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.
,───────────────────────────────────────────────────────
─
1)*(NGN:*Single*Best*Response)
A*mother*runs*into*the*emergency*department*with*a*toddler*in*her*arms*and*reports*that
*the*child*“got*into*some*cleaning*products.”*The*toddler*smells*of*chemicals*on*the*hand
s,*face,*and*clothing.*After*ensuring*the*airway*is*patent,*what*action*should*the*nurse*im
plement*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*t
o*guide*subsequent*steps,*such*as*neutralizing*or*avoiding*emesis.**
•*Although*assessing*sensorium*is*important,*knowing*the*specific*chemical*dictates*em
ergency*interventions.**
•*Gastric*lavage*is*not*a*first*step*before*substance*identification.**
•*Poison*control*is*typically*contacted*after*confirming*the*likely*chemical*involved.
───────────────────────────────────────────────────────
─
2)*(NGN:*Multiple*Response)
Which*conditions*are*most*likely*to*respond*to*treatment*with*antihistamines?*Select*all*t
hat*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.
───────────────────────────────────────────────────────
─
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*
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*ca
uses*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*n
ew*medication*was*started.
───────────────────────────────────────────────────────
─
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*t
his*morning.*He*is*febrile*and*tachycardic.*The*healthcare*provider*diagnoses*acute*adr
enal*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*re
placement*(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.
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.
,───────────────────────────────────────────────────────
─
1)*(NGN:*Single*Best*Response)
A*mother*runs*into*the*emergency*department*with*a*toddler*in*her*arms*and*reports*that
*the*child*“got*into*some*cleaning*products.”*The*toddler*smells*of*chemicals*on*the*hand
s,*face,*and*clothing.*After*ensuring*the*airway*is*patent,*what*action*should*the*nurse*im
plement*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*t
o*guide*subsequent*steps,*such*as*neutralizing*or*avoiding*emesis.**
•*Although*assessing*sensorium*is*important,*knowing*the*specific*chemical*dictates*em
ergency*interventions.**
•*Gastric*lavage*is*not*a*first*step*before*substance*identification.**
•*Poison*control*is*typically*contacted*after*confirming*the*likely*chemical*involved.
───────────────────────────────────────────────────────
─
2)*(NGN:*Multiple*Response)
Which*conditions*are*most*likely*to*respond*to*treatment*with*antihistamines?*Select*all*t
hat*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.
───────────────────────────────────────────────────────
─
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*
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*ca
uses*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*n
ew*medication*was*started.
───────────────────────────────────────────────────────
─
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*t
his*morning.*He*is*febrile*and*tachycardic.*The*healthcare*provider*diagnoses*acute*adr
enal*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*re
placement*(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.
