HESI EXIT
V7 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.
, HESI EXIT V7 COMPREHENSIVE EXAM
QUESTION 1 (Single Choice – NGN: Behavior and Mental Health)
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A group of nursing students is touring an inpatient psychiatric unit when a male client who is in a manic
state shouts, “Want to see a crazy person?” and begins to jump up and down, flap his arms, and cluck like
a chicken. Which action is best for the nurse to take?
A. Direct the students to continue the tour without responding to the client’s behavior.
B. Medicate the client with a PRN prescription for an antianxiety agent.
C. Restrict the client to his room until he can control his behaviors.
D. Redirect the client’s acting-out behavior by asking him to perform a unit task.
ANSWER: D
EXPERT-VERIFIED EXPLANATION:
• Redirecting a manic client’s excess energy toward a constructive task is therapeutic.
• Restricting or ignoring can escalate agitation or reinforce negative behaviors.
• Medication may be warranted if redirection fails, but the nurse should use the least restrictive intervention
first.
• Occupying the client with a goal-directed, structured activity helps channel energy and maintain the
client’s dignity.
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QUESTION 2 (Single Choice – NGN: Neurologic Trauma & Priority)
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, An adult male client is brought to the emergency department (ED) by ambulance following a motorcycle
collision. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from both
ears. Which assessment finding warrants immediate intervention by the nurse?
A. Rebound abdominal tenderness
B. Diminished bilateral breath sounds
C. Nausea with projectile vomiting
D. Rib pain with deep inspiration
ANSWER: C
EXPERT-VERIFIED EXPLANATION:
• Periorbital bruising (raccoon eyes) plus bloody ear drainage suggests a basilar skull fracture.
• Projectile vomiting indicates increased intracranial pressure, requiring urgent intervention to prevent
herniation and worsening head injury.
• While other symptoms matter, managing potential ICP elevation takes priority here.
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QUESTION 3 (Select All That Apply – NGN: Pharmacology & Teaching)
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A client diagnosed with Parkinson’s disease receives a prescription for carbidopa-levodopa controlled-
release (CR) 25/100 mg PO daily each morning. Which information should the nurse include in the client’s
teaching plan? (Select all that apply.)
A. Parkinson symptoms should diminish within one week.
B. Avoid sunlight and wear sunglasses while outdoors.
C. A change in urine color to dark red often occurs while taking this drug.
D. An upset stomach may occur as a side effect of this medication.
E. The medication should only be taken during a meal.
ANSWERS: C, D
V7 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.
, HESI EXIT V7 COMPREHENSIVE EXAM
QUESTION 1 (Single Choice – NGN: Behavior and Mental Health)
───────────────────────────────────────────────────────
─
A group of nursing students is touring an inpatient psychiatric unit when a male client who is in a manic
state shouts, “Want to see a crazy person?” and begins to jump up and down, flap his arms, and cluck like
a chicken. Which action is best for the nurse to take?
A. Direct the students to continue the tour without responding to the client’s behavior.
B. Medicate the client with a PRN prescription for an antianxiety agent.
C. Restrict the client to his room until he can control his behaviors.
D. Redirect the client’s acting-out behavior by asking him to perform a unit task.
ANSWER: D
EXPERT-VERIFIED EXPLANATION:
• Redirecting a manic client’s excess energy toward a constructive task is therapeutic.
• Restricting or ignoring can escalate agitation or reinforce negative behaviors.
• Medication may be warranted if redirection fails, but the nurse should use the least restrictive intervention
first.
• Occupying the client with a goal-directed, structured activity helps channel energy and maintain the
client’s dignity.
───────────────────────────────────────────────────────
─
QUESTION 2 (Single Choice – NGN: Neurologic Trauma & Priority)
───────────────────────────────────────────────────────
─
, An adult male client is brought to the emergency department (ED) by ambulance following a motorcycle
collision. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from both
ears. Which assessment finding warrants immediate intervention by the nurse?
A. Rebound abdominal tenderness
B. Diminished bilateral breath sounds
C. Nausea with projectile vomiting
D. Rib pain with deep inspiration
ANSWER: C
EXPERT-VERIFIED EXPLANATION:
• Periorbital bruising (raccoon eyes) plus bloody ear drainage suggests a basilar skull fracture.
• Projectile vomiting indicates increased intracranial pressure, requiring urgent intervention to prevent
herniation and worsening head injury.
• While other symptoms matter, managing potential ICP elevation takes priority here.
───────────────────────────────────────────────────────
─
QUESTION 3 (Select All That Apply – NGN: Pharmacology & Teaching)
───────────────────────────────────────────────────────
─
A client diagnosed with Parkinson’s disease receives a prescription for carbidopa-levodopa controlled-
release (CR) 25/100 mg PO daily each morning. Which information should the nurse include in the client’s
teaching plan? (Select all that apply.)
A. Parkinson symptoms should diminish within one week.
B. Avoid sunlight and wear sunglasses while outdoors.
C. A change in urine color to dark red often occurs while taking this drug.
D. An upset stomach may occur as a side effect of this medication.
E. The medication should only be taken during a meal.
ANSWERS: C, D
