HESI RN EXIT EXAM 2 WITH NGN
LATEST VERSION B 2026-2027/HESI EXIT
RN NEXT GENERATION EXAM ALL 160+
QUESTIONS AND CORRECT DETAILED
ANSWERS
A primipara with a breech presentation is in the transition phase of
labor. The nurse visualizes the perineum and sees the umbilical cord
extruding from the introitus. In which position should the nurse place
the client?
A. Left supine with thighs flexed on the abdomen.
B. Right lateral side with both legs flexed.
C. Semi-Fowler's with head of bed elevated 30 degrees.
D. Supine with the foot of the bed elevated. - Correct AnswerD. Supine
with the foot of the bed elevated.
The supine position with the foot of the bed elevated (Trendelenburg) is
one position used to alleviate gravitational pressure by the fetus on the
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,prolapsed umbilical cord. The other listed positions do not alleviate
pressure on the umbilical cord.
The nurse is assessing a client and identifies the presence of petechiae.
Which documentation best describes this finding?
A. Purplish-red pinpoint lesions of the skin.
B. Purple to bluish discoloration of the skin.
C. Small circumscribed elevations containing purulent fluid.
D. Generalized reddish discoloration of an area of skin. - Correct
AnswerA. Purplish-red pinpoint lesions of the skin.
Petechiae are described as purplish to red, non-blanchable, pinpoint
lesions that are tiny hemorrhages within the dermal or submucosal
layers. Purplish skin discoloration describes ecchymosