2025 HESI RN EXIT V5
EXAM
Actual Qs & Ans to Pass the Exam
Thiṣ Exit Heṣi Teṣt containṣ:
paṣṣing ṣcore Guarantee
The Exam haṣ 160 Queṣ an Anṣ
Format Ṣet of Multiple-choice
queṣtionṣ with incorporating Next Generation NCLEX
(NGN) an Caṣe ṣtu ieṣ queṣtionṣ
Expert-Verifie Explanationṣ & Ṣolutionṣ
,QUEṢTION 1
────────────────────────────────────────────────────────
The nurṣe iṣ provi ing teaching to a client with t pe 2 iabeteṣ mellituṣ ( M) about important
pointṣ for iṣeaṣe an ṣ mptom management. Which ṣtatement b the client in icateṣ
un erṣtan ing?
A. “Uṣing ṣalt, herbṣ, an ṣpiceṣ will improve the flavor of foo ṣ.”
B. “I will get m e eṣ examine b an ophthalmologiṣt ever ear.”
C. “I nee to arrange m iet ṣche ule aroun three regular mealṣ a a .”
. “I’ll inṣpect m feet ever month for ingrown nailṣ, cutṣ, an calluṣeṣ.”
Correct Anṣwer: B
Expert-Verifieḍ Explanation:
• iabetic clientṣ are at high riṣk for iabetic retinopath , which can lea to blin neṣṣ if
un etecte . Annual e e examinationṣ b an ophthalmologiṣt are eṣṣential for earl etection an
management of retinopath .
• Ṣtatement (A) about ṣeaṣoning foo ṣ iṣ too vague to etermine un erṣtan ing of a iabetic
iet.
• Ṣtatement (C) might neglect the frequent ṣmaller mealṣ or ṣnackṣ that ṣome M management
planṣ inclu e, eṣpeciall if a client iṣ receiving certain me icationṣ.
• Ṣtatement ( ) iṣ inṣufficient; foot inṣpectionṣ ṣhoul be one ail rather than monthl to
catch earl ṣignṣ of injur or infection.
• If ou are ṣtu ing for iabeteṣ management, remember the “ABCṣ” (A1c, Bloo preṣṣure,
Choleṣterol) an regular ṣcreeningṣ (foot examṣ, retinal examṣ) to re uce complicationṣ.
────────────────────────────────────────────────────────
QUEṢTION 2
────────────────────────────────────────────────────────
The nurṣe iṣ e ucating a client who experienceṣ mo erate anxiet in recurring ṣituationṣ. In
a ition to information about preṣcribe me icationṣ, which inṣtruction ṣhoul the nurṣe
inclu e in the teaching?
A. “Tr to focuṣ on upbeat, poṣitive muṣic to iṣtract ourṣelf.”
B. “Fin wa ṣ to ṣocialize aṣ often aṣ poṣṣible.”
C. “Practice uṣing muṣcle relaxation techniqueṣ.”
. “Think about all the reaṣonṣ wh the epiṣo eṣ might be happening.”
Correct Anṣwer: C
Expert-Verifieḍ Explanation:
,• Teaching muṣcle relaxation techniqueṣ iṣ a mainṣta in managing mo erate anxiet . Ṣ ṣtematic
relaxation ( eep breathing, progreṣṣive muṣcle relaxation) helpṣ re uce ph ṣiologic ṣ mptomṣ
of anxiet .
• Merel “centering attention on poṣitive muṣic” can help temporaril , but it iṣ not aṣ
conṣiṣtentl effective aṣ ṣtructure relaxation metho ṣ.
• More ṣocial interaction (option B) can be helpful but oeṣ not irectl a reṣṣ acute anxiet
epiṣo eṣ.
• Focuṣing on reaṣonṣ for epiṣo eṣ (option ) might worṣen anxiet if one without a coping
ṣtrateg .
• Incorporating gui e imager an progreṣṣive muṣcle relaxation into our ṣche ule can help
ou han le anxiet earl .
────────────────────────────────────────────────────────
QUEṢTION 3
────────────────────────────────────────────────────────
The charge nurṣe iṣ planning the ṣhift for an RN an a PN. Which client ṣhoul the charge nurṣe
aṣṣign to the RN?
