2025 HESI RN EXIT V2 EXAM
Actual Qs & Ans to Pass the Exam
This Exit Hesi Test contains:
passing score 95% Guarantee
The Exam has 160 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN) and Case studies
questions
Expert-Verified Explanations & Solutions
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QUESTION 1 (Standard Multiple-Choice)
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When preparing to administer a prescribed medication to a homeless client at a community
psychiatric clinic, the client states that the dose is different from the one he usually takes. Which
action should the nurse take?
A. Inform the client that he may refuse the medication and document whether or not the client
takes it.
B. Withhold the medication until the dosage can be confirmed.
C. Explain to the client that the dosage has been changed.
D. Tell the client to take the medication and verify the dosage at the next healthcare team
meeting.
ANSWER: B) Withhold the medication until the dosage can be confirmed.
─────────
EXPERT-VERIFIED EXPLANATION:
• Safety and Prevention of Medication Errors: Whenever a client questions a dosage or states it
differs from the usual regimen, it is a red flag that warrants immediate clarification. Medication
errors can have serious consequences; therefore, it is essential to confirm the order with the
prescriber or pharmacy before administering.
• Nursing Role in Advocacy: The nurse must advocate for the client’s safety by verifying the
correct dose. Even if the prescription is correct, clarifying the discrepancy maintains trust and
prevents errors.
• Hierarchy of Priorities: According to the nursing process, assessment (in this case, confirming
the order) precedes action (medication administration). Thus, withholding the medication until
verification is the best immediate step.
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QUESTION 2 (Standard Multiple-Choice)
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The charge nurse is making assignments for one practical nurse (PN) and three registered
nurses (RNs) who are caring for neurologically compromised clients. Which client with a change
in status is best to assign to the PN?
,A. A client with a subdural hematoma whose blood pressure changed from 150/80 to 170/60
B. A client with viral meningitis whose temperature changed from 101°F (38.3°C) to 102°F
(38.9°C)
C. A client with diabetic ketoacidosis whose Glasgow Coma Scale (GCS) score changed from
10 to 7
D. A client with myxedema whose blood pressure changed from 80/50 to 70/40
ANSWER: B) A client with viral meningitis whose temperature changed from 101°F to 102°F.
─────────
EXPERT-VERIFIED EXPLANATION:
• Scope of Practice and Stability: A licensed practical nurse (PN) is typically assigned clients
who have more stable or predictable conditions. While an increase in temperature from 101°F to
102°F is concerning, it is usually less urgent than acute neurological deterioration or severe
hypotension.
• Prioritization of Neurological Changes: Rapidly dropping blood pressure (myxedema) or a
marked decline in the GCS score (DKA) signals critical instability, generally requiring the skills of
an RN.
• Nursing Judgment: Viral meningitis often follows a known course, and an elevated temperature
can be monitored, managed with antipyretics, and reported. This is within the PN’s scope, with
an RN overseeing care if changes become more emergent.
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QUESTION 3 (Standard Multiple-Choice)
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A client with pneumonia develops initial signs of septic shock and multi-organ failure. The
healthcare provider prescribes a sepsis protocol. Which intervention is most important for the
nurse to include in the plan of care?
A. Maintain strict intake and output.
B. Keep the head of the bed raised at 45°.
C. Assess warmth of extremities.
D. Monitor blood glucose level.
ANSWER: A) Maintain strict intake and output.
─────────
EXPERT-VERIFIED EXPLANATION:
• Importance of I&O in Sepsis: Clients with sepsis are prone to fluid shifts, hypotension, and
acute kidney injury. Strict measurement of intake and output helps guide fluid management and
detect early renal compromise.
• Early Signs of Organ Dysfunction: Monitoring urine output is one of the fastest ways to identify
worsening perfusion or kidney involvement.
, • Prioritizing in Septic Shock: Although elevating the head of the bed promotes airway and lung
expansion, accurate I&O is vital to titrate fluids and vasopressors promptly in septic clients.
