2025 HESI EXIT
V2 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI EXIT CONSISTS OF:
, 160 Questions and Answers
Multiple-choice Style
Select All That Apply (SATA), ordering, fill-in-the-blank for
dosage
including Next Generation NCLEX (NGN) items
Case-based Scenarios
Expert Rationales consistent with HESI−Elsevier/Evolve
standards.
───────────────────────────────────────────────────────
, HESI EXIT EXAM V2
1) A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which
information is most important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
SOLUTION:A. Instructions about how much fluid the child should drink daily
EXPERT–VERIFIED EXPLANATION:
• Hydration is crucial for children with sickle cell disease. Adequate fluid intake reduces blood viscosity
and lowers the risk of vaso-occlusive crises.
• While monitoring for excessive opioid use is important, the universal and urgent priority is ensuring daily
fluid intake to help prevent crises.
• Provide parents with a daily fluid goal based on the child’s weight, age, and activity level, and show
them how to track fluid volumes.
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─
2) A female client presents in the emergency department and tells the nurse that she was raped last night.
Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
SOLUTION: A. Has she taken a bath since the rape occurred?
EXPERT–VERIFIED EXPLANATION:
, • Preserving forensic evidence is a priority with sexual assault survivors. Bathing or showering can wash
away critical evidence that may be needed later if the client decides to press charges.
• Ensuring immediate safety is also important, but first clarify whether evidence may have been
compromised.
• Use a trauma-informed approach: stay calm, maintain privacy, offer emotional support, and involve a
Sexual Assault Nurse Examiner (SANE) if available.
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─
3) The nurse is completing the admission assessment of a 3-year-old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing
increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
SOLUTION B. Sluggish and unequal pupillary responses
EXPERT–VERIFIED EXPLANATION:
• Pupillary changes—especially sluggish or unequal responses—are a critical early manifestation of rising
intracranial pressure in children beyond infancy (fontanels typically closed by age 3).
• Bulging fontanels or head circumference changes are classic in younger infants but less reliable in a 3-
year-old.
• Emphasize prompt detection of subtle neurological changes and immediate reporting to prevent
complications like herniation.
───────────────────────────────────────────────────────
─
4) A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum
amylase. Which additional information is the client most likely to report to the nurse?
V2 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI EXIT CONSISTS OF:
, 160 Questions and Answers
Multiple-choice Style
Select All That Apply (SATA), ordering, fill-in-the-blank for
dosage
including Next Generation NCLEX (NGN) items
Case-based Scenarios
Expert Rationales consistent with HESI−Elsevier/Evolve
standards.
───────────────────────────────────────────────────────
, HESI EXIT EXAM V2
1) A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which
information is most important for the nurse to provide the parents prior to discharge?
A. Instructions about how much fluid the child should drink daily
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
SOLUTION:A. Instructions about how much fluid the child should drink daily
EXPERT–VERIFIED EXPLANATION:
• Hydration is crucial for children with sickle cell disease. Adequate fluid intake reduces blood viscosity
and lowers the risk of vaso-occlusive crises.
• While monitoring for excessive opioid use is important, the universal and urgent priority is ensuring daily
fluid intake to help prevent crises.
• Provide parents with a daily fluid goal based on the child’s weight, age, and activity level, and show
them how to track fluid volumes.
───────────────────────────────────────────────────────
─
2) A female client presents in the emergency department and tells the nurse that she was raped last night.
Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
SOLUTION: A. Has she taken a bath since the rape occurred?
EXPERT–VERIFIED EXPLANATION:
, • Preserving forensic evidence is a priority with sexual assault survivors. Bathing or showering can wash
away critical evidence that may be needed later if the client decides to press charges.
• Ensuring immediate safety is also important, but first clarify whether evidence may have been
compromised.
• Use a trauma-informed approach: stay calm, maintain privacy, offer emotional support, and involve a
Sexual Assault Nurse Examiner (SANE) if available.
───────────────────────────────────────────────────────
─
3) The nurse is completing the admission assessment of a 3-year-old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing
increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
SOLUTION B. Sluggish and unequal pupillary responses
EXPERT–VERIFIED EXPLANATION:
• Pupillary changes—especially sluggish or unequal responses—are a critical early manifestation of rising
intracranial pressure in children beyond infancy (fontanels typically closed by age 3).
• Bulging fontanels or head circumference changes are classic in younger infants but less reliable in a 3-
year-old.
• Emphasize prompt detection of subtle neurological changes and immediate reporting to prevent
complications like herniation.
───────────────────────────────────────────────────────
─
4) A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum
amylase. Which additional information is the client most likely to report to the nurse?