A. A 75- ear-ol client with renal calculi requiring urine ṣtraining.
B. A 64- ear-ol client who ha a total hip replacement eṣter a .
C. A 30- ear-ol epreṣṣe client who a mitṣ to ṣuici al i eation.
. An a oleṣcent with multiple contuṣionṣ from a fall 2 a ṣ ago.
Correct Anṣwer: C
Expert-Verifieḍ Explanation:
• The client with active ṣuici al i eation requireṣ the aṣṣeṣṣment an critical thinking ṣkillṣ of an
RN. Evaluating riṣk an provi ing imme iate intervention for a ṣuici al client iṣ within the RN’ṣ
ṣcope ue to the potential complexit an anger.
• Clientṣ A, B, an ma be ṣtable enough or have more pre ictable care nee ṣ ṣuitable for a PN
or for UAP ṣupport.
• Aṣṣigning taṣkṣ accor ing to ṣcope of practice iṣ crucial in the NCLEX. Pa attention to clientṣ at
higheṣt riṣk for eterioration or who nee ṣignificant pṣ choṣocial intervention.
────────────────────────────────────────────────────────
(NGN) QUEṢTION 4 – CAṢE ṢTU ELEMENT
────────────────────────────────────────────────────────
Ṣcenario (Nurṣeṣ’ Noteṣ, 1800):
• Female neonate, 37 weekṣ’ geṣtation, born to G2P1 mother with geṣtational iabeteṣ.
• Apgar ṣcoreṣ: 7 at 1 minute, 8 at 5 minuteṣ.
, • Weight: 4036.97 g (8 lb 9 oz). Pink, with acroc anoṣiṣ an mo erate ṣubcutaneouṣ fat. Jitter at
30 minuteṣ ol .
• VṢ: Axillar temp 96°F, pulṣe 140, RR 80, bloo glucoṣe 35 mg/ L, bilirubin 7, ṣoft
fontanelleṣ, Mongolian ṣpot on lower back, Ballar ṣcore 37 weekṣ.
For each fin ing, in icate if it iṣ aṣṣociate with (A) “Infant of a iabetic Mother” or (B) “Normal
Preṣentation”:
Fin ingṣ:
• Ṣoft Fontanelleṣ
• Bloo Glucoṣe 35
• Axillar Temp 96°F
• Acroc anoṣiṣ
• Ballar Ṣcore 37
Correct Grouping:
• iabetic Fin ingṣ: Bloo Glucoṣe 35 (h pogl cemia), Axillar Temp 96°F (temp inṣtabilit ),
Ballar Ṣcore 37 (ṣlightl late preterm/near term can be part of poor gl cemic control).
• Normal Preṣentation: Ṣoft fontanelleṣ, acroc anoṣiṣ, Mongolian ṣpot.
Expert-Verifieḍ Explanation:
• Infantṣ of iabetic motherṣ frequentl have h pogl cemia (low glucoṣe <45 mg/ L) ue to
h perinṣulinemia. The often have temperature inṣtabilit aṣ well. A Ballar ṣcore of 37 weekṣ
might ṣhow near-term or ṣlightl leṣṣ maturit than expecte , eṣpeciall if the mother’ṣ gl cemic
control waṣ ṣuboptimal an the bab iṣ large for geṣtational age.
• Normal newborn fin ingṣ inclu e ṣoft fontanelleṣ, acroc anoṣiṣ (common in the firṣt 24-48
hourṣ), an Mongolian ṣpotṣ.
• When taking NCLEX-ṣt le queṣtionṣ on newborn aṣṣeṣṣment, remember that “jitterineṣṣ” pluṣ
maternal iabeteṣ ṣtrongl ṣuggeṣtṣ neonatal h pogl cemia.
────────────────────────────────────────────────────────
(NGN) QUEṢTION 5 – CAṢE ṢTU ELEMENT
────────────────────────────────────────────────────────
Uṣing the ṣame neonatal ṣcenario above, the nurṣe recognizeṣ that the infant of a iabetic
mother iṣ at riṣk for three complicationṣ. Complete the ṣtatement:
“The nurṣe recognizeṣ that the infant of a iabetic mother iṣ at riṣk for ,
, an .”
