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.
,QUESTION 1
────────────────────────────────────────────────────────
A postoperative adult client with type 2 diabetes mellitus has a current blood glucose level
of 720 mg/dL. Which assessment finding is the nurse’s priority?
A. Assess for signs of fluid volume deficit
B. Observe the wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
Correct Answer: A
Rationale (Expert Explanation):
• A blood glucose of 720 mg/dL raises concern for hyperglycemic hyperosmolar state
(HHS), which often presents with severe dehydration.
• Therefore, assessing signs of fluid volume deficit is the immediate priority.
────────────────────────────────────────────────────────
,QUESTION 2
────────────────────────────────────────────────────────
A male client reports concern for possible peptic ulcer disease because of heartburn and a
dull, gnawing pain relieved by eating. Which response by the nurse is best?
A. “Encourage a complete physical exam; your symptoms are consistent with an ulcer.”
B. “Your symptoms might just be reflux, because ulcer pain is not relieved by food.”
C. “These mild symptoms will go away if you avoid spicy foods.”
D. “There is no need to worry; over-the-counter antacids should help.”
Correct Answer: A
Rationale (Expert Explanation):
• Dull, gnawing epigastric pain relieved by food intake can signal a peptic ulcer.
• Referral for a full evaluation is appropriate.
────────────────────────────────────────────────────────
QUESTION 3
────────────────────────────────────────────────────────
A male client with stomach cancer returns from surgery after a total gastrectomy. He has
, an NG tube to suction, is receiving Lactated Ringer’s at 75 mL/hr IV, and one hour after
admission the nurse notes 300 mL of blood in the suction canister, HR 155 bpm, BP 78/48
mmHg. In addition to notifying the surgeon, which action should the nurse implement
first?
A. Measure and document the client’s urine output.
B. Check for an order to discontinue suction.
C. Assess operative dressing.
D. Increase the infusion rate of Lactated Ringer’s solution.
Correct Answer: D
Rationale (Expert Explanation):
• The rapid blood loss and hypotension (BP 78/48 mmHg) indicate potential hypovolemic
shock.
• Increasing IV fluid rate helps maintain circulating volume.
────────────────────────────────────────────────────────
QUESTION 4
────────────────────────────────────────────────────────
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.
,QUESTION 1
────────────────────────────────────────────────────────
A postoperative adult client with type 2 diabetes mellitus has a current blood glucose level
of 720 mg/dL. Which assessment finding is the nurse’s priority?
A. Assess for signs of fluid volume deficit
B. Observe the wound drainage characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
Correct Answer: A
Rationale (Expert Explanation):
• A blood glucose of 720 mg/dL raises concern for hyperglycemic hyperosmolar state
(HHS), which often presents with severe dehydration.
• Therefore, assessing signs of fluid volume deficit is the immediate priority.
────────────────────────────────────────────────────────
,QUESTION 2
────────────────────────────────────────────────────────
A male client reports concern for possible peptic ulcer disease because of heartburn and a
dull, gnawing pain relieved by eating. Which response by the nurse is best?
A. “Encourage a complete physical exam; your symptoms are consistent with an ulcer.”
B. “Your symptoms might just be reflux, because ulcer pain is not relieved by food.”
C. “These mild symptoms will go away if you avoid spicy foods.”
D. “There is no need to worry; over-the-counter antacids should help.”
Correct Answer: A
Rationale (Expert Explanation):
• Dull, gnawing epigastric pain relieved by food intake can signal a peptic ulcer.
• Referral for a full evaluation is appropriate.
────────────────────────────────────────────────────────
QUESTION 3
────────────────────────────────────────────────────────
A male client with stomach cancer returns from surgery after a total gastrectomy. He has
, an NG tube to suction, is receiving Lactated Ringer’s at 75 mL/hr IV, and one hour after
admission the nurse notes 300 mL of blood in the suction canister, HR 155 bpm, BP 78/48
mmHg. In addition to notifying the surgeon, which action should the nurse implement
first?
A. Measure and document the client’s urine output.
B. Check for an order to discontinue suction.
C. Assess operative dressing.
D. Increase the infusion rate of Lactated Ringer’s solution.
Correct Answer: D
Rationale (Expert Explanation):
• The rapid blood loss and hypotension (BP 78/48 mmHg) indicate potential hypovolemic
shock.
• Increasing IV fluid rate helps maintain circulating volume.
────────────────────────────────────────────────────────
QUESTION 4
────────────────────────────────────────────────────────
