2025 HESI EXIT
V2 EXAM RETAKE
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.
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QUESTION 1 (Single Choice, NGN Clinical Judgment)
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An adult woman with a history of an inferior myocardial infarction (MI), esophageal
reflux, and type 1 diabetes mellitus is admitted to the telemetry unit for sudden onset
of dizziness with palpitations and a burning sensation in her chest. Which intervention
should the nurse implement first?
A. Evaluate the telemetry cardiac rhythm
B. Administer an oral antacid
C. Assess blood glucose level
D. Review the client’s last meal choices
CORRECT ANSWER: A
RATIONALE (EXPERT EXPLANATION):
• Use the ABCs (Airway, Breathing, Circulation) approach. In a patient with a history of
MI, dizziness and palpitations could indicate a new dysrhythmia or ischemic changes.
• Although reflux and blood glucose are also important considerations, checking the
cardiac monitor first addresses the potentially life-threatening issue of an arrhythmia.
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QUESTION 2 (Select All That Apply, NGN Style)
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,When conducting diet teaching for a client who was diagnosed with a myocardial
infarction, which snack foods should the nurse encourage the client to eat? (Select all
that apply.)
A. Chicken bouillon soup and toast
B. Fresh vegetables with mayonnaise dip
C. Fresh turkey slices and berries
D. Raw unsalted almonds and apples
E. Soda crackers and peanut butter
CORRECT ANSWERS: C, D
RATIONALE (EXPERT EXPLANATION):
• Post-MI diets focus on heart-healthy, low-fat, and low-sodium options.
• Fresh turkey (lean protein) plus berries, and raw, unsalted almonds plus apples, fit
these guidelines.
• Bouillon soup is often high in sodium; mayonnaise dip adds unnecessary fat; peanut
butter/crackers can have sodium and fat levels that may need moderation.
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QUESTION 3 (Single Choice)
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A male client who is experiencing musculoskeletal pain is discharged with instructions to
take ibuprofen by mouth twice daily (BID). After receiving discharge teaching, the client
states he plans to take the medication at breakfast and dinner. How should the nurse
respond?
A. Review the need to limit intake of leafy, green vegetables such as spinach
, B. Confirm that the client has an effective plan for when to take the medication
C. Explain the need to take the medication before meals to increase absorption
D. Remind the client to increase fluid intake while taking the medication
CORRECT ANSWER: B
RATIONALE (EXPERT EXPLANATION):
• Ibuprofen is best taken with food to minimize GI irritation.
• The client’s plan to take it at breakfast and dinner meets that need.
• While reminding about fluids and limiting certain foods might help, confirming the
safe, practical schedule is the priority.
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QUESTION 4 (Single Choice, NGN Clinical Judgment/Case Scenario)
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A client at 28 weeks’ gestation is admitted to the obstetrical unit following a motor
vehicle collision. After stabilizing the client, the nurse obtains a fetal monitor reading.
What action should the nurse take if fetal tachycardia is assessed on the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Contact the health care provider after initiating oxygen by face mask
C. Explain that there is no indication the fetal heart rate is due to trauma
D. Evaluate the presence of preterm labor by performing a vaginal examination
CORRECT ANSWER: B
RATIONALE (EXPERT EXPLANATION):
• Fetal tachycardia is often a sign of fetal distress or hypoxia.
V2 EXAM RETAKE
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.
,───────────────────────────────────────────────────────
─
QUESTION 1 (Single Choice, NGN Clinical Judgment)
───────────────────────────────────────────────────────
─
An adult woman with a history of an inferior myocardial infarction (MI), esophageal
reflux, and type 1 diabetes mellitus is admitted to the telemetry unit for sudden onset
of dizziness with palpitations and a burning sensation in her chest. Which intervention
should the nurse implement first?
A. Evaluate the telemetry cardiac rhythm
B. Administer an oral antacid
C. Assess blood glucose level
D. Review the client’s last meal choices
CORRECT ANSWER: A
RATIONALE (EXPERT EXPLANATION):
• Use the ABCs (Airway, Breathing, Circulation) approach. In a patient with a history of
MI, dizziness and palpitations could indicate a new dysrhythmia or ischemic changes.
• Although reflux and blood glucose are also important considerations, checking the
cardiac monitor first addresses the potentially life-threatening issue of an arrhythmia.
───────────────────────────────────────────────────────
─
QUESTION 2 (Select All That Apply, NGN Style)
───────────────────────────────────────────────────────
─
,When conducting diet teaching for a client who was diagnosed with a myocardial
infarction, which snack foods should the nurse encourage the client to eat? (Select all
that apply.)
A. Chicken bouillon soup and toast
B. Fresh vegetables with mayonnaise dip
C. Fresh turkey slices and berries
D. Raw unsalted almonds and apples
E. Soda crackers and peanut butter
CORRECT ANSWERS: C, D
RATIONALE (EXPERT EXPLANATION):
• Post-MI diets focus on heart-healthy, low-fat, and low-sodium options.
• Fresh turkey (lean protein) plus berries, and raw, unsalted almonds plus apples, fit
these guidelines.
• Bouillon soup is often high in sodium; mayonnaise dip adds unnecessary fat; peanut
butter/crackers can have sodium and fat levels that may need moderation.
───────────────────────────────────────────────────────
─
QUESTION 3 (Single Choice)
───────────────────────────────────────────────────────
─
A male client who is experiencing musculoskeletal pain is discharged with instructions to
take ibuprofen by mouth twice daily (BID). After receiving discharge teaching, the client
states he plans to take the medication at breakfast and dinner. How should the nurse
respond?
A. Review the need to limit intake of leafy, green vegetables such as spinach
, B. Confirm that the client has an effective plan for when to take the medication
C. Explain the need to take the medication before meals to increase absorption
D. Remind the client to increase fluid intake while taking the medication
CORRECT ANSWER: B
RATIONALE (EXPERT EXPLANATION):
• Ibuprofen is best taken with food to minimize GI irritation.
• The client’s plan to take it at breakfast and dinner meets that need.
• While reminding about fluids and limiting certain foods might help, confirming the
safe, practical schedule is the priority.
───────────────────────────────────────────────────────
─
QUESTION 4 (Single Choice, NGN Clinical Judgment/Case Scenario)
───────────────────────────────────────────────────────
─
A client at 28 weeks’ gestation is admitted to the obstetrical unit following a motor
vehicle collision. After stabilizing the client, the nurse obtains a fetal monitor reading.
What action should the nurse take if fetal tachycardia is assessed on the monitor?
A. Recount the heart rate manually to confirm a monitor malfunction
B. Contact the health care provider after initiating oxygen by face mask
C. Explain that there is no indication the fetal heart rate is due to trauma
D. Evaluate the presence of preterm labor by performing a vaginal examination
CORRECT ANSWER: B
RATIONALE (EXPERT EXPLANATION):
• Fetal tachycardia is often a sign of fetal distress or hypoxia.
