2025 HESI EXIT
V6 EXAM
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-Style: Single Best Response)
The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
nursing intervention is appropriate for this child?
A. Make certain the child is maintained in correct body alignment.
B. Be sure the traction weights touch the end of the bed.
C. Adjust the head and foot of the bed for the child's comfort.
D. Release the traction for 15–20 minutes every 6 hours PRN.
Correct Answer: A. Make certain the child is maintained in correct body alignment.
Expert-Verified Explanation:
• Proper body alignment is essential in skeletal traction to ensure effective pull and
prevent complications (e.g., nerve damage, skin breakdown, impaired bone
healing).
• Weights should hang freely, not touching the bed or floor.
• Releasing traction without an order disturbs the healing process.
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2) (Standard Multiple Choice)
,The nurse is assessing a healthy child at the 2-year checkup. Which of the following
should the nurse report immediately to the health care provider?
A. Height and weight percentiles vary widely.
B. Growth pattern appears to have slowed.
C. Recumbent and standing height are different.
D. Short-term weight changes are uneven.
Correct Answer: A. Height and weight percentiles vary widely.
Expert-Verified Explanation:
• A big discrepancy between height and weight percentiles (e.g., height 10th
percentile but weight 90th) could indicate nutritional or endocrine issues.
• Slowed growth can be normal variation, but extreme differences warrant further
evaluation.
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3) (NGN-Style: Single Best Response)
The parents of a 2-year-old child report that he has been holding his breath
whenever he has temper tantrums. What is the best action by the nurse?
, A. Teach the parents how to perform cardiopulmonary resuscitation.
B. Recommend that the parents give in when he holds his breath to prevent anoxia.
C. Advise the parents to ignore breath holding because breathing will begin as a
reflex.
D. Instruct the parents on how to reason with the child about possible harmful
effects.
Correct Answer: C. Advise the parents to ignore breath holding because breathing
will begin as a reflex.
Expert-Verified Explanation:
• Breath-holding spells in toddlers are typically triggered by anger/frustration;
children resume breathing spontaneously due to reflex.
• Overreacting or giving in reinforces the negative behavior.
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4) (Case Study Format: Acute Chest Pain)
The nurse is assessing a client in the emergency room. Which statement suggests
that the problem is acute angina?
V6 EXAM
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-Style: Single Best Response)
The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
nursing intervention is appropriate for this child?
A. Make certain the child is maintained in correct body alignment.
B. Be sure the traction weights touch the end of the bed.
C. Adjust the head and foot of the bed for the child's comfort.
D. Release the traction for 15–20 minutes every 6 hours PRN.
Correct Answer: A. Make certain the child is maintained in correct body alignment.
Expert-Verified Explanation:
• Proper body alignment is essential in skeletal traction to ensure effective pull and
prevent complications (e.g., nerve damage, skin breakdown, impaired bone
healing).
• Weights should hang freely, not touching the bed or floor.
• Releasing traction without an order disturbs the healing process.
───────────────────────────────────────────────────────
─
2) (Standard Multiple Choice)
,The nurse is assessing a healthy child at the 2-year checkup. Which of the following
should the nurse report immediately to the health care provider?
A. Height and weight percentiles vary widely.
B. Growth pattern appears to have slowed.
C. Recumbent and standing height are different.
D. Short-term weight changes are uneven.
Correct Answer: A. Height and weight percentiles vary widely.
Expert-Verified Explanation:
• A big discrepancy between height and weight percentiles (e.g., height 10th
percentile but weight 90th) could indicate nutritional or endocrine issues.
• Slowed growth can be normal variation, but extreme differences warrant further
evaluation.
───────────────────────────────────────────────────────
─
3) (NGN-Style: Single Best Response)
The parents of a 2-year-old child report that he has been holding his breath
whenever he has temper tantrums. What is the best action by the nurse?
, A. Teach the parents how to perform cardiopulmonary resuscitation.
B. Recommend that the parents give in when he holds his breath to prevent anoxia.
C. Advise the parents to ignore breath holding because breathing will begin as a
reflex.
D. Instruct the parents on how to reason with the child about possible harmful
effects.
Correct Answer: C. Advise the parents to ignore breath holding because breathing
will begin as a reflex.
Expert-Verified Explanation:
• Breath-holding spells in toddlers are typically triggered by anger/frustration;
children resume breathing spontaneously due to reflex.
• Overreacting or giving in reinforces the negative behavior.
───────────────────────────────────────────────────────
─
4) (Case Study Format: Acute Chest Pain)
The nurse is assessing a client in the emergency room. Which statement suggests
that the problem is acute angina?
