Updated HESI RN Exit Exam Test Bank for 2025/2026 Versions 1–7 with Diagrams, Rationales & Photos

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Latest HESI RN Exit Exam Test Bank 2026 All Versions 1–7 & EXTRA Past Papers 2022–2025 (inclusive of Diagrams, Rationales & Photos TABLE OF CONTENTS HESI RN Exit Exam v1 ........................................................................................... 3 HESI RN Exit Exam v2 ....................................................................................... 149 HESI RN Exit V3 ................................................................................................ 204 HESI Exit RN V4 ................................................................................................. 261 HESI Exit RN V5 ................................................................................................ 304 HESI Exit RN V6 ................................................................................................ 349 HESI EXIT RN V7 .............................................................................................. 391 ADDITIONAL HESI EXIT RN EXAM V1-V7 PAST PAPER FROM 2022-2025 WITH PICTURES, RATIONALES AND DIAGRAMS ...................................................... 528 HESI EXIT EXAMS V1 – V7 HESI RN Exit Exam v1 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 - ✔✔- ANSWER-✔✔B. Sluggish and unequal pupillary responses Rationale: Sluggish and unequal pupillary responses are a direct sign of increased intracranial pressure affecting cranial nerves, particularly the oculomotor nerve (cranial nerve III). These findings indicate neurologic deterioration and warrant immediate intervention. Explanation of Incorrect Options: • A. Tachycardia and tachypnea: These are nonspecific findings and may occur with fever or infection but are not reliable indicators of increased ICP. In fact, bradycardia (not tachycardia) is often seen with rising ICP. • C. Increased head circumference and bulging fontanels: These are signs more typically seen in infants due to open sutures. By 3 years of age, the fontanels are generally closed, making this less likely. • D. Blood pressure fluctuations and syncope: While late signs of increased ICP can include changes in vital signs, syncope is not typically associated with elevated ICP in children and is more common with cardiac or vasovagal events. Test-Taking Tip: In pediatric patients, neurologic signs like pupillary changes and altered level of consciousness are more reliable indicators of increased ICP than general signs such as changes in heart rate or respiratory rate. Know which signs are age-appropriate. DIF: Analysis REF: Pediatric Nursing: Content Review and NCLEX®-Style Q&A OBJ: Neurological assessment and prioritization in pediatrics TOP: Pediatric Neurological Disorders 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? A. Abdominal pain decreases when lying supine B. Pain lasts an hour and leaves the abdomen tender C. Right upper quadrant pain refers to right scapula D. Drinks alcohol until intoxicated at least twice weekly. - ✔✔- ANSWER-✔✔-A. Abdominal pain decreases when lying supine Rationale: Chronic or binge alcohol consumption is one of the most common causes of acute pancreatitis. Alcohol leads to inflammation of the pancreatic ducts and premature activation of pancreatic enzymes, which results in autodigestion of the pancreas and intense abdominal pain. Explanation of Incorrect Options: • A. Abdominal pain decreases when lying supine: This is incorrect. Pancreatic pain typically worsens when lying flat and improves when siFng up and leaning forward. • B. Pain lasts an hour and leaves the abdomen tender: Pancreatic pain is persistent and severe, often lasting for hours to days. It is not typically transient.