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.
,───────────────────────────────────────────────────────
─
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.
───────────────────────────────────────────────────────
─
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.
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.
,───────────────────────────────────────────────────────
─
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.
───────────────────────────────────────────────────────
─
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.
───────────────────────────────────────────────────────
─
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.
───────────────────────────────────────────────────────
─
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.
