EXIT V2
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
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WHAT YOU WILL GET:
➢ Achieving a 900+ on the HESI EXIT Exam
➢EACH EXAM SET HAS 160 QUESTIONS
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,Table of Contents
SET 1 EXAM ..............................................................2
SET 2 EXAM ............................................................73
SET 3 EXAM ..........................................................170
SET 1 EXAM
1. A child newly 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 daily
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 family
Correct Answer: A. Instructions about how much fluid the child should drink daily
Expert–Verified Rationale: Hydration is crucial for children with sickle cell disease;
adequate fluid intake helps reduce blood viscosity and the risk of vaso-occlusive crises.
While monitoring for excessive opioid use is important, the more urgent and universal
priority is ensuring daily fluid intake to prevent sickling episodes. Provide parents with a
daily fluid goal based on the child's weight, age, and activity level. Show them how to
track fluid volumes and encourage the child to sip fluids throughout the day.
2. A female client presents in the emergency 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 Rationale: When caring for a sexual assault survivor, preserving
evidence is a priority. Asking whether the client has taken a bath or shower is crucial:
bathing could destroy critical forensic evidence needed if the client decides to press
charges. Ensuring the client's immediate safety is also essential, but the top priority
question pertains to preserving medical and forensic integrity. Encourage a
compassionate, trauma-informed approach: use open-ended, calm, respectful
questioning; ensure privacy and emotional support; involve a Sexual Assault Nurse
Examiner (SANE) team if available.
3. The nurse is completing the admission assessment of a 3-year-old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment finding
is evidence that the child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
Correct Answer: B. Sluggish and unequal pupillary responses
Expert–Verified Rationale: Changes in pupillary reactions—especially sluggish or
asymmetric responses—are a critical sign of rising intracranial pressure. With bacterial
meningitis and potential hydrocephalus, early detection of ICP changes is essential.
While bulging fontanels and head circumference changes are classic in younger infants,
a 3-year-old's fontanels are typically closed. Therefore, pupillary changes are more
reliable in that age group. Remind caregivers to watch for subtle neurological changes
in children and to report them immediately. This can facilitate early intervention and
prevent complications such as brain herniation.
4. A client with acute pancreatitis is admitted with severe, piercing abdominal
pain and an elevated serum amylase. Which additional information is the client
most likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender