HESI RN Exit Exam Ultimate NCLEX-RN Predictor for BSN/ADN Nursing Graduates 2025 Edition

The HESI RN Exit Exam, from Elsevier's Health Education Systems Incorporated (HESI), is a high-stakes, computer-adaptive capstone assessment for Associate Degree in Nursing (ADN) and Bachelor of Science in Nursing (BSN) programs, predicting NCLEX-RN success with 98% accuracy. This 150-question exam (versions V1/V2) over 4 hours includes multiple-choice, select-all-that-apply, and priority-setting items across nine domains: Fundamentals, Pharmacology, Medical-Surgical, Maternal/Neonatal, Pediatrics, Psychiatric/Mental Health, Community Health, Research, and Management—focusing on clinical judgment, patient safety, and evidence-based care. Key scenarios cover topics like SIADH fluid restrictions, therapeutic lithium levels (0.6–1.2 mEq/L), and ethical delegation. Scored 0–1,500 (850+ signals 90%+ NCLEX pass probability), it's required for graduation and offers detailed analytics for remediation. Administered via HESI Compass, preparation uses the HESI Comprehensive Review book, Quizlet (1,000+ questions), and Naxlex banks; students achieve 900–1,100 scores after 3–6 weeks of study. Essential for licensure readiness in acute, long-term, and community settings.