V2 EXAM
Actual Qs & Ans to Pass the Exam
This Exit Hesi Test contains:
passing score Guarantee
The Exam has 160 Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case studies questions
Expert-Verified Explanations & Solutions
,1) A child 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
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
Correct Answer: A. Instructions about how much fluid the child should drink
Expert–Verified Explanation:
• is crucial for children with sickle cell disease; adequate fluid intake
helps reduce blood viscos and the risk of vaso-occlusive crises.
• While monitoring for excessive opioid use is important, the more urgent
and universal is ensuring fluid intake to prevent crises.
• Provide parents with a fluid goal based on the ch ’s weight, age, and
c level. Show them how to track fluid volumes and encourage the child to
sip fluids
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2) A female client presents in the c 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 Explanation:
• When caring for a sexual assault survivor, preserving evidence is a
Asking whether the client has taken a bath or shower is crucial:
bathing could des critical forensic evidence needed if the client decides
to press charges.
• Ensuring the c ’s immediate s is also essential, but the top
question pertains to preserving medical and forensic (e.g., further details
on location or known perpetrator come after ensuring no contamination of
forensic evidence).
• Encourage a compassionate, trauma-informed approach: use open-
ended, calm, respectful questioning; ensure c and emotional support;
involve a Sexual Assault Nurse Examiner (SANE) team if available.
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3) The nurse is completing the admission assessment of a - -old who is
admitted with bacterial meningitis and h c h s. Which assessment finding
is evidence that the child is experiencing increased intracranial pressure (ICP)?
A. ch c and ch
B. Sluggish and unequal responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and s c
Correct Answer: B. Sluggish and unequal responses
Expert–Verified Explanation:
• Changes in reactions—es c sluggish or as c
responses— are a critical sign of rising intracranial pressure. With bacterial
meningitis and potential h c h s, detection of ICP changes is
• While bulging fontanels and head circumference changes are classic in
infants, a - - ’s fontanels are c closed. Therefore,
, changes are more reliable in that age group.