'm 30 years old and kind of going through a career change.