HESI RN Exit Exam Test Bank
| | | | |
2025/2026 (Versions 1–7) + BONUS
| | | |
Past Papers 2022–2024 with
| | |
Diagrams, Rationales & Pictures
| | | |
,TABLE OF CONTENTS| |
HESI |RN |Exit |Exam |v1 .......................................................................................... 3
HESI |RN |Exit |Exam |v2 ...................................................................................... 149
HESI |RN |Exit |V3................................................................................................ 204
| | HESI |Exit |RN |V4 ............................................................................................... 261
HESI |Exit |RN |V5................................................................................................ 304
HESI |Exit |RN |V6................................................................................................ 349
HESI |EXIT |RN | V7 ............................................................................................. 391
ADDITIONAL |HESI |EXIT |RN |EXAM |V1-V7 |PAST |PAPER |FROM |2022-2024
| WITH |PICTURES,RATIONALES | AND |DIAGRAMS ........................................... 528
WISHING YOU ALL THE BEST AS YOU EXPLORE THE BEST
| | | | | | | | |
MASTERPIECE EVER
| |
RATE MY WORK FOR MORE| | | |
HESIEXITEXAMSV1–V7 | | | | |
,HESI RN Exit Exam v1| | | |
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
- ✔✔- ANSWER-✔✔-
| |
B. Sluggish and unequal pupillary
| | | |
responses
Rationale:
Sluggish and unequal pupillary responses are a direct sign of increased
| | | | | | | | | |
intracranial pressure affecting cranial nerves, particularly the
| | | | | | |
oculomotor nerve (cranial nerve III). These findings indicate neurologic
| | | | | | | |
deterioration and warrant immediate intervention.
| | | | |
Explanation of Incorrect Options: | | |
• A. Tachycardia and tachypnea: These are nonspecific findings
| | | | | | |
|and may occur with fever or infection but are not reliable
| | | | | | | | | |
indicators of increased ICP. In fact, bradycardia (not tachycardia)
| | | | | | | |
|is often seen with rising ICP.
| | | | |
• C. Increased head circumference and bulging fontanels: These
| | | | | | |
are signs more typically seen in infants due to open sutures.
| | | | | | | | | | |
By 3 years of age, the fontanels are generally closed, making
| | | | | | | | | | |
this less likely.
| | |
• D. Blood pressure fluctuations and syncope: While late signs of
| | | | | | | | |
increased ICP can include changes in vital signs, syncope is
| | | | | | | | | |
not typically associated with elevated ICP in children and is
| | | | | | | | | |
more common with cardiac or vasovagal events.
| | | | | | |
, Test-Taking Tip: |
In pediatric patients, neurologic signs like pupillary changes and
| | | | | | | |
altered level of consciousness are more reliable indicators of increased
| | | | | | | | |
|ICP than general signs such as changes in heart rate or respiratory
| | | | | | | | | | |
|rate. Know which signs are age-appropriate.
| | | | |
DIF: Analysis |
REF: Pediatric Nursing: Content Review and NCLEX®-Style Q&A
| | | | | | |
OBJ: Neurological assessment and prioritization in pediatrics
| | | | | | |
TOP: Pediatric Neurological Disorders
| | | |
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
C. Right |upper |quadrant |pain |refers |to |right |scapula
D. Drinks |alcohol |until |intoxicated |at |least |twice |weekly.
- ✔✔- ANSWER-✔✔-A. Abdominal pain decreases when lying supine
| | | | | | | |
Rationale:
Chronic or binge alcohol consumption is one of the most common
| | | | | | | | | |
causes of acute pancreatitis. Alcohol leads to inflammation of
| | | | | | | | |
the pancreatic ducts and premature activation of pancreatic
| | | | | | | |
enzymes,
|
which results in autodigestion of the pancreas and intense abdominal
| | | | | | | | |
pain.
|
Explanation of Incorrect Options: | | |
• A. Abdominal pain decreases when lying supine: This is
| | | | | | | |
incorrect. Pancreatic pain typically worsens when lying flat
| | | | | | | |
and improves when siFng up and leaning forward.
| | | | | | | |
• B. Pain lasts an hour and leaves the abdomen tender: Pancreatic
| | | | | | | | | |
pain is persistent and severe, often lasting for hours to days. It
| | | | | | | | | | | |
is not typically transient.
