HESI EXIT
V6 EXAM
NCLEX (NGN), Case-based
Scenarios,
Actual Qs & Ans to Pass the Exam
THIS DOCUMENT 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 V6 COMPREHENSIVE EXAM
1) (NGN-Style: Single Best Response)
The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is
appropriate for this child?
A. Make certain the child is maintained in correct body alignment.
B. Be sure the traction weights touch the end of the bed.
C. Adjust the head and foot of the bed for the child's comfort.
D. Release the traction for 15–20 minutes every 6 hours PRN.
Correct Answer: A. Make certain the child is maintained in correct body alignment.
Expert-Verified Explanation:
• Proper body alignment is essential in skeletal traction to ensure effective pull and prevent complications
(e.g., nerve damage, skin breakdown, impaired bone healing).
• Weights should hang freely, not touching the bed or floor.
• Releasing traction without an order disturbs the healing process.
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2) (Standard Multiple Choice)
The nurse is assessing a healthy child at the 2-year checkup. Which of the following should the nurse
report immediately to the health care provider?
A. Height and weight percentiles vary widely.
B. Growth pattern appears to have slowed.
C. Recumbent and standing height are different.
D. Short-term weight changes are uneven.
, Correct Answer: A. Height and weight percentiles vary widely.
Expert-Verified Explanation:
• A big discrepancy between height and weight percentiles (e.g., height 10th percentile but weight 90th)
could indicate nutritional or endocrine issues.
• Slowed growth can be normal variation, but extreme differences warrant further evaluation.
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3) (NGN-Style: Single Best Response)
The parents of a 2-year-old child report that he has been holding his breath whenever he has temper
tantrums. What is the best action by the nurse?
A. Teach the parents how to perform cardiopulmonary resuscitation.
B. Recommend that the parents give in when he holds his breath to prevent anoxia.
C. Advise the parents to ignore breath holding because breathing will begin as a reflex.
D. Instruct the parents on how to reason with the child about possible harmful effects.
Correct Answer: C. Advise the parents to ignore breath holding because breathing will begin as a reflex.
Expert-Verified Explanation:
• Breath-holding spells in toddlers are typically triggered by anger/frustration; children resume breathing
spontaneously due to reflex.
• Overreacting or giving in reinforces the negative behavior.
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4) (Case Study Format: Acute Chest Pain)
The nurse is assessing a client in the emergency room. Which statement suggests that the problem is
acute angina?
A. “My pain is deep in my chest behind my sternum.”
, B. “When I sit up, the pain gets worse.”
C. “As I take a deep breath, the pain gets worse.”
D. “The pain is right here in my stomach area.”
Correct Answer: A. “My pain is deep in my chest behind my sternum.”
Expert-Verified Explanation:
• Angina often feels like pressure behind the sternum, possibly radiating.
• Pain worsened by position changes might be pericarditis; pain on inspiration might be pleuritic.
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5) (NGN-Style: Single Best Response)
The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of
these questions will best assess the function of the client's recent memory?
A. “Name the year. What season is this?”
B. “Subtract 7 from 100 and then keep subtracting 7…”
C. “I will say three words: blue, ball, pen. Please repeat them in a few minutes.”
D. “What is this on my wrist? And what is the purpose of it?”
Correct Answer: C. “I will say three words: blue, ball, pen. Please repeat them in a few minutes.”
Expert-Verified Explanation:
• Having the client recall a short list of words or objects after a brief period tests recent (short-term)
memory.
• Orientation (year, season) tests awareness, while subtracting 7s tests cognition/concentration.
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6) (Standard Multiple Choice)
In planning care for a 6-month-old infant, what must the nurse provide to assist in the development of trust?
V6 EXAM
NCLEX (NGN), Case-based
Scenarios,
Actual Qs & Ans to Pass the Exam
THIS DOCUMENT 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 V6 COMPREHENSIVE EXAM
1) (NGN-Style: Single Best Response)
The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is
appropriate for this child?
A. Make certain the child is maintained in correct body alignment.
B. Be sure the traction weights touch the end of the bed.
C. Adjust the head and foot of the bed for the child's comfort.
D. Release the traction for 15–20 minutes every 6 hours PRN.
Correct Answer: A. Make certain the child is maintained in correct body alignment.
Expert-Verified Explanation:
• Proper body alignment is essential in skeletal traction to ensure effective pull and prevent complications
(e.g., nerve damage, skin breakdown, impaired bone healing).
• Weights should hang freely, not touching the bed or floor.
• Releasing traction without an order disturbs the healing process.
───────────────────────────────────────────────────────
─
2) (Standard Multiple Choice)
The nurse is assessing a healthy child at the 2-year checkup. Which of the following should the nurse
report immediately to the health care provider?
A. Height and weight percentiles vary widely.
B. Growth pattern appears to have slowed.
C. Recumbent and standing height are different.
D. Short-term weight changes are uneven.
, Correct Answer: A. Height and weight percentiles vary widely.
Expert-Verified Explanation:
• A big discrepancy between height and weight percentiles (e.g., height 10th percentile but weight 90th)
could indicate nutritional or endocrine issues.
• Slowed growth can be normal variation, but extreme differences warrant further evaluation.
───────────────────────────────────────────────────────
─
3) (NGN-Style: Single Best Response)
The parents of a 2-year-old child report that he has been holding his breath whenever he has temper
tantrums. What is the best action by the nurse?
A. Teach the parents how to perform cardiopulmonary resuscitation.
B. Recommend that the parents give in when he holds his breath to prevent anoxia.
C. Advise the parents to ignore breath holding because breathing will begin as a reflex.
D. Instruct the parents on how to reason with the child about possible harmful effects.
Correct Answer: C. Advise the parents to ignore breath holding because breathing will begin as a reflex.
Expert-Verified Explanation:
• Breath-holding spells in toddlers are typically triggered by anger/frustration; children resume breathing
spontaneously due to reflex.
• Overreacting or giving in reinforces the negative behavior.
───────────────────────────────────────────────────────
─
4) (Case Study Format: Acute Chest Pain)
The nurse is assessing a client in the emergency room. Which statement suggests that the problem is
acute angina?
A. “My pain is deep in my chest behind my sternum.”
, B. “When I sit up, the pain gets worse.”
C. “As I take a deep breath, the pain gets worse.”
D. “The pain is right here in my stomach area.”
Correct Answer: A. “My pain is deep in my chest behind my sternum.”
Expert-Verified Explanation:
• Angina often feels like pressure behind the sternum, possibly radiating.
• Pain worsened by position changes might be pericarditis; pain on inspiration might be pleuritic.
───────────────────────────────────────────────────────
─
5) (NGN-Style: Single Best Response)
The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of
these questions will best assess the function of the client's recent memory?
A. “Name the year. What season is this?”
B. “Subtract 7 from 100 and then keep subtracting 7…”
C. “I will say three words: blue, ball, pen. Please repeat them in a few minutes.”
D. “What is this on my wrist? And what is the purpose of it?”
Correct Answer: C. “I will say three words: blue, ball, pen. Please repeat them in a few minutes.”
Expert-Verified Explanation:
• Having the client recall a short list of words or objects after a brief period tests recent (short-term)
memory.
• Orientation (year, season) tests awareness, while subtracting 7s tests cognition/concentration.
───────────────────────────────────────────────────────
─
6) (Standard Multiple Choice)
In planning care for a 6-month-old infant, what must the nurse provide to assist in the development of trust?
