HESI RN Exit Exam V2 2025 Actual Qs Ans to

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HESI RN Exit Exam (V2) 2025 Actual Qs & Ans to Pass the Exam

Question 1: 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)?

• Tachycardia and tachypnea
• Sluggish and unequal pupillary responses
• Increased head circumference and bulging fontanels
• Blood pressure fluctuations and syncope

Correct answer: B. Sluggish and unequal pupillary responses

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Question 2: 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?

• Abdominal pain decreases when lying supine
• Pain lasts an hour and leaves the abdomen tender

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• Right upper quadrant pain refers to right scapula
• Drinks alcohol until intoxicated at least twice weekly

Correct answer: D. Drinks alcohol until intoxicated at least

twice weekly

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Question 3: 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?

• Instructions about how much fluid the child should drink

daily

• Signs of addiction to opioid pain medications
• Information about non-pharmaceutical pain relief measures
• Referral for social services for the child and family

Correct answer: A. Instructions about how much fluid the child

should drink daily

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Question 4: To auscultate for a carotid bruit, the nurse places the

stethoscope at what location. (Select the location on the image with a red dot).

Correct answer: I placed the red dot on the base of the neck on

the right side

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Question 5: After receiving report on an inpatient acute care

unit, which client should the nurse assess first?

• The client with an obstruction of the large intestine who is

experiencing abdominal distention

• The client who had surgery yesterday and is experiencing a

paralytic ileus with absent bowel sounds

• The client with a small bowel obstruction who has a

nasogastric tube that is draining greenish fluid

• The client with a bowel obstruction due to a volvulus who is

experiencing abdominal rigidity

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Correct answer: D. The client with a bowel obstruction due to a

volvulus who is experiencing abdominal rigidity

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Question 6: A teenager presents to the emergency department

with palpitations after vaping at a party. The client is anxious, fearful, and hyperventilating. The nurse anticipates the client developing which acid base imbalance?

• Respiratory acidosis
• Metabolic alkalosis
• Metabolic acidosis
• Respiratory alkalosis

Correct answer: D. Respiratory alkalosis

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