| | | |
| | | | |
2025/2026 (Versions 1–7) + BONUS
| | | |
Past Papers 2022–2024 with
| | |
Diagrams, Rationales & Pictures
| | | |
,TABLE OF CONTENTS| |
HESI |RN |Exit |Exam |v1 .......................................................................................... 3
HESI |RN |Exit |Exam |v2 ...................................................................................... 149
HESI |RN |Exit |V3................................................................................................ 204
| | HESI |Exit |RN |V4 ............................................................................................... 261
HESI |Exit |RN |V5................................................................................................ 304
HESI |Exit |RN |V6................................................................................................ 349
HESI |EXIT |RN | V7 ............................................................................................. 391
ADDITIONAL |HESI |EXIT |RN |EXAM |V1-V7 |PAST |PAPER |FROM |2022-2024
| WITH |PICTURES,RATIONALES | AND |DIAGRAMS ........................................... 528
WISHING YOU ALL THE BEST AS YOU EXPLORE THE BEST
| | | | | | | | |
MASTERPIECE EVER
| |
RATE MY WORK FOR MORE| | | |
HESIEXITEXAMSV1–V7 | | | | |
,HESI RN Exit Exam v1| | | |
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
- ✔✔- ANSWER-✔✔-
| |
B. Sluggish and unequal pupillary
| | | |
responses
Rationale:
Sluggish and unequal pupillary responses are a direct sign of increased
| | | | | | | | | |
intracranial pressure affecting cranial nerves, particularly the
| | | | | | |
oculomotor nerve (cranial nerve III). These findings indicate neurologic
| | | | | | | |
deterioration and warrant immediate intervention.
| | | | |
Explanation of Incorrect Options: | | |
• A. Tachycardia and tachypnea: These are nonspecific findings
| | | | | | |
|and may occur with fever or infection but are not reliable
| | | | | | | | | |
indicators of increased ICP. In fact, bradycardia (not tachycardia)
| | | | | | | |
|is often seen with rising ICP.
| | | | |
• C. Increased head circumference and bulging fontanels: These
| | | | | | |
are signs more typically seen in infants due to open sutures.
| | | | | | | | | | |
By 3 years of age, the fontanels are generally closed, making
| | | | | | | | | | |
this less likely.
| | |
• D. Blood pressure fluctuations and syncope: While late signs of
| | | | | | | | |
increased ICP can include changes in vital signs, syncope is
| | | | | | | | | |
not typically associated with elevated ICP in children and is
| | | | | | | | | |
more common with cardiac or vasovagal events.
| | | | | | |
, Test-Taking Tip: |
In pediatric patients, neurologic signs like pupillary changes and
| | | | | | | |
altered level of consciousness are more reliable indicators of increased
| | | | | | | | |
|ICP than general signs such as changes in heart rate or respiratory
| | | | | | | | | | |
|rate. Know which signs are age-appropriate.
| | | | |
DIF: Analysis |
REF: Pediatric Nursing: Content Review and NCLEX®-Style Q&A
| | | | | | |
OBJ: Neurological assessment and prioritization in pediatrics
| | | | | | |
TOP: Pediatric Neurological Disorders
| | | |
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
C. Right |upper |quadrant |pain |refers |to |right |scapula
D. Drinks |alcohol |until |intoxicated |at |least |twice |weekly.
- ✔✔- ANSWER-✔✔-A. Abdominal pain decreases when lying supine
| | | | | | | |
Rationale:
Chronic or binge alcohol consumption is one of the most common
| | | | | | | | | |
causes of acute pancreatitis. Alcohol leads to inflammation of
| | | | | | | | |
the pancreatic ducts and premature activation of pancreatic
| | | | | | | |
enzymes,
|
which results in autodigestion of the pancreas and intense abdominal
| | | | | | | | |
pain.
|
Explanation of Incorrect Options: | | |
• A. Abdominal pain decreases when lying supine: This is
| | | | | | | |
incorrect. Pancreatic pain typically worsens when lying flat
| | | | | | | |
and improves when siFng up and leaning forward.
| | | | | | | |
• B. Pain lasts an hour and leaves the abdomen tender: Pancreatic
| | | | | | | | | |
pain is persistent and severe, often lasting for hours to days. It
| | | | | | | | | | | |
is not typically transient.
| | | |
