HESI Exit Exam 750 NCLEX-Style RN
Practice Questions with Rationales
Prepared for Nursing Students
HESI Exit Exam Preparation for NCLEX-RN 2025
Updated for Next Generation NCLEX (NGN)
Effective as of 10 July 2025
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2 Core Practice Questions and Rationales . . . . . . . . . . . . . . . . . . . . . . . 3
2.1 Sample Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
3 Additional Questions and Answers . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.1 Fundamentals of Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
3.2 Medical-Surgical Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
3.3 Pediatric Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3.4 Maternity Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.5 Psychiatric Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
3.6 Pharmacology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.7 Clinical Judgment (NGN-Style) . . . . . . . . . . . . . . . . . . . . . . . . . . 12
4 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
5 Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
2
, 1 Introduction
This document is a comprehensive resource for nursing students preparing for the HESI Exit
Exam and the NCLEX-RN in 2025. It includes 750 NCLEX-style practice questions with clear
rationales, focusing on key nursing concepts such as fundamentals, medical-surgical, pedi-
atrics, maternity, psychiatric nursing, and pharmacology. Additionally, 100 relevant questions
and answers are provided to deepen understanding, tailored to the Next Generation NCLEX
(NGN) format, which emphasizes clinical judgment and critical thinking. The content is con-
cise, practical, and aligned with the 2025 NCLEX-RN test plan, ensuring students are well-
prepared for both exams.
2 Core Practice Questions and Rationales
This section provides a sample of 10 NCLEX-style practice questions with rationales, reflecting
the HESI Exit Exams focus on clinical judgment and key nursing topics.
2.1 Sample Questions
Q1: A client with heart failure is prescribed furosemide 40 mg IV. Which assessment
finding requires immediate action by the nurse?
A. Blood pressure of 90/60 mmHg
B. Heart rate of 88 beats/min
C. Respiratory rate of 20 breaths/min
D. Oxygen saturation of 95%
Answer: A. Blood pressure of 90/60 mmHg
Rationale: Furosemide can cause hypotension due to fluid volume reduction. A blood pressure
of 90/60 mmHg indicates potential hypoperfusion, requiring immediate intervention. Other
options are within normal ranges.
Q2: A 3-year-old is admitted with suspected bacterial meningitis. Which finding suggests
increased intracranial pressure (ICP)?
A. Heart rate of 100 beats/min
B. Bulging fontanels
C. Temperature of 37.5řC
D. Clear cerebrospinal fluid
Answer: B. Bulging fontanels
Rationale: Bulging fontanels in a young child indicate increased ICP, a critical sign of menin-
gitis. Other options are not specific to ICP.
Q3: A client with diabetes mellitus reports nausea and sweating. The nurse finds a blood
glucose level of 50 mg/dL. What is the priority action?
3
Practice Questions with Rationales
Prepared for Nursing Students
HESI Exit Exam Preparation for NCLEX-RN 2025
Updated for Next Generation NCLEX (NGN)
Effective as of 10 July 2025
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2 Core Practice Questions and Rationales . . . . . . . . . . . . . . . . . . . . . . . 3
2.1 Sample Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
3 Additional Questions and Answers . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.1 Fundamentals of Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
3.2 Medical-Surgical Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
3.3 Pediatric Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3.4 Maternity Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.5 Psychiatric Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
3.6 Pharmacology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.7 Clinical Judgment (NGN-Style) . . . . . . . . . . . . . . . . . . . . . . . . . . 12
4 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
5 Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
2
, 1 Introduction
This document is a comprehensive resource for nursing students preparing for the HESI Exit
Exam and the NCLEX-RN in 2025. It includes 750 NCLEX-style practice questions with clear
rationales, focusing on key nursing concepts such as fundamentals, medical-surgical, pedi-
atrics, maternity, psychiatric nursing, and pharmacology. Additionally, 100 relevant questions
and answers are provided to deepen understanding, tailored to the Next Generation NCLEX
(NGN) format, which emphasizes clinical judgment and critical thinking. The content is con-
cise, practical, and aligned with the 2025 NCLEX-RN test plan, ensuring students are well-
prepared for both exams.
2 Core Practice Questions and Rationales
This section provides a sample of 10 NCLEX-style practice questions with rationales, reflecting
the HESI Exit Exams focus on clinical judgment and key nursing topics.
2.1 Sample Questions
Q1: A client with heart failure is prescribed furosemide 40 mg IV. Which assessment
finding requires immediate action by the nurse?
A. Blood pressure of 90/60 mmHg
B. Heart rate of 88 beats/min
C. Respiratory rate of 20 breaths/min
D. Oxygen saturation of 95%
Answer: A. Blood pressure of 90/60 mmHg
Rationale: Furosemide can cause hypotension due to fluid volume reduction. A blood pressure
of 90/60 mmHg indicates potential hypoperfusion, requiring immediate intervention. Other
options are within normal ranges.
Q2: A 3-year-old is admitted with suspected bacterial meningitis. Which finding suggests
increased intracranial pressure (ICP)?
A. Heart rate of 100 beats/min
B. Bulging fontanels
C. Temperature of 37.5řC
D. Clear cerebrospinal fluid
Answer: B. Bulging fontanels
Rationale: Bulging fontanels in a young child indicate increased ICP, a critical sign of menin-
gitis. Other options are not specific to ICP.
Q3: A client with diabetes mellitus reports nausea and sweating. The nurse finds a blood
glucose level of 50 mg/dL. What is the priority action?
3
