2025 HESI EXIT
V7 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.
,QUESTION 1 (Single Choice – NGN: Behavior and Mental Health)
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A group of nursing students is touring an inpatient psychiatric unit when a male client
who is in a manic state shouts, “Want to see a crazy person?” and begins to jump
up and down, flap his arms, and cluck like a chicken. Which action is best for the nurse
to take?
A. Direct the students to continue the tour without responding to the client’s
behavior.
B. Medicate the client with a PRN prescription for an antianxiety agent.
C. Restrict the client to his room until he can control his behaviors.
D. Redirect the client’s acting-out behavior by asking him to perform a unit task.
ANSWER: D
EXPERT-VERIFIED EXPLANATION:
• Redirecting a manic client’s excess energy toward a constructive task is therapeutic.
• Restricting or ignoring can escalate agitation or reinforce negative behaviors.
,• Medication may be warranted if redirection fails, but the nurse should use the least
restrictive intervention first.
• Occupying the client with a goal-directed, structured activity helps channel energy
and maintain the client’s dignity.
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QUESTION 2 (Single Choice – NGN: Neurologic Trauma & Priority)
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An adult male client is brought to the emergency department (ED) by ambulance
following a motorcycle collision. He was not wearing a helmet and presents with
periorbital bruising and bloody drainage from both ears. Which assessment finding
warrants immediate intervention by the nurse?
A. Rebound abdominal tenderness
B. Diminished bilateral breath sounds
C. Nausea with projectile vomiting
D. Rib pain with deep inspiration
ANSWER: C
, EXPERT-VERIFIED EXPLANATION:
• Periorbital bruising (raccoon eyes) plus bloody ear drainage suggests a basilar skull
fracture.
• Projectile vomiting indicates increased intracranial pressure, requiring urgent
intervention to prevent herniation and worsening head injury.
• While other symptoms matter, managing potential ICP elevation takes priority here.
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QUESTION 3 (Select All That Apply – NGN: Pharmacology & Teaching)
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A client diagnosed with Parkinson’s disease receives a prescription for carbidopa-
levodopa controlled-release (CR) 25/100 mg PO daily each morning. Which
information should the nurse include in the client’s teaching plan? (Select all that
apply.)
A. Parkinson symptoms should diminish within one week.
B. Avoid sunlight and wear sunglasses while outdoors.
C. A change in urine color to dark red often occurs while taking this drug.
D. An upset stomach may occur as a side effect of this medication.
E. The medication should only be taken during a meal.
V7 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.
,QUESTION 1 (Single Choice – NGN: Behavior and Mental Health)
───────────────────────────────────────────────────────
─
A group of nursing students is touring an inpatient psychiatric unit when a male client
who is in a manic state shouts, “Want to see a crazy person?” and begins to jump
up and down, flap his arms, and cluck like a chicken. Which action is best for the nurse
to take?
A. Direct the students to continue the tour without responding to the client’s
behavior.
B. Medicate the client with a PRN prescription for an antianxiety agent.
C. Restrict the client to his room until he can control his behaviors.
D. Redirect the client’s acting-out behavior by asking him to perform a unit task.
ANSWER: D
EXPERT-VERIFIED EXPLANATION:
• Redirecting a manic client’s excess energy toward a constructive task is therapeutic.
• Restricting or ignoring can escalate agitation or reinforce negative behaviors.
,• Medication may be warranted if redirection fails, but the nurse should use the least
restrictive intervention first.
• Occupying the client with a goal-directed, structured activity helps channel energy
and maintain the client’s dignity.
───────────────────────────────────────────────────────
─
QUESTION 2 (Single Choice – NGN: Neurologic Trauma & Priority)
───────────────────────────────────────────────────────
─
An adult male client is brought to the emergency department (ED) by ambulance
following a motorcycle collision. He was not wearing a helmet and presents with
periorbital bruising and bloody drainage from both ears. Which assessment finding
warrants immediate intervention by the nurse?
A. Rebound abdominal tenderness
B. Diminished bilateral breath sounds
C. Nausea with projectile vomiting
D. Rib pain with deep inspiration
ANSWER: C
, EXPERT-VERIFIED EXPLANATION:
• Periorbital bruising (raccoon eyes) plus bloody ear drainage suggests a basilar skull
fracture.
• Projectile vomiting indicates increased intracranial pressure, requiring urgent
intervention to prevent herniation and worsening head injury.
• While other symptoms matter, managing potential ICP elevation takes priority here.
───────────────────────────────────────────────────────
─
QUESTION 3 (Select All That Apply – NGN: Pharmacology & Teaching)
───────────────────────────────────────────────────────
─
A client diagnosed with Parkinson’s disease receives a prescription for carbidopa-
levodopa controlled-release (CR) 25/100 mg PO daily each morning. Which
information should the nurse include in the client’s teaching plan? (Select all that
apply.)
A. Parkinson symptoms should diminish within one week.
B. Avoid sunlight and wear sunglasses while outdoors.
C. A change in urine color to dark red often occurs while taking this drug.
D. An upset stomach may occur as a side effect of this medication.
E. The medication should only be taken during a meal.
