age 1 of 183
HESI Exit v6 (NGN style Qs & Case studies) TEST STUDY
GUIDE 2025/2026 QUESTIONS BANK AND CORRECT
DETAILED ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <RECENT VERSION>
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 ICP? ......ANSWER........Sluggish and
unequal pupillary responses
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? ......ANSWER........Abdominal pain decreases when lying
supine
,age 2 of 183
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? ......ANSWER........Instructions about how much fluid the
child should drink daily
A teenager presents to the emergency department with
palpitations after vaping at a party. The client is anxious,
fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance?
......ANSWER........Respiratory Alkalosis
The nurse is taking the blood pressure of a client with Parkinson's
disease. Which information in the client's admission assessment is
reverent to the nurse's plan for taking the blood pressure
reading? SATA ......ANSWER........Frequent syncope
,age 3 of 183
Flat affect
Blurred vision
While caring for a client's postoperative dressing, the nurse
observes purulent drainage at the wound. Before reporting this
finding to the healthcare provider, the nurse should review which
of the client's laboratory values? ......ANSWER........Culture for
sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following
successful resuscitation from a near-drowning incident. While
providing care to the child, the nurse begins talking with his
preadolescent brother who rescued the child from the swimming
pool and initiated resuscitation. The nurse notices the older boy
becomes withdrawn when asked about what happened. Which
, age 4 of 183
action should the nurse take? ......ANSWER........Ask the brother
how he felt during the incident
A male client with cirrhosis has jaundice and pruritus. He tells the
nurse that he has been soaking in hot baths at night with no
relief. of his discomfort. Which action should the nurse take?
......ANSWER........Encourage the client to use cooler water and
apply calamine lotion after soaking
An older client with a long history of coronary artery disease,
hypertension and heart failure arrives in the emergency
department in respiratory distress. The healthcare provider
prescribes Furosemide IV. Which therapeutic response to the
furosemide should the nurse expect in the client with acute heart
failure? ......ANSWER........Reduced preload
HESI Exit v6 (NGN style Qs & Case studies) TEST STUDY
GUIDE 2025/2026 QUESTIONS BANK AND CORRECT
DETAILED ANSWERS WITH RATIONALES || 100%
GUARANTEED PASS <RECENT VERSION>
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 ICP? ......ANSWER........Sluggish and
unequal pupillary responses
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? ......ANSWER........Abdominal pain decreases when lying
supine
,age 2 of 183
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? ......ANSWER........Instructions about how much fluid the
child should drink daily
A teenager presents to the emergency department with
palpitations after vaping at a party. The client is anxious,
fearful, and hyperventilating. The nurse anticipates the client
developing which acid base imbalance?
......ANSWER........Respiratory Alkalosis
The nurse is taking the blood pressure of a client with Parkinson's
disease. Which information in the client's admission assessment is
reverent to the nurse's plan for taking the blood pressure
reading? SATA ......ANSWER........Frequent syncope
,age 3 of 183
Flat affect
Blurred vision
While caring for a client's postoperative dressing, the nurse
observes purulent drainage at the wound. Before reporting this
finding to the healthcare provider, the nurse should review which
of the client's laboratory values? ......ANSWER........Culture for
sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following
successful resuscitation from a near-drowning incident. While
providing care to the child, the nurse begins talking with his
preadolescent brother who rescued the child from the swimming
pool and initiated resuscitation. The nurse notices the older boy
becomes withdrawn when asked about what happened. Which
, age 4 of 183
action should the nurse take? ......ANSWER........Ask the brother
how he felt during the incident
A male client with cirrhosis has jaundice and pruritus. He tells the
nurse that he has been soaking in hot baths at night with no
relief. of his discomfort. Which action should the nurse take?
......ANSWER........Encourage the client to use cooler water and
apply calamine lotion after soaking
An older client with a long history of coronary artery disease,
hypertension and heart failure arrives in the emergency
department in respiratory distress. The healthcare provider
prescribes Furosemide IV. Which therapeutic response to the
furosemide should the nurse expect in the client with acute heart
failure? ......ANSWER........Reduced preload
