HESI RN EXIT EXAM 1 WITH NGN
LATEST VERSION B 2026-2027/HESI EXIT
RN NEXT GENERATION EXAM ALL 160+
QUESTIONS AND CORRECT DETAILED
ANSWERS
The nurse is planning to conduct nutritional assessments and diet
teaching for clients at a family health clinic. Which individual has the
greatest nutritional and energy demands?
A. A pregnant woman.
B. A teenager beginning puberty.
C. A 3-month-old infant.
D. A school-aged child. - Correct AnswerA. A pregnant woman.
A pregnant woman's metabolic demands are 20 to 24% more than the
basic metabolic rate. The other clients require only 15 to 20% more
than the basic metabolic rate.
Page 1 of 142
,The nurse plans a teaching session with a client but postpones the
planned session based on which nursing problem?
A. Activity intolerance related to postoperative pain.
B. Noncompliance with prescribed exercise plan.
C. Ineffective management of treatment regimen.
D. Knowledge deficit regarding impending surgery. - Correct AnswerA.
Activity intolerance related to postoperative pain.
Pain, fatigue, or anxiety can interfere with the ability to pay attention
and participate in learning, so the nursing diagnosis indicates a need to
postpone teaching. The other choices indicate a need for instruction.
The nurse is caring for a client who is one day postoperative after a left
total knee arthroplasty (TKA). Which intervention should the nurse
include in the plan of care?
A. Progressive leg exercises to obtain 90-degree flexion.
B. Ambulation with full weight-bearing on first postop day.
C. Bed rest for three days with the left knee extended.
D. Immobilization of the left knee to prevent dislocation. - Correct
AnswerA. Progressive leg exercises to obtain 90-degree flexion.
Page 2 of 142
,Isometric quadriceps setting begins the first day after TKA surgery and
progresses to straight-leg raises, then gentle range-of-motion (ROM) to
increase muscle strength until 90-degree knee flexion is obtained. Bed
rest and immobilization are contraindicated to prevent scar tissue,
which limits mobility. Active flexion exercises through the use of a
continuous passive motion (CPM) machine postoperatively promote
joint mobility. Postoperative exercise progresses to full weight-bearing
before discharge, but not the first postoperative day. Joint mobility is a
priority outcome, and dislocation is not typical with TKA.
A 9-year-old is hospitalized for neutropenia and is placed in reverse
isolation (protective environment). The child asks the nurse, "Why do
you have to wear a gown and mask when you are in my room?" How
should the nurse respond?
A. "There are many forms of bacteria and germs in the hospital."
B. "To protect you because you can get an infection very easily."
C. "After taking medication for 24 hours a gown and mask won't be
needed."
D. "Your condition could be spread to staff and other clients in the
hospital." - Correct AnswerB. "To protect you because you can get an
infection very easily."
Reverse isolation precautions (protective environment) implements
measures to protect the client from exposure to microorganisms from
others.
Page 3 of 142
, The nurse is teaching an adolescent girl with scoliosis about a
Wilmington brace that her healthcare provider has prescribed. Which
instruction would be accurate?
A. Remove the brace one hour each day for bathing only.
B. Remove the brace twice daily for back range-of-motion exercises.
C. Wear the brace against the bare skin.
D. Wear the brace in order to cure the spinal curvature. - Correct
AnswerA. Remove the brace one hour each day for bathing only.
The brace should be worn 23 hours a day and removed for a total of
one hour a day for hygiene. Continuation of present activities will
promote a positive self-concept.
A nurse is answering questions about breast cancer at a hospital-
sponsored community health fair. A woman asks the nurse to explain
the use of tamoxifen. Which response should the nurse provide?
A. Low doses of tamoxifen prevent menopausal hot flashes.
B. An option used to reduce the risk of breast cancer for all women.
C. This antiestrogen drug inhibits malignancy growth.
D. Part of a combination of chemotherapeutic agents used to treat
tumors. - Correct AnswerC. This antiestrogen drug inhibits malignancy
growth.
