HESI EXIT V1 EXAM RETAKE NCLEX (NGN), Case-based Scenarios, Actual Qs & Ans to Pass the Exam

HESI EXIT
V1 EXAM RETAKE
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,stan
dards.

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1),(NGN:,Single,Best,Response)
A,mother,runs,into,the,emergency,department,with,a,toddler,in,her,arms,and,reports,that,th
e,child,“got,into,some,cleaning,products.”,The,toddler,smells,of,chemicals,on,the,hands,,fa
ce,,and,clothing.,After,ensuring,the,airway,is,patent,,what,action,should,the,nurse,impleme
nt,first?


,,,,A.,Assess,the,child,for,altered,sensorium

,,,,B.,Determine,type,of,chemical,exposure

,,,,C.,Obtain,equipment,for,gastric,lavage

,,,,D.,Call,the,poison,control,emergency,number




Correct,Answer:,B.,Determine,type,of,chemical,exposure


Expert-Verified,Explanation:
•,Once,the,airway,is,secure,,identifying,the,exact,substance,(acid,,alkali,,etc.),is,crucial,to,g
uide,subsequent,steps,,such,as,neutralizing,or,avoiding,emesis.,,
•,Although,assessing,sensorium,is,important,,knowing,the,specific,chemical,dictates,emer
gency,interventions.,,
•,Gastric,lavage,is,not,a,first,step,before,substance,identification.,,
•,Poison,control,is,typically,contacted,after,confirming,the,likely,chemical,involved.


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2),(NGN:,Multiple,Response)
Which,conditions,are,most,likely,to,respond,to,treatment,with,antihistamines?,Select,all,th
at,apply.

,,,,,A.,Bronchitis

,,,,B.,Allergic,rhinitis

,,,,C.,Otitis,media

,,,,D.,Contact,dermatitis

,,,,E.,Myocarditis




Correct,Answers:,B,(Allergic,rhinitis),,D,(Contact,dermatitis)


Expert-Verified,Explanation:
•,Antihistamines,block,histamine,receptors,and,are,effective,for,histamine-
mediated,allergic,reactions.,,
•,Allergic,rhinitis,(B),and,contact,dermatitis,(D),commonly,improve,with,antihistamines.,,
•,Bronchitis,,otitis,media,,and,myocarditis,are,not,primarily,driven,by,histamine,release.


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3),(NGN:,Multiple,Response)
An,older,client’s,daughter,calls,the,home,health,nurse,to,report,that,her,mother,has,becom
e,forgetful,and,is,very,confused,at,night.,The,changes,developed,suddenly,a,few,days,ago,
and,are,worsening.,Which,actions,should,the,nurse,take?,Select,all,that,apply.


,,,,A.,Ask,if,the,mother,has,pain,with,urination

,,,,B.,Encourage,increased,intake,of,high-protein,foods

,,,,C.,Instruct,the,daughter,to,check,the,mother’s,temperature

,,,,D.,Review,the,client’s,current,food,and,medication,allergies

,,,,E.,Determine,if,the,mother,has,recently,experienced,a,fall




Correct,Answers:,A,,C,,E


Expert-Verified,Explanation:

, •,Sudden-
onset,confusion,in,older,adults,often,points,to,possible,infection,(UTI),,fever,,or,acute,caus
es,like,a,head,injury,from,a,fall.,,
•,A,(Check,for,UTI,symptoms),and,C,(Check,temperature),can,reveal,infection/sepsis.,,
•,E,(Assess,for,a,recent,fall),is,important,in,case,of,head,injury.,,
•,Increasing,protein,(B),is,not,the,first,action,without,further,assessment.,,
•,Reviewing,allergies,(D),might,be,relevant,later,,but,not,an,immediate,priority,unless,a,ne
w,medication,was,started.


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4),(NGN:,Single,Best,Response)
A,male,client,with,Addison’s,disease,presents,with,flu-
like,symptoms,,nausea/vomiting,for,a,week.,His,spouse,notes,confusion,and,weakness,thi
s,morning.,He,is,febrile,and,tachycardic.,The,healthcare,provider,diagnoses,acute,adrenal,
insufficiency.,Which,medication,is,most,likely,prescribed?


,,,,A.,Hypertonic,saline,at,100,mL/hr,until,edema,disappears

,,,,B.,Hydrocortisone,100,mg,IV,every,six,hours,until,systolic,BP,reaches,110,mmHg

,,,,C.,Potassium,chloride,20,mEq,IV,over,two,hours,until,confusion,resolves

,,,,D.,Regular,insulin,drip,to,maintain,blood,glucose,near,100,mg/dL,(5.55,mmol/L)




Correct,Answer:,B.,Hydrocortisone,100,mg,IV,every,six,hours


Expert-Verified,Explanation:
•,An,Addisonian,crisis,(acute,adrenal,insufficiency),requires,immediate,glucocorticoid,repl
acement,(hydrocortisone).,,
•,Hypertonic,saline,for,edema,(A),is,not,standard,for,Addison’s.,,
•,Potassium,is,typically,high,in,Addison’s;,giving,K+,could,worsen,hyperkalemia.,,
•,Insulin,drip,(D),is,only,for,patients,with,hyperglycemia,or,DKA.