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 V2 COMPREHENSIVE EXAM
1. A 35-year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the
room to request something for pain. The nurse should:
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
Answer: C) Administer the prescribed analgesia
Expert-Verified Explanation: Sickle cell crisis causes severe pain; timely administration of prescribed
analgesia is crucial. Other measures (e.g., fluids, relaxation) are helpful but not sufficient alone for acute
pain.
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─
2. While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
Answer: A) Respiratory rate of 42
Expert-Verified Explanation: An elevated respiratory rate may signal respiratory distress. Immediate
recognition and intervention are key to preventing worsening croup.
, ───────────────────────────────────────────────────────
─
3. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the
nurse would anticipate which of the following findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
Answer: A) Lethargy
Expert-Verified Explanation: Low T3/T4 with high TSH indicates hypothyroidism, commonly presenting
with lethargy, fatigue, and cold intolerance.
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─
4. In planning care for a 6-month-old infant, what must the nurse provide to assist in the development of
trust?
A) Food
B) Warmth
C) Security
D) Comfort
Answer: C) Security
Expert-Verified Explanation: Consistent and reliable caregiving that provides a sense of security is vital
for establishing trust in infancy.
───────────────────────────────────────────────────────
─
5. A nurse has just received a medication order which is not legible. Which statement best reflects assertive
communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful."
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 V2 COMPREHENSIVE EXAM
1. A 35-year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the
room to request something for pain. The nurse should:
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
Answer: C) Administer the prescribed analgesia
Expert-Verified Explanation: Sickle cell crisis causes severe pain; timely administration of prescribed
analgesia is crucial. Other measures (e.g., fluids, relaxation) are helpful but not sufficient alone for acute
pain.
───────────────────────────────────────────────────────
─
2. While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
Answer: A) Respiratory rate of 42
Expert-Verified Explanation: An elevated respiratory rate may signal respiratory distress. Immediate
recognition and intervention are key to preventing worsening croup.
, ───────────────────────────────────────────────────────
─
3. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the
nurse would anticipate which of the following findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
Answer: A) Lethargy
Expert-Verified Explanation: Low T3/T4 with high TSH indicates hypothyroidism, commonly presenting
with lethargy, fatigue, and cold intolerance.
───────────────────────────────────────────────────────
─
4. In planning care for a 6-month-old infant, what must the nurse provide to assist in the development of
trust?
A) Food
B) Warmth
C) Security
D) Comfort
Answer: C) Security
Expert-Verified Explanation: Consistent and reliable caregiving that provides a sense of security is vital
for establishing trust in infancy.
───────────────────────────────────────────────────────
─
5. A nurse has just received a medication order which is not legible. Which statement best reflects assertive
communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful."
