2019 HESI EXIT V2 EXAM WITH NGN QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified
Solutions | Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Clinical Judgment and Next Generation NCLEX (NGN) Principles
INTRODUCTION
This comprehensive HESI Exit V2 Examination is designed to assess the candidate's readiness for nursing practice
and the NCLEX-RN licensure examination. It evaluates the application of clinical reasoning, evidence-based
decision-making, and sound professional judgment across diverse healthcare settings. The examination integrates
Next Generation NCLEX (NGN) principles, including clinical judgment, prioritization, and scenario-based testing.
Candidates will be challenged to synthesize knowledge, prioritize patient needs, and demonstrate a commitment
,to patient safety and ethical practice. This rigorous assessment mirrors the complexity of real-world nursing
situations and is structured to prepare candidates for success on the licensure examination.
SECTION ONE
Questions 1–100
Question 1
The nurse is caring for a patient who is 6 hours post-operative following a total hip arthroplasty. Which of the
following findings requires immediate action by the nurse?
A. Pain rating of 6 on a 0-10 scale.
B. Urine output of 120 mL over the past 4 hours.
C. Heart rate of 110 bpm and blood pressure of 100/68 mmHg.
D. Serosanguineous drainage on the surgical dressing.
🟢 Correct Answer:
C. Heart rate of 110 bpm and blood pressure of 100/68 mmHg.
🔴 RATIONALE:
Tachycardia and hypotension in a post-operative patient may indicate hypovolemic shock, possibly from
,hemorrhage, and require immediate intervention. Pain of 6/10 is expected and can be managed; urine output of
30 mL/hr is adequate; serosanguineous drainage is expected.
Question 2
A patient with chronic obstructive pulmonary disease (COPD) has an oxygen saturation of 88% on room air. The
nurse administers oxygen at 2 L/min via nasal cannula. Which of the following is the most important assessment
for the nurse to make?
A. The patient's respiratory rate.
B. The patient's oxygen saturation after 10 minutes.
C. The patient's level of consciousness.
D. The patient's arterial blood gas (ABG) results.
🟢 Correct Answer:
A. The patient's respiratory rate.
🔴 RATIONALE:
In COPD patients, the respiratory drive may be hypoxic, and high oxygen levels can suppress respiration. The
nurse must monitor the respiratory rate closely to ensure it does not decrease. While O2 saturation and mental
status are important, respiratory rate is the priority to prevent CO2 retention.
Question 3
, The nurse is teaching a patient with type 1 diabetes about the signs of hypoglycemia. Which of the following
symptoms should the nurse include in the teaching?
A. Polydipsia and polyuria.
B. Diaphoresis and tachycardia.
C. Fruity breath odor.
D. Kussmaul respirations.
🟢 Correct Answer:
B. Diaphoresis and tachycardia.
🔴 RATIONALE:
Hypoglycemia activates the sympathetic nervous system, causing diaphoresis (sweating), tachycardia, tremors,
and anxiety. Polydipsia, polyuria, fruity breath odor, and Kussmaul respirations are signs of hyperglycemia and
diabetic ketoacidosis.
Question 4
A patient with heart failure is prescribed furosemide (Lasix). Which of the following laboratory values should the
nurse monitor closely?
A. Serum potassium.
B. Serum calcium.
C. Serum sodium.
D. Serum glucose.
Solutions | Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Clinical Judgment and Next Generation NCLEX (NGN) Principles
INTRODUCTION
This comprehensive HESI Exit V2 Examination is designed to assess the candidate's readiness for nursing practice
and the NCLEX-RN licensure examination. It evaluates the application of clinical reasoning, evidence-based
decision-making, and sound professional judgment across diverse healthcare settings. The examination integrates
Next Generation NCLEX (NGN) principles, including clinical judgment, prioritization, and scenario-based testing.
Candidates will be challenged to synthesize knowledge, prioritize patient needs, and demonstrate a commitment
,to patient safety and ethical practice. This rigorous assessment mirrors the complexity of real-world nursing
situations and is structured to prepare candidates for success on the licensure examination.
SECTION ONE
Questions 1–100
Question 1
The nurse is caring for a patient who is 6 hours post-operative following a total hip arthroplasty. Which of the
following findings requires immediate action by the nurse?
A. Pain rating of 6 on a 0-10 scale.
B. Urine output of 120 mL over the past 4 hours.
C. Heart rate of 110 bpm and blood pressure of 100/68 mmHg.
D. Serosanguineous drainage on the surgical dressing.
🟢 Correct Answer:
C. Heart rate of 110 bpm and blood pressure of 100/68 mmHg.
🔴 RATIONALE:
Tachycardia and hypotension in a post-operative patient may indicate hypovolemic shock, possibly from
,hemorrhage, and require immediate intervention. Pain of 6/10 is expected and can be managed; urine output of
30 mL/hr is adequate; serosanguineous drainage is expected.
Question 2
A patient with chronic obstructive pulmonary disease (COPD) has an oxygen saturation of 88% on room air. The
nurse administers oxygen at 2 L/min via nasal cannula. Which of the following is the most important assessment
for the nurse to make?
A. The patient's respiratory rate.
B. The patient's oxygen saturation after 10 minutes.
C. The patient's level of consciousness.
D. The patient's arterial blood gas (ABG) results.
🟢 Correct Answer:
A. The patient's respiratory rate.
🔴 RATIONALE:
In COPD patients, the respiratory drive may be hypoxic, and high oxygen levels can suppress respiration. The
nurse must monitor the respiratory rate closely to ensure it does not decrease. While O2 saturation and mental
status are important, respiratory rate is the priority to prevent CO2 retention.
Question 3
, The nurse is teaching a patient with type 1 diabetes about the signs of hypoglycemia. Which of the following
symptoms should the nurse include in the teaching?
A. Polydipsia and polyuria.
B. Diaphoresis and tachycardia.
C. Fruity breath odor.
D. Kussmaul respirations.
🟢 Correct Answer:
B. Diaphoresis and tachycardia.
🔴 RATIONALE:
Hypoglycemia activates the sympathetic nervous system, causing diaphoresis (sweating), tachycardia, tremors,
and anxiety. Polydipsia, polyuria, fruity breath odor, and Kussmaul respirations are signs of hyperglycemia and
diabetic ketoacidosis.
Question 4
A patient with heart failure is prescribed furosemide (Lasix). Which of the following laboratory values should the
nurse monitor closely?
A. Serum potassium.
B. Serum calcium.
C. Serum sodium.
D. Serum glucose.
