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
standards.
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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 the 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 implement 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
emergency 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
that 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
become 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`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.
───────────────────────────────────────────────────────
─
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.
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
standards.
,───────────────────────────────────────────────────────
─
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
hands, face, and clothing. After ensuring the airway is patent, what action should the
nurse implement 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
emergency 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
that 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
become 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`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.
───────────────────────────────────────────────────────
─
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.
