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`sta
ndards.

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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`t
he`child`“got`into`some`cleaning`products.”`The`toddler`smells`of`chemicals`on`the`hands,`
face,`and`clothing.`After`ensuring`the`airway`is`patent,`what`action`should`the`nurse`imple
ment`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`
guide`subsequent`steps,`such`as`neutralizing`or`avoiding`emesis.``
•`Although`assessing`sensorium`is`important,`knowing`the`specific`chemical`dictates`eme
rgency`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`beco
me`forgetful`and`is`very`confused`at`night.`The`changes`developed`suddenly`a`few`days`a
go`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`cau
ses`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`th
is`morning.`He`is`febrile`and`tachycardic.`The`healthcare`provider`diagnoses`acute`adren
al`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`rep
lacement`(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.