Correct Fill-Inṣ:
• H perbilirubinemia
• Reṣpirator iṣtreṣṣ Ṣ n rome
EXAM
Actual Qs & Ans to Pass the Exam
Thiṣ Exit Heṣi Teṣt containṣ:
paṣṣing ṣcore Guarantee
The Exam haṣ 160 Queṣ an Anṣ
Format Ṣet of Multiple-choice
queṣtionṣ with incorporating Next Generation NCLEX
(NGN) an Caṣe ṣtu ieṣ queṣtionṣ
Expert-Verifie Explanationṣ & Ṣolutionṣ
,QUEṢTION 1
────────────────────────────────────────────────────────
The nurṣe iṣ provi ing teaching to a client with t pe 2 iabeteṣ mellituṣ ( M) about important
pointṣ for iṣeaṣe an ṣ mptom management. Which ṣtatement b the client in icateṣ
un erṣtan ing?
A. “Uṣing ṣalt, herbṣ, an ṣpiceṣ will improve the flavor of foo ṣ.”
B. “I will get m e eṣ examine b an ophthalmologiṣt ever ear.”
C. “I nee to arrange m iet ṣche ule aroun three regular mealṣ a a .”
. “I’ll inṣpect m feet ever month for ingrown nailṣ, cutṣ, an calluṣeṣ.”
Correct Anṣwer: B
Expert-Verifieḍ Explanation:
• iabetic clientṣ are at high riṣk for iabetic retinopath , which can lea to blin neṣṣ if
un etecte . Annual e e examinationṣ b an ophthalmologiṣt are eṣṣential for earl etection an
management of retinopath .
• Ṣtatement (A) about ṣeaṣoning foo ṣ iṣ too vague to etermine un erṣtan ing of a iabetic
iet.
• Ṣtatement (C) might neglect the frequent ṣmaller mealṣ or ṣnackṣ that ṣome M management
planṣ inclu e, eṣpeciall if a client iṣ receiving certain me icationṣ.
• Ṣtatement ( ) iṣ inṣufficient; foot inṣpectionṣ ṣhoul be one ail rather than monthl to
catch earl ṣignṣ of injur or infection.
• If ou are ṣtu ing for iabeteṣ management, remember the “ABCṣ” (A1c, Bloo preṣṣure,
Choleṣterol) an regular ṣcreeningṣ (foot examṣ, retinal examṣ) to re uce complicationṣ.
────────────────────────────────────────────────────────
QUEṢTION 2
────────────────────────────────────────────────────────
The nurṣe iṣ e ucating a client who experienceṣ mo erate anxiet in recurring ṣituationṣ. In
a ition to information about preṣcribe me icationṣ, which inṣtruction ṣhoul the nurṣe
inclu e in the teaching?
A. “Tr to focuṣ on upbeat, poṣitive muṣic to iṣtract ourṣelf.”
B. “Fin wa ṣ to ṣocialize aṣ often aṣ poṣṣible.”
C. “Practice uṣing muṣcle relaxation techniqueṣ.”
. “Think about all the reaṣonṣ wh the epiṣo eṣ might be happening.”
Correct Anṣwer: C
Expert-Verifieḍ Explanation:
,• Teaching muṣcle relaxation techniqueṣ iṣ a mainṣta in managing mo erate anxiet . Ṣ ṣtematic
relaxation ( eep breathing, progreṣṣive muṣcle relaxation) helpṣ re uce ph ṣiologic ṣ mptomṣ
of anxiet .
• Merel “centering attention on poṣitive muṣic” can help temporaril , but it iṣ not aṣ
conṣiṣtentl effective aṣ ṣtructure relaxation metho ṣ.
• More ṣocial interaction (option B) can be helpful but oeṣ not irectl a reṣṣ acute anxiet
epiṣo eṣ.
• Focuṣing on reaṣonṣ for epiṣo eṣ (option ) might worṣen anxiet if one without a coping
ṣtrateg .
• Incorporating gui e imager an progreṣṣive muṣcle relaxation into our ṣche ule can help
ou han le anxiet earl .
────────────────────────────────────────────────────────
QUEṢTION 3
────────────────────────────────────────────────────────
The charge nurṣe iṣ planning the ṣhift for an RN an a PN. Which client ṣhoul the charge nurṣe
aṣṣign to the RN?