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QUESTION 4 (Standard Multiple-Choice)
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An adolescent client is admitted to the hospital after writing a suicide note at school. On the
second day of hospitalization, the nurse asks the client to meet with the treatment team. After
the meeting, the client leaves in tears and goes to their room. Which nursing intervention is
best?
A. Allow the client some alone time to rest quietly.
B. Explore the client’s goals and desire for treatment.
C. Ask the treatment team about the client’s behavior.
D. Go to the client’s room and inquire what happened.
ANSWER: D) Go to the client’s room and ask what happened.
─────────
EXPERT-VERIFIED EXPLANATION:
• Therapeutic Communication: Immediately addressing signs of emotional distress
demonstrates concern and builds trust. Approaching the client in their room provides a private,
supportive environment for the client to express feelings.
• Safety and Close Monitoring: Adolescents with suicidal ideation require timely assessment of
mood changes or increased distress to prevent harm. Intervening quickly upholds a therapeutic
alliance and fosters open communication.
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QUESTION 5 (Calculation)
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The healthcare provider prescribes dalteparin 200 units/kg subcutaneously once a day for a
client who weighs 154 pounds (70 kg). The medication is available in a 25,000 units/mL vial.
How many milliliters should the nurse administer? (Enter numerical value only; round to the
nearest tenth if needed.)
ANSWER: 0.6
─────────
EXPERT-VERIFIED EXPLANATION:
1. Convert 154 lb to 70 kg (1 lb ≈ 0.45 kg; 154 ÷ 2.2 ≈ 70).
2. Dose required: 200 units/kg × 70 kg = 14,000 units.
3. Concentration: 25,000 units/mL.
4. Volume = 14,000 units ÷ 25,000 units/mL = 0.56 mL → Rounds to 0.6 mL.
Actual Qs & Ans to Pass the Exam
This Exit Hesi Test contains:
passing score 95% Guarantee
The Exam has 160 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX (NGN) and Case studies
questions
Expert-Verified Explanations & Solutions
,────────────────────────────────────────────────────────
QUESTION 1 (Standard Multiple-Choice)
────────────────────────────────────────────────────────
When preparing to administer a prescribed medication to a homeless client at a community
psychiatric clinic, the client states that the dose is different from the one he usually takes. Which
action should the nurse take?
A. Inform the client that he may refuse the medication and document whether or not the client
takes it.
B. Withhold the medication until the dosage can be confirmed.
C. Explain to the client that the dosage has been changed.
D. Tell the client to take the medication and verify the dosage at the next healthcare team
meeting.
ANSWER: B) Withhold the medication until the dosage can be confirmed.
─────────
EXPERT-VERIFIED EXPLANATION:
• Safety and Prevention of Medication Errors: Whenever a client questions a dosage or states it
differs from the usual regimen, it is a red flag that warrants immediate clarification. Medication
errors can have serious consequences; therefore, it is essential to confirm the order with the
prescriber or pharmacy before administering.
• Nursing Role in Advocacy: The nurse must advocate for the client’s safety by verifying the
correct dose. Even if the prescription is correct, clarifying the discrepancy maintains trust and
prevents errors.
• Hierarchy of Priorities: According to the nursing process, assessment (in this case, confirming
the order) precedes action (medication administration). Thus, withholding the medication until
verification is the best immediate step.
────────────────────────────────────────────────────────
QUESTION 2 (Standard Multiple-Choice)
────────────────────────────────────────────────────────
The charge nurse is making assignments for one practical nurse (PN) and three registered
nurses (RNs) who are caring for neurologically compromised clients. Which client with a change
in status is best to assign to the PN?
,A. A client with a subdural hematoma whose blood pressure changed from 150/80 to 170/60
B. A client with viral meningitis whose temperature changed from 101°F (38.3°C) to 102°F
(38.9°C)
C. A client with diabetic ketoacidosis whose Glasgow Coma Scale (GCS) score changed from
10 to 7
D. A client with myxedema whose blood pressure changed from 80/50 to 70/40
ANSWER: B) A client with viral meningitis whose temperature changed from 101°F to 102°F.