Page 4 of 142
LATEST VERSION B 2026-2027/HESI EXIT
RN NEXT GENERATION EXAM ALL 160+
QUESTIONS AND CORRECT DETAILED
ANSWERS
The nurse is planning to conduct nutritional assessments and diet
teaching for clients at a family health clinic. Which individual has the
greatest nutritional and energy demands?
A. A pregnant woman.
B. A teenager beginning puberty.
C. A 3-month-old infant.
D. A school-aged child. - Correct AnswerA. A pregnant woman.
A pregnant woman's metabolic demands are 20 to 24% more than the
basic metabolic rate. The other clients require only 15 to 20% more
than the basic metabolic rate.
Page 1 of 142
,The nurse plans a teaching session with a client but postpones the
planned session based on which nursing problem?
A. Activity intolerance related to postoperative pain.
B. Noncompliance with prescribed exercise plan.
C. Ineffective management of treatment regimen.
D. Knowledge deficit regarding impending surgery. - Correct AnswerA.
Activity intolerance related to postoperative pain.
Pain, fatigue, or anxiety can interfere with the ability to pay attention
and participate in learning, so the nursing diagnosis indicates a need to
postpone teaching. The other choices indicate a need for instruction.
The nurse is caring for a client who is one day postoperative after a left
total knee arthroplasty (TKA). Which intervention should the nurse
include in the plan of care?
A. Progressive leg exercises to obtain 90-degree flexion.
B. Ambulation with full weight-bearing on first postop day.
C. Bed rest for three days with the left knee extended.
D. Immobilization of the left knee to prevent dislocation. - Correct
AnswerA. Progressive leg exercises to obtain 90-degree flexion.
Page 2 of 142
,Isometric quadriceps setting begins the first day after TKA surgery and
progresses to straight-leg raises, then gentle range-of-motion (ROM) to
increase muscle strength until 90-degree knee flexion is obtained. Bed
rest and immobilization are contraindicated to prevent scar tissue,
which limits mobility. Active flexion exercises through the use of a
continuous passive motion (CPM) machine postoperatively promote
joint mobility. Postoperative exercise progresses to full weight-bearing
before discharge, but not the first postoperative day. Joint mobility is a
priority outcome, and dislocation is not typical with TKA.
A 9-year-old is hospitalized for neutropenia and is placed in reverse
isolation (protective environment). The child asks the nurse, "Why do
you have to wear a gown and mask when you are in my room?" How
should the nurse respond?
A. "There are many forms of bacteria and germs in the hospital."
B. "To protect you because you can get an infection very easily."
C. "After taking medication for 24 hours a gown and mask won't be
needed."
D. "Your condition could be spread to staff and other clients in the
hospital." - Correct AnswerB. "To protect you because you can get an
infection very easily."
Reverse isolation precautions (protective environment) implements
measures to protect the client from exposure to microorganisms from
others.
Page 3 of 142
, The nurse is teaching an adolescent girl with scoliosis about a
Wilmington brace that her healthcare provider has prescribed. Which
instruction would be accurate?
A. Remove the brace one hour each day for bathing only.
B. Remove the brace twice daily for back range-of-motion exercises.
C. Wear the brace against the bare skin.
D. Wear the brace in order to cure the spinal curvature. - Correct
AnswerA. Remove the brace one hour each day for bathing only.
The brace should be worn 23 hours a day and removed for a total of
one hour a day for hygiene. Continuation of present activities will
promote a positive self-concept.
A nurse is answering questions about breast cancer at a hospital-
sponsored community health fair. A woman asks the nurse to explain
the use of tamoxifen. Which response should the nurse provide?
A. Low doses of tamoxifen prevent menopausal hot flashes.
B. An option used to reduce the risk of breast cancer for all women.
C. This antiestrogen drug inhibits malignancy growth.
D. Part of a combination of chemotherapeutic agents used to treat
tumors. - Correct AnswerC. This antiestrogen drug inhibits malignancy
growth.
Page 4 of 142