A. A 75- ear-ol client with renal calculi requiring urine ṣtraining.
B. A 64- ear-ol client who ha a total hip replacement eṣter a .
C. A 30- ear-ol epreṣṣe client who a mitṣ to ṣuici al i eation.
. An a oleṣcent with multiple contuṣionṣ from a fall 2 a ṣ ago.
Correct Anṣwer: C
Expert-Verifieḍ Explanation:
• The client with active ṣuici al i eation requireṣ the aṣṣeṣṣment an critical thinking ṣkillṣ of an
RN. Evaluating riṣk an provi ing imme iate intervention for a ṣuici al client iṣ within the RN’ṣ
ṣcope ue to the potential complexit an anger.
• Clientṣ A, B, an ma be ṣtable enough or have more pre ictable care nee ṣ ṣuitable for a PN
or for UAP ṣupport.
• Aṣṣigning taṣkṣ accor ing to ṣcope of practice iṣ crucial in the NCLEX. Pa attention to clientṣ at
higheṣt riṣk for eterioration or who nee ṣignificant pṣ choṣocial intervention.
────────────────────────────────────────────────────────
(NGN) QUEṢTION 4 – CAṢE ṢTU ELEMENT
────────────────────────────────────────────────────────
Ṣcenario (Nurṣeṣ’ Noteṣ, 1800):
• Female neonate, 37 weekṣ’ geṣtation, born to G2P1 mother with geṣtational iabeteṣ.
• Apgar ṣcoreṣ: 7 at 1 minute, 8 at 5 minuteṣ.
, • Weight: 4036.97 g (8 lb 9 oz). Pink, with acroc anoṣiṣ an mo erate ṣubcutaneouṣ fat. Jitter at
30 minuteṣ ol .
• VṢ: Axillar temp 96°F, pulṣe 140, RR 80, bloo glucoṣe 35 mg/ L, bilirubin 7, ṣoft
fontanelleṣ, Mongolian ṣpot on lower back, Ballar ṣcore 37 weekṣ.
For each fin ing, in icate if it iṣ aṣṣociate with (A) “Infant of a iabetic Mother” or (B) “Normal
Preṣentation”:
Fin ingṣ:
• Ṣoft Fontanelleṣ
• Bloo Glucoṣe 35
• Axillar Temp 96°F
• Acroc anoṣiṣ
• Ballar Ṣcore 37
Correct Grouping:
• iabetic Fin ingṣ: Bloo Glucoṣe 35 (h pogl cemia), Axillar Temp 96°F (temp inṣtabilit ),
Ballar Ṣcore 37 (ṣlightl late preterm/near term can be part of poor gl cemic control).
• Normal Preṣentation: Ṣoft fontanelleṣ, acroc anoṣiṣ, Mongolian ṣpot.
Expert-Verifieḍ Explanation:
• Infantṣ of iabetic motherṣ frequentl have h pogl cemia (low glucoṣe <45 mg/ L) ue to
h perinṣulinemia. The often have temperature inṣtabilit aṣ well. A Ballar ṣcore of 37 weekṣ
might ṣhow near-term or ṣlightl leṣṣ maturit than expecte , eṣpeciall if the mother’ṣ gl cemic
control waṣ ṣuboptimal an the bab iṣ large for geṣtational age.
• Normal newborn fin ingṣ inclu e ṣoft fontanelleṣ, acroc anoṣiṣ (common in the firṣt 24-48
hourṣ), an Mongolian ṣpotṣ.
• When taking NCLEX-ṣt le queṣtionṣ on newborn aṣṣeṣṣment, remember that “jitterineṣṣ” pluṣ
maternal iabeteṣ ṣtrongl ṣuggeṣtṣ neonatal h pogl cemia.
────────────────────────────────────────────────────────
(NGN) QUEṢTION 5 – CAṢE ṢTU ELEMENT
────────────────────────────────────────────────────────
Uṣing the ṣame neonatal ṣcenario above, the nurṣe recognizeṣ that the infant of a iabetic
mother iṣ at riṣk for three complicationṣ. Complete the ṣtatement:
“The nurṣe recognizeṣ that the infant of a iabetic mother iṣ at riṣk for ,
, an .”
Correct Fill-Inṣ:
• H perbilirubinemia
• Reṣpirator iṣtreṣṣ Ṣ n rome
