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,TABLE OF CONTTENTS
HESI RN Exit E am v1 3
HESI RN Exit E am v2 149
HESI RN Exit V3. 204
HESI Exit RN V 261
HESI Exit RN V5 304
HESI Exit RN V6 349
HESI EXIT RN 7 391
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ESI EXIT RN EXAM V1-V7 PAST PAPER FRO M 2022-2024 WITH
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HESI E
EXIT EXAMS V1--V7
,HESI RN Exit Exam v1
The nurse is com pleting the admission assessment of a 3-year-old who
is admitted with bacterial meningitis
hydrocephal us. Which
and
assessment finding is evidence that the child is experi encing increased
intracranial pressure (ICP)?
A. Tachycardia ard tachypnea
B. Sluggish and u nequal pupillary responses
C. Increased head
dcircumference and bulging fontane S
D. e fluctuations and syncope
Blood pressure
✓✓-ANSWER- 4-
B. Sluggish and u nequal pupillary
responses
Rationale:
Sluggish and une equal pupillary responses t sign
are a direc of increased
sure affecting cranial
intracranial pres: nerves, particularly the
oculomotor nerv
we (cranial nerve III). These findings i ndicate neurologic
deterioration and warrant immediate intervention.
Explanation of Ircorrect Options:
A. Tachycardia and tachypnea: These are nonspecific findings
and may аccur with fever or infection but are not reliable
indicators of increased ICP. In fact, bradycardia (not tachycardia)
is often seen with rising ICP.
C. Increasehead circumference and bulging fontanels: These
ed
are signs nore typically seen in infants due to open sutures. By
3 years of age, the fontanels are generally closed, making this
less likely.
D. Blood p ressure fluctuations and syncope: WWhile late signs of
ased e changes in vital sigu5, syncope is no1
typically a ssociated with elevated ICP in children and is more
common w
vith cardiac or vasovagal events.
, Test-Taking Tip:
In ents, neurologic signs like pupillary hanges and
pediatric patie
altered level of c
consciousness are more reliable indic cators of increased
general signs such as changes in heart rate
ICP than or respiratory rate.
as are age-appropriate.
Know which sigm
AnalysIS
ursing: Content Review and NCLEX®.Style Q&A
REF: Pediatric Nu
OBJ: Neurologica
al assessment and prioritization in pediatrics
TOP: Pediatric Neurological Disorders
A client with acutte pancreatitis is admitted with severe, piercing
abdominal pain a and an elevated serum amylase.Whic ch additional
information is the client most likely to report to the nurse?
in decreases when lying supine
A. Abdominal pai
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekl
✓✓-ANSWER ✓-A. Abdominal pain decreases wh en lying supine
Rationale:
Chronic or binge alcohol consumpion is one of the n ost common
causes of pancreatitis.
acute p Alcohol leads to inflam nation of the
pancreatic ducts and premature activation of pancreatic enzymes,
which results in autodigestion of the pancreas and ir tense abdominal
pain.
Explanation of Ir
acorrect Options:
A. Abdom nal pain decreases when lying supine: This is
incorrect. Pancreatic pain typically worsens when lying flat and
improves when sitting up and leaning forward
B. Pain lasts an hour and leaves the abdomen tender: Pancreatic
pain is persistent and severe, often lasting for hours to days. It is
not typica ly transient.