HESI RN EXIT EXAM TEST BANK 2025/2026 (VERSIONS 1–7) + BONUS PAST PAPERS 2022–2024 WITH
DIAGRAMS, RATIONALES & PICTURES
,TABLE cOF cCONTENTS
HESI cRN cExit cExam cv1 ........................................................................................ 3
HESI cRN cExit cExam cv2 .................................................................................... 149
HESI cRN cExit cV3 .............................................................................................. 204
c c HESI cExit cRN cV4 ........................................................................................... 261
HESI cExit cRN cV5 .............................................................................................. 304
HESI cExit cRN cV6 .............................................................................................. 349
HESI cEXIT cRN c V7 ........................................................................................... 391
ADDITIONAL cHESI cEXIT cRN cEXAM cV1-V7 cPAST cPAPER cFROM c2022-2024
c WITH cPICTURES,RATIONALES c AND cDIAGRAMS ......................................... 528
WISHING cYOU cALL cTHE cBEST cAS cYOU cEXPLORE cTHE cBEST
cMASTERPIECE cEVER
RATE c MY cWORK cFOR cMORE
HESIEXITEXAMSV1–V7 c c c c c
,HESI RN Exit Exam v1
c c c c
The cnurse cis ccompleting cthe cadmission cassessment cof ca c3-year-old
cwho cis cadmitted cwith cbacterial cmeningitis cand chydrocephalus.
cWhich
assessment cfinding cis cevidence cthat cthe cchild cis cexperiencing
cincreased cintracranial cpressure c(ICP)?
A. cTachycardia cand ctachypnea
B. cSluggish cand cunequal cpupillary cresponses
C. cIncreased chead ccircumference cand cbulging cfontanels
D. cBlood cpressure cfluctuations cand csyncope
- c✔✔- cANSWER-✔✔-
B. cSluggish cand cunequal cpupillary
responses
Rationale:
Sluggish cand cunequal cpupillary cresponses care ca cdirect csign cof
cincreased cintracranial cpressure caffecting ccranial cnerves, cparticularly
cthe
oculomotor cnerve c(cranial cnerve cIII). cThese cfindings cindicate
cneurologic cdeterioration cand cwarrant cimmediate cintervention.
Explanation cof cIncorrect cOptions:
• A. cTachycardia cand ctachypnea: cThese care cnonspecific
cfindings cand cmay coccur cwith cfever cor cinfection cbut care
cnot creliable
indicators cof cincreased cICP. cIn cfact, cbradycardia c(not
ctachycardia) cis coften cseen cwith crising cICP.
• C. cIncreased chead ccircumference cand cbulging cfontanels:
cThese care csigns cmore ctypically cseen cin cinfants cdue cto copen
csutures. cBy c3 cyears cof cage, cthe cfontanels care cgenerally
cclosed, cmaking cthis cless clikely.
• D. cBlood cpressure cfluctuations cand csyncope: cWhile clate csigns
, cof cincreased cICP ccan cinclude cchanges cin cvital csigns, csyncope
cis cnot ctypically cassociated cwith celevated cICP cin cchildren cand
cis cmore ccommon cwith ccardiac cor cvasovagal cevents.
DIAGRAMS, RATIONALES & PICTURES
,TABLE cOF cCONTENTS
HESI cRN cExit cExam cv1 ........................................................................................ 3
HESI cRN cExit cExam cv2 .................................................................................... 149
HESI cRN cExit cV3 .............................................................................................. 204
c c HESI cExit cRN cV4 ........................................................................................... 261
HESI cExit cRN cV5 .............................................................................................. 304
HESI cExit cRN cV6 .............................................................................................. 349
HESI cEXIT cRN c V7 ........................................................................................... 391
ADDITIONAL cHESI cEXIT cRN cEXAM cV1-V7 cPAST cPAPER cFROM c2022-2024
c WITH cPICTURES,RATIONALES c AND cDIAGRAMS ......................................... 528
WISHING cYOU cALL cTHE cBEST cAS cYOU cEXPLORE cTHE cBEST
cMASTERPIECE cEVER
RATE c MY cWORK cFOR cMORE
HESIEXITEXAMSV1–V7 c c c c c
,HESI RN Exit Exam v1
c c c c
The cnurse cis ccompleting cthe cadmission cassessment cof ca c3-year-old
cwho cis cadmitted cwith cbacterial cmeningitis cand chydrocephalus.
cWhich
assessment cfinding cis cevidence cthat cthe cchild cis cexperiencing
cincreased cintracranial cpressure c(ICP)?
A. cTachycardia cand ctachypnea
B. cSluggish cand cunequal cpupillary cresponses
C. cIncreased chead ccircumference cand cbulging cfontanels
D. cBlood cpressure cfluctuations cand csyncope
- c✔✔- cANSWER-✔✔-
B. cSluggish cand cunequal cpupillary
responses
Rationale:
Sluggish cand cunequal cpupillary cresponses care ca cdirect csign cof
cincreased cintracranial cpressure caffecting ccranial cnerves, cparticularly
cthe
oculomotor cnerve c(cranial cnerve cIII). cThese cfindings cindicate
cneurologic cdeterioration cand cwarrant cimmediate cintervention.
Explanation cof cIncorrect cOptions:
• A. cTachycardia cand ctachypnea: cThese care cnonspecific
cfindings cand cmay coccur cwith cfever cor cinfection cbut care
cnot creliable
indicators cof cincreased cICP. cIn cfact, cbradycardia c(not
ctachycardia) cis coften cseen cwith crising cICP.
• C. cIncreased chead ccircumference cand cbulging cfontanels:
cThese care csigns cmore ctypically cseen cin cinfants cdue cto copen
csutures. cBy c3 cyears cof cage, cthe cfontanels care cgenerally
cclosed, cmaking cthis cless clikely.
• D. cBlood cpressure cfluctuations cand csyncope: cWhile clate csigns
, cof cincreased cICP ccan cinclude cchanges cin cvital csigns, csyncope
cis cnot ctypically cassociated cwith celevated cICP cin cchildren cand
cis cmore ccommon cwith ccardiac cor cvasovagal cevents.
