HESI EXIT RN EXAM COMPLETE NEW
VERSION 2026 QUESTIONS WITH
ANSWERS A GRADE 100% PASS
1. A nurse observes a patient rising from a chair slowly by pushing on
the chair arms. Which type of tension and contraction did the nurseobserve?
a. Eccentric tension and isotonic contraction
b. Eccentric tension and isometric contraction
c. Concentric tension and isotonic contraction
d. Concentric tension and isometric contraction
ANS: A
This movement causes eccentric tension and isotonic contraction. Eccentric tension helps control
the speed and direction of movement. For example, when using an overhead trapeze, the patient
slowly lowers himself to the bed. The lowering is controlled when the antagonistic muscles
lengthen. By pushing on the chair arms and rising eccentric tension and isotonic contraction
occurred. In concentric tension, increased muscle contraction causes muscle shortening, resulting in
movement such as when a patient uses an overhead trapeze to pull up in bed. Concentric and
eccentric muscle actions are necessary for active movement and therefore are referred to as
dynamic or isotonic contraction. Isometric contraction (static contraction) causes an increase in
muscle tension or muscle work but no shortening or active movement of the muscle (e.g.,
instructing the patient to tighten and relax a muscle group, as in quadriceps set exercises or pelvic
floor exercises).
2. A nurse notices that a patient has a structural curvature of the spine
associated ,with ,vertebral ,rotation. ,Which ,condition ,will ,the ,nurse ,most ,likelyfind ,documented
,in ,the ,patient’s ,medical ,record?
a. Scoliosis
b. Arthritis
c. Osteomalacia
d. Osteogenesis
,ANS: ,A
, Scoliosis ,is ,a ,structural ,curvature ,of ,the ,spine ,associated ,with ,vertebral ,rotation. ,Osteogenesis
,imperfecta ,is ,an ,inherited ,disorder ,that ,makes ,bonesporous, ,short, ,bowed, ,and ,deformed.
Osteomalacia ,is ,an ,uncommon ,metabolic ,disease ,characterized ,by ,inadequate ,and ,delayed
,mineralization,resulting ,in ,compact ,and ,spongy ,bone. ,Arthritis ,is ,an ,inflammatory ,joint
,disease ,characterized ,by ,inflammation ,or ,destruction ,of ,the ,synovial ,membrane ,and ,articular
,cartilage ,and ,by ,systemic ,signs ,of ,inflammation.
3. A ,nurse ,is ,caring ,for ,a ,patient ,who ,has ,some ,immobility ,from
,noninflammatory ,joint ,degeneration. ,The ,nurse ,is ,teaching ,the ,patient
about ,this ,process. ,Which ,information ,will ,the ,nurse ,include ,in ,theteaching ,session?
a. This ,will ,affect ,synovial ,fluid.
b. This ,will ,affect ,the ,body ,systemically.
c. This ,involves ,mostly ,non–weight-bearing ,joints.
d. This ,involves ,overgrowth ,of ,bone ,at ,the ,articular ,ends.
ANS: ,D
Joint ,degeneration, ,which ,can ,occur ,with ,inflammatory ,and ,noninflammatory ,disease, ,is ,marked ,by
,changes ,in ,articular ,cartilage ,combined ,with ,overgrowthof ,bone ,at ,the ,articular ,ends. ,Degenerative
,changes ,commonly ,affect ,weight- ,bearing ,joints. ,Synovial ,fluid ,is ,normal ,in ,noninflammatory
,diseases.
Inflammatory ,joint ,disease ,(e.g., ,arthritis) ,is ,characterized ,by ,inflammation ,ordestruction ,of ,the
,synovial ,membrane ,and ,articular ,cartilage ,and ,by ,systemic ,signs ,of ,inflammation.
4. The ,nurse ,is ,providing ,care ,to ,a ,patient ,who ,is ,bedridden. ,The ,nurse
raises ,the ,height ,of ,the ,bed. ,What ,is ,the ,rationale ,for ,the ,nurse’s ,action?
a. Narrows ,the ,nurse’s ,base ,of ,support.
b. Allows ,the ,nurse ,to ,bring ,feet ,closer ,together.
c. Prevents ,a ,shift ,in ,the ,nurse’s ,base ,of ,support.
Shifts ,the ,nurse’s ,center ,of ,gravity ,farther ,away ,from ,the ,base ,of
d. support.
