2026 HESI
RN EXIT V2
3 FULL SET
EXAmS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score with Confidence
WHAT YOU WILL GET:
Achieving a 900+ on the HESI EXIT Exam
, EACH EXAm SET HAS 160
QUESTIONS
Not affiliated with HESI, ATI or NCLEX. For study purposes only.
Table of Contents
SET 1 EXAm..............................................................................................................................2
SET 2 EXAm............................................................................................................................75
SET 3 EXAm..........................................................................................................................176
SET 1 EXAm
1. 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?
A. Instructions about how much fluid the child should drink daily
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
Correct Answer: A. Instructions about how much fluid the child should drink daily
Expert–Verified Rationale: Hydration is crucial for children with sickle cell disease;
adequate fluid intake helps reduce blood viscosity and the risk of vaso-occlusive crises.
While monitoring for excessive opioid use is important, the more urgent and universal
priority is ensuring daily fluid intake to prevent sickling episodes. Provide parents with a
daily fluid goal based on the child's weight, age, and activity level. Show them how to
track fluid volumes and encourage the child to sip fluids throughout the day.
,2. A female client presents in the emergency department and tells the nurse that
she was raped last night. Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
Correct Answer: A. Has she taken a bath since the rape occurred?
Expert–Verified Rationale: When caring for a sexual assault survivor, preserving
evidence is a priority. Asking whether the client has taken a bath or shower is crucial:
bathing could destroy critical forensic evidence needed if the client decides to press
charges. Ensuring the client's immediate safety is also essential, but the top priority
question pertains to preserving medical and forensic integrity. Encourage a
compassionate, trauma-informed approach: use open-ended, calm, respectful
questioning; ensure privacy and emotional support; involve a Sexual Assault Nurse
Examiner (SANE) team if available.
3. 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
Correct Answer: B. Sluggish and unequal pupillary responses
Expert–Verified Rationale: Changes in pupillary reactions—especially sluggish or
asymmetric responses—are a critical sign of rising intracranial pressure. With bacterial
meningitis and potential hydrocephalus, early detection of ICP changes is essential.
While bulging fontanels and head circumference changes are classic in younger infants,
a 3-year-old's fontanels are typically closed. Therefore, pupillary changes are more
reliable in that age group. Remind caregivers to watch for subtle neurological changes
in children and to report them immediately. This can facilitate early intervention and
prevent complications such as brain herniation.
, 4. 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?
A. Abdominal pain decreases when lying supine
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
Correct Answer: A. Abdominal pain decreases when lying supine
Expert–Verified Rationale: Clients with acute pancreatitis often find their pain is most
intense when lying flat (supine) and may find some relief by sitting up and leaning
forward. This counterintuitive statement (that the pain "decreases" when supine) can
arise if the question is focusing on how the patient perceives or tries to find a
comfortable position. Alcohol abuse (choice D) is a major contributor, but in the
immediate sense, how the pain is positional is a distinguishing clinical feature. Help the
client find the best position for pain relief (often leaning forward). Pain management and
lifestyle modifications to prevent recurrences are essential.
5. After receiving report on an inpatient acute care unit, which client should the
nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal
distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with
absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draining
greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal
rigidity
Correct Answer: D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity
Expert–Verified Rationale: Abdominal rigidity in the setting of a bowel obstruction
(especially a volvulus) may indicate strangulation or perforation—both are emergencies.
Distended abdomen, NG drainage, or absent bowel sounds can be serious but do not
immediately suggest the same risk of ischemia or acute peritonitis. Rapidly assess vital
signs, pain level, and consider emergent imaging to rule out compromised blood supply.
RN EXIT V2
3 FULL SET
EXAmS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score with Confidence
WHAT YOU WILL GET:
Achieving a 900+ on the HESI EXIT Exam
, EACH EXAm SET HAS 160
QUESTIONS
Not affiliated with HESI, ATI or NCLEX. For study purposes only.
Table of Contents
SET 1 EXAm..............................................................................................................................2
SET 2 EXAm............................................................................................................................75
SET 3 EXAm..........................................................................................................................176
SET 1 EXAm
1. 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?
A. Instructions about how much fluid the child should drink daily
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
Correct Answer: A. Instructions about how much fluid the child should drink daily
Expert–Verified Rationale: Hydration is crucial for children with sickle cell disease;
adequate fluid intake helps reduce blood viscosity and the risk of vaso-occlusive crises.
While monitoring for excessive opioid use is important, the more urgent and universal
priority is ensuring daily fluid intake to prevent sickling episodes. Provide parents with a
daily fluid goal based on the child's weight, age, and activity level. Show them how to
track fluid volumes and encourage the child to sip fluids throughout the day.
,2. A female client presents in the emergency department and tells the nurse that
she was raped last night. Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
Correct Answer: A. Has she taken a bath since the rape occurred?
Expert–Verified Rationale: When caring for a sexual assault survivor, preserving
evidence is a priority. Asking whether the client has taken a bath or shower is crucial:
bathing could destroy critical forensic evidence needed if the client decides to press
charges. Ensuring the client's immediate safety is also essential, but the top priority
question pertains to preserving medical and forensic integrity. Encourage a
compassionate, trauma-informed approach: use open-ended, calm, respectful
questioning; ensure privacy and emotional support; involve a Sexual Assault Nurse
Examiner (SANE) team if available.
3. 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
Correct Answer: B. Sluggish and unequal pupillary responses
Expert–Verified Rationale: Changes in pupillary reactions—especially sluggish or
asymmetric responses—are a critical sign of rising intracranial pressure. With bacterial
meningitis and potential hydrocephalus, early detection of ICP changes is essential.
While bulging fontanels and head circumference changes are classic in younger infants,
a 3-year-old's fontanels are typically closed. Therefore, pupillary changes are more
reliable in that age group. Remind caregivers to watch for subtle neurological changes
in children and to report them immediately. This can facilitate early intervention and
prevent complications such as brain herniation.
, 4. 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?
A. Abdominal pain decreases when lying supine
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
Correct Answer: A. Abdominal pain decreases when lying supine
Expert–Verified Rationale: Clients with acute pancreatitis often find their pain is most
intense when lying flat (supine) and may find some relief by sitting up and leaning
forward. This counterintuitive statement (that the pain "decreases" when supine) can
arise if the question is focusing on how the patient perceives or tries to find a
comfortable position. Alcohol abuse (choice D) is a major contributor, but in the
immediate sense, how the pain is positional is a distinguishing clinical feature. Help the
client find the best position for pain relief (often leaning forward). Pain management and
lifestyle modifications to prevent recurrences are essential.
5. After receiving report on an inpatient acute care unit, which client should the
nurse assess first?
A. The client with an obstruction of the large intestine who is experiencing abdominal
distention
B. The client who had surgery yesterday and is experiencing a paralytic ileus with
absent bowel sounds
C. The client with a small bowel obstruction who has a nasogastric tube that is draining
greenish fluid
D. The client with a bowel obstruction due to a volvulus who is experiencing abdominal
rigidity
Correct Answer: D. The client with a bowel obstruction due to a volvulus who is
experiencing abdominal rigidity
Expert–Verified Rationale: Abdominal rigidity in the setting of a bowel obstruction
(especially a volvulus) may indicate strangulation or perforation—both are emergencies.
Distended abdomen, NG drainage, or absent bowel sounds can be serious but do not
immediately suggest the same risk of ischemia or acute peritonitis. Rapidly assess vital
signs, pain level, and consider emergent imaging to rule out compromised blood supply.
