2025 HESI EXIT
V2 EXAM
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.
,1. A 35-year-old client with sickle cell crisis is talking on the telephone but stops as
the nurse enters the room to request something for pain. The nurse should:
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
Answer: C) Administer the prescribed analgesia
Expert-Verified Explanation: Sickle cell crisis causes severe pain; timely
administration of prescribed analgesia is crucial. Other measures (e.g., fluids,
relaxation) are helpful but not sufficient alone for acute pain.
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2. While caring for a toddler with croup, which initial sign of croup requires the
nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
, Answer: A) Respiratory rate of 42
Expert-Verified Explanation: An elevated respiratory rate may signal respiratory
distress. Immediate recognition and intervention are key to preventing worsening
croup.
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3. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
Answer: A) Lethargy
Expert-Verified Explanation: Low T3/T4 with high TSH indicates hypothyroidism,
commonly presenting with lethargy, fatigue, and cold intolerance.
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, 4. In planning care for a 6-month-old infant, what must the nurse provide to assist
in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
Answer: C) Security
Expert-Verified Explanation: Consistent and reliable caregiving that provides a
sense of security is vital for establishing trust in infancy.
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─
5. A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
V2 EXAM
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.
,1. A 35-year-old client with sickle cell crisis is talking on the telephone but stops as
the nurse enters the room to request something for pain. The nurse should:
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
Answer: C) Administer the prescribed analgesia
Expert-Verified Explanation: Sickle cell crisis causes severe pain; timely
administration of prescribed analgesia is crucial. Other measures (e.g., fluids,
relaxation) are helpful but not sufficient alone for acute pain.
───────────────────────────────────────────────────────
─
2. While caring for a toddler with croup, which initial sign of croup requires the
nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
, Answer: A) Respiratory rate of 42
Expert-Verified Explanation: An elevated respiratory rate may signal respiratory
distress. Immediate recognition and intervention are key to preventing worsening
croup.
───────────────────────────────────────────────────────
─
3. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
Answer: A) Lethargy
Expert-Verified Explanation: Low T3/T4 with high TSH indicates hypothyroidism,
commonly presenting with lethargy, fatigue, and cold intolerance.
───────────────────────────────────────────────────────
─
, 4. In planning care for a 6-month-old infant, what must the nurse provide to assist
in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
Answer: C) Security
Expert-Verified Explanation: Consistent and reliable caregiving that provides a
sense of security is vital for establishing trust in infancy.
───────────────────────────────────────────────────────
─
5. A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
