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
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.
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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 causes 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 new
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 this 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)
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
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 causes 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 new
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 this 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)
