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
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.
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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
