2025 HESI EXIT
V2 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI EXIT CONSISTS OF
160 Questions and Answers
Multiple-choice Style
Select All That Apply (SATA), ordering, fill-in-the-blank for dosage
including Next Generation NCLEX (NGN) items
Case-based Scenarios
Expert Rationales consistent with HESI−Elsevier/Evolve standards.
,1. A 35-year-old client with sickle cell crisis is talking on the telephone but stops as the
nurse enters the room to request something for pain. The nurse should:
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
Answer: C) Administer the prescribed analgesia
Expert-Verified Explanation: Sickle cell crisis causes severe pain; timely administration
of prescribed analgesia is crucial. Other measures (e.g., fluids, relaxation) are helpful
but not sufficient alone for acute pain.
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2. While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
, Answer: A) Respiratory rate of 42
Expert-Verified Explanation: An elevated respiratory rate may signal respiratory
distress. Immediate recognition and intervention are key to preventing worsening
croup.
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3. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
Answer: A) Lethargy
Expert-Verified Explanation: Low T3/T4 with high TSH indicates hypothyroidism,
commonly presenting with lethargy, fatigue, and cold intolerance.
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4. In planning care for a 6-month-old infant, what must the nurse provide to assist in
the development of trust?
, A) Food
B) Warmth
C) Security
D) Comfort
Answer: C) Security
Expert-Verified Explanation: Consistent and reliable caregiving that provides a sense
of security is vital for establishing trust in infancy.
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─
5. A nurse has just received a medication order which is not legible. Which statement
best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to
read your writing."
V2 EXAM
NCLEX (NGN), Case-based Scenarios,
Actual Qs & Ans to Pass the Exam
THIS HESI EXIT CONSISTS OF
160 Questions and Answers
Multiple-choice Style
Select All That Apply (SATA), ordering, fill-in-the-blank for dosage
including Next Generation NCLEX (NGN) items
Case-based Scenarios
Expert Rationales consistent with HESI−Elsevier/Evolve standards.
,1. A 35-year-old client with sickle cell crisis is talking on the telephone but stops as the
nurse enters the room to request something for pain. The nurse should:
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
Answer: C) Administer the prescribed analgesia
Expert-Verified Explanation: Sickle cell crisis causes severe pain; timely administration
of prescribed analgesia is crucial. Other measures (e.g., fluids, relaxation) are helpful
but not sufficient alone for acute pain.
───────────────────────────────────────────────────────
─
2. While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
, Answer: A) Respiratory rate of 42
Expert-Verified Explanation: An elevated respiratory rate may signal respiratory
distress. Immediate recognition and intervention are key to preventing worsening
croup.
───────────────────────────────────────────────────────
─
3. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
Answer: A) Lethargy
Expert-Verified Explanation: Low T3/T4 with high TSH indicates hypothyroidism,
commonly presenting with lethargy, fatigue, and cold intolerance.
───────────────────────────────────────────────────────
─
4. In planning care for a 6-month-old infant, what must the nurse provide to assist in
the development of trust?
, A) Food
B) Warmth
C) Security
D) Comfort
Answer: C) Security
Expert-Verified Explanation: Consistent and reliable caregiving that provides a sense
of security is vital for establishing trust in infancy.
───────────────────────────────────────────────────────
─
5. A nurse has just received a medication order which is not legible. Which statement
best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to
read your writing."
