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.
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1) A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents
prior to discharge?
A. Instructions about how much fluid the child should drink daily
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
CORRECT ANSWER: A. Instructions about how much fluid the child should drink
daily
EXPERT–VERIFIED EXPLANATION:
• Hydration is crucial for children with sickle cell disease. Adequate fluid intake
reduces blood viscosity and lowers the risk of vaso-occlusive crises.
• While monitoring for excessive opioid use is important, the universal and urgent
priority is ensuring daily fluid intake to help prevent crises.
, • Provide parents with a daily fluid goal based on the child’s weight, age, and
activity level, and show them how to track fluid volumes.
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2) A female client presents in the emergency department and tells the nurse that she
was raped last night. Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
CORRECT ANSWER: A. Has she taken a bath since the rape occurred?
EXPERT–VERIFIED EXPLANATION:
• Preserving forensic evidence is a priority with sexual assault survivors. Bathing or
showering can wash away critical evidence that may be needed later if the client
decides to press charges.
• Ensuring immediate safety is also important, but first clarify whether evidence may
have been compromised.
, • Use a trauma-informed approach: stay calm, maintain privacy, offer emotional
support, and involve a Sexual Assault Nurse Examiner (SANE) if available.
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3) 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
CORRECT ANSWER: B. Sluggish and unequal pupillary responses
EXPERT–VERIFIED EXPLANATION:
• Pupillary changes—especially sluggish or unequal responses—are a critical early
manifestation of rising intracranial pressure in children beyond infancy (fontanels
typically closed by age 3).
• Bulging fontanels or head circumference changes are classic in younger infants but
less reliable in a 3-year-old.
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 child newly diagnosed with sickle cell anemia (SCA) is being discharged from the
hospital. Which information is most important for the nurse to provide the parents
prior to discharge?
A. Instructions about how much fluid the child should drink daily
B. Signs of addiction to opioid pain medications
C. Information about non-pharmaceutical pain relief measures
D. Referral for social services for the child and family
CORRECT ANSWER: A. Instructions about how much fluid the child should drink
daily
EXPERT–VERIFIED EXPLANATION:
• Hydration is crucial for children with sickle cell disease. Adequate fluid intake
reduces blood viscosity and lowers the risk of vaso-occlusive crises.
• While monitoring for excessive opioid use is important, the universal and urgent
priority is ensuring daily fluid intake to help prevent crises.
, • Provide parents with a daily fluid goal based on the child’s weight, age, and
activity level, and show them how to track fluid volumes.
───────────────────────────────────────────────────────
─
2) A female client presents in the emergency department and tells the nurse that she
was raped last night. Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
CORRECT ANSWER: A. Has she taken a bath since the rape occurred?
EXPERT–VERIFIED EXPLANATION:
• Preserving forensic evidence is a priority with sexual assault survivors. Bathing or
showering can wash away critical evidence that may be needed later if the client
decides to press charges.
• Ensuring immediate safety is also important, but first clarify whether evidence may
have been compromised.
, • Use a trauma-informed approach: stay calm, maintain privacy, offer emotional
support, and involve a Sexual Assault Nurse Examiner (SANE) if available.
───────────────────────────────────────────────────────
─
3) 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
CORRECT ANSWER: B. Sluggish and unequal pupillary responses
EXPERT–VERIFIED EXPLANATION:
• Pupillary changes—especially sluggish or unequal responses—are a critical early
manifestation of rising intracranial pressure in children beyond infancy (fontanels
typically closed by age 3).
• Bulging fontanels or head circumference changes are classic in younger infants but
less reliable in a 3-year-old.
