,TABLE .OF .CONTENTS
HESI .RN .Exit .Exam .v1 ...................................................................................... 3
HESI .RN .Exit .Exam .v2 .................................................................................. 149
HESI .RN .Exit .V3............................................................................................ 204
. . HESI .Exit .RN .V4 .......................................................................................... 261
HESI .Exit .RN .V5............................................................................................ 304
HESI .Exit .RN .V6............................................................................................ 349
HESI .EXIT .RN . V7 ......................................................................................... 391
ADDITIONAL .HESI .EXIT .RN .EXAM .V1-V7 .PAST .PAPER .FROM .2022-2024
. WITH .PICTURES,RATIONALES . AND .DIAGRAMS ......................................... 528
WISHING .YOU .ALL .THE .BEST .AS .YOU .EXPLORE .THE .BEST
.MASTERPIECE .EVER
RATE MY WORK FOR MORE
. . . .
HESIEXITEXAMSV1–V7. . . . .
,HESI RN Exit Exam v1
. . . .
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
- .✔✔- .ANSWER-✔✔-
B. .Sluggish .and .unequal .pupillary
responses
Rationale:
Sluggish .and .unequal .pupillary .responses .are .a .direct .sign .of
.increased .intracranial .pressure .affecting . cranial .nerves, .particularly
.the
oculomotor .nerve .(cranial .nerve .III). .These .findings .indicate
.neurologic .deterioration .and .warrant .immediate . intervention.
Explanation .of .Incorrect .Options:
A. .Tachycardia .and .tachypnea: .These .are .nonspecific .findings
.and .may .occur .with . fever . or .infection . but .are .not .reliable
indicators .of .increased .ICP. .In .fact, .bradycardia .(not .tachycardia)
.is .often .seen .with .rising .ICP.
C. .Increased .head .circumference .and .bulging .fontanels: .These
.are .signs .more .typically .seen .in .infants .due .to .open .sutures.
.By .3 .years .of .age, .the .fontanels .are .generally . closed, .making
.this .less .likely.
D. .Blood .pressure .fluctuations .and .syncope: .While .late .signs
.of .increased . ICP .can .include .changes .in . vital .signs, . syncope .is
.not .typically .associated . with .elevated .ICP .in .children .and .is
, . more .common .with .cardiac .or .vasovagal .events.
HESI .RN .Exit .Exam .v1 ...................................................................................... 3
HESI .RN .Exit .Exam .v2 .................................................................................. 149
HESI .RN .Exit .V3............................................................................................ 204
. . HESI .Exit .RN .V4 .......................................................................................... 261
HESI .Exit .RN .V5............................................................................................ 304
HESI .Exit .RN .V6............................................................................................ 349
HESI .EXIT .RN . V7 ......................................................................................... 391
ADDITIONAL .HESI .EXIT .RN .EXAM .V1-V7 .PAST .PAPER .FROM .2022-2024
. WITH .PICTURES,RATIONALES . AND .DIAGRAMS ......................................... 528
WISHING .YOU .ALL .THE .BEST .AS .YOU .EXPLORE .THE .BEST
.MASTERPIECE .EVER
RATE MY WORK FOR MORE
. . . .
HESIEXITEXAMSV1–V7. . . . .
,HESI RN Exit Exam v1
. . . .
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
- .✔✔- .ANSWER-✔✔-
B. .Sluggish .and .unequal .pupillary
responses
Rationale:
Sluggish .and .unequal .pupillary .responses .are .a .direct .sign .of
.increased .intracranial .pressure .affecting . cranial .nerves, .particularly
.the
oculomotor .nerve .(cranial .nerve .III). .These .findings .indicate
.neurologic .deterioration .and .warrant .immediate . intervention.
Explanation .of .Incorrect .Options:
A. .Tachycardia .and .tachypnea: .These .are .nonspecific .findings
.and .may .occur .with . fever . or .infection . but .are .not .reliable
indicators .of .increased .ICP. .In .fact, .bradycardia .(not .tachycardia)
.is .often .seen .with .rising .ICP.
C. .Increased .head .circumference .and .bulging .fontanels: .These
.are .signs .more .typically .seen .in .infants .due .to .open .sutures.
.By .3 .years .of .age, .the .fontanels .are .generally . closed, .making
.this .less .likely.
D. .Blood .pressure .fluctuations .and .syncope: .While .late .signs
.of .increased . ICP .can .include .changes .in . vital .signs, . syncope .is
.not .typically .associated . with .elevated .ICP .in .children .and .is
, . more .common .with .cardiac .or .vasovagal .events.