─────────
EXPERT-VERIFIED EXPLANATION:
• Scope of Practice and Stability: A licensed practical nurse (PN) is typically assigned clients
who have more stable or predictable conditions. While an increase in temperature from 101°F to
102°F is concerning, it is usually less urgent than acute neurological deterioration or severe
hypotension.
• Prioritization of Neurological Changes: Rapidly dropping blood pressure (myxedema) or a
marked decline in the GCS score (DKA) signals critical instability, generally requiring the skills of
an RN.
• Nursing Judgment: Viral meningitis often follows a known course, and an elevated temperature
can be monitored, managed with antipyretics, and reported. This is within the PN’s scope, with
an RN overseeing care if changes become more emergent.
────────────────────────────────────────────────────────
QUESTION 3 (Standard Multiple-Choice)
────────────────────────────────────────────────────────
A client with pneumonia develops initial signs of septic shock and multi-organ failure. The
healthcare provider prescribes a sepsis protocol. Which intervention is most important for the
nurse to include in the plan of care?
A. Maintain strict intake and output.
B. Keep the head of the bed raised at 45°.
C. Assess warmth of extremities.
D. Monitor blood glucose level.
ANSWER: A) Maintain strict intake and output.
─────────
EXPERT-VERIFIED EXPLANATION:
• Importance of I&O in Sepsis: Clients with sepsis are prone to fluid shifts, hypotension, and
acute kidney injury. Strict measurement of intake and output helps guide fluid management and
detect early renal compromise.
• Early Signs of Organ Dysfunction: Monitoring urine output is one of the fastest ways to identify
worsening perfusion or kidney involvement.
, • Prioritizing in Septic Shock: Although elevating the head of the bed promotes airway and lung
expansion, accurate I&O is vital to titrate fluids and vasopressors promptly in septic clients.
────────────────────────────────────────────────────────
QUESTION 4 (Standard Multiple-Choice)
────────────────────────────────────────────────────────
An adolescent client is admitted to the hospital after writing a suicide note at school. On the
second day of hospitalization, the nurse asks the client to meet with the treatment team. After
the meeting, the client leaves in tears and goes to their room. Which nursing intervention is
best?
A. Allow the client some alone time to rest quietly.
B. Explore the client’s goals and desire for treatment.
C. Ask the treatment team about the client’s behavior.
D. Go to the client’s room and inquire what happened.
ANSWER: D) Go to the client’s room and ask what happened.
─────────
EXPERT-VERIFIED EXPLANATION:
• Therapeutic Communication: Immediately addressing signs of emotional distress
demonstrates concern and builds trust. Approaching the client in their room provides a private,
supportive environment for the client to express feelings.
• Safety and Close Monitoring: Adolescents with suicidal ideation require timely assessment of
mood changes or increased distress to prevent harm. Intervening quickly upholds a therapeutic
alliance and fosters open communication.
────────────────────────────────────────────────────────
QUESTION 5 (Calculation)
────────────────────────────────────────────────────────
The healthcare provider prescribes dalteparin 200 units/kg subcutaneously once a day for a
client who weighs 154 pounds (70 kg). The medication is available in a 25,000 units/mL vial.
How many milliliters should the nurse administer? (Enter numerical value only; round to the
nearest tenth if needed.)
ANSWER: 0.6
─────────
EXPERT-VERIFIED EXPLANATION:
1. Convert 154 lb to 70 kg (1 lb ≈ 0.45 kg; 154 ÷ 2.2 ≈ 70).
2. Dose required: 200 units/kg × 70 kg = 14,000 units.
3. Concentration: 25,000 units/mL.
4. Volume = 14,000 units ÷ 25,000 units/mL = 0.56 mL → Rounds to 0.6 mL.