,ANS: ,C
Raising ,the ,height ,of ,the ,bed ,when ,performing ,a ,procedure ,prevents ,bending
,too ,far ,at ,the ,waist ,and ,shifting ,the ,base ,of ,support. ,Balance ,is ,maintained
,by
VERSION 2026 QUESTIONS WITH
ANSWERS A GRADE 100% PASS
1. A nurse observes a patient rising from a chair slowly by pushing on
the chair arms. Which type of tension and contraction did the nurseobserve?
a. Eccentric tension and isotonic contraction
b. Eccentric tension and isometric contraction
c. Concentric tension and isotonic contraction
d. Concentric tension and isometric contraction
ANS: A
This movement causes eccentric tension and isotonic contraction. Eccentric tension helps control
the speed and direction of movement. For example, when using an overhead trapeze, the patient
slowly lowers himself to the bed. The lowering is controlled when the antagonistic muscles
lengthen. By pushing on the chair arms and rising eccentric tension and isotonic contraction
occurred. In concentric tension, increased muscle contraction causes muscle shortening, resulting in
movement such as when a patient uses an overhead trapeze to pull up in bed. Concentric and
eccentric muscle actions are necessary for active movement and therefore are referred to as
dynamic or isotonic contraction. Isometric contraction (static contraction) causes an increase in
muscle tension or muscle work but no shortening or active movement of the muscle (e.g.,
instructing the patient to tighten and relax a muscle group, as in quadriceps set exercises or pelvic
floor exercises).
2. A nurse notices that a patient has a structural curvature of the spine
associated ,with ,vertebral ,rotation. ,Which ,condition ,will ,the ,nurse ,most ,likelyfind ,documented
,in ,the ,patient’s ,medical ,record?
a. Scoliosis
b. Arthritis
c. Osteomalacia
d. Osteogenesis
,ANS: ,A
, Scoliosis ,is ,a ,structural ,curvature ,of ,the ,spine ,associated ,with ,vertebral ,rotation. ,Osteogenesis
,imperfecta ,is ,an ,inherited ,disorder ,that ,makes ,bonesporous, ,short, ,bowed, ,and ,deformed.
Osteomalacia ,is ,an ,uncommon ,metabolic ,disease ,characterized ,by ,inadequate ,and ,delayed
,mineralization,resulting ,in ,compact ,and ,spongy ,bone. ,Arthritis ,is ,an ,inflammatory ,joint
,disease ,characterized ,by ,inflammation ,or ,destruction ,of ,the ,synovial ,membrane ,and ,articular
,cartilage ,and ,by ,systemic ,signs ,of ,inflammation.
3. A ,nurse ,is ,caring ,for ,a ,patient ,who ,has ,some ,immobility ,from
,noninflammatory ,joint ,degeneration. ,The ,nurse ,is ,teaching ,the ,patient
about ,this ,process. ,Which ,information ,will ,the ,nurse ,include ,in ,theteaching ,session?
a. This ,will ,affect ,synovial ,fluid.
b. This ,will ,affect ,the ,body ,systemically.
c. This ,involves ,mostly ,non–weight-bearing ,joints.
d. This ,involves ,overgrowth ,of ,bone ,at ,the ,articular ,ends.
ANS: ,D
Joint ,degeneration, ,which ,can ,occur ,with ,inflammatory ,and ,noninflammatory ,disease, ,is ,marked ,by
,changes ,in ,articular ,cartilage ,combined ,with ,overgrowthof ,bone ,at ,the ,articular ,ends. ,Degenerative
,changes ,commonly ,affect ,weight- ,bearing ,joints. ,Synovial ,fluid ,is ,normal ,in ,noninflammatory
,diseases.
Inflammatory ,joint ,disease ,(e.g., ,arthritis) ,is ,characterized ,by ,inflammation ,ordestruction ,of ,the
,synovial ,membrane ,and ,articular ,cartilage ,and ,by ,systemic ,signs ,of ,inflammation.
4. The ,nurse ,is ,providing ,care ,to ,a ,patient ,who ,is ,bedridden. ,The ,nurse
raises ,the ,height ,of ,the ,bed. ,What ,is ,the ,rationale ,for ,the ,nurse’s ,action?
a. Narrows ,the ,nurse’s ,base ,of ,support.
b. Allows ,the ,nurse ,to ,bring ,feet ,closer ,together.
c. Prevents ,a ,shift ,in ,the ,nurse’s ,base ,of ,support.
Shifts ,the ,nurse’s ,center ,of ,gravity ,farther ,away ,from ,the ,base ,of
d. support.
,ANS: ,C
Raising ,the ,height ,of ,the ,bed ,when ,performing ,a ,procedure ,prevents ,bending
,too ,far ,at ,the ,waist ,and ,shifting ,the ,base ,of ,support. ,Balance ,is ,maintained
,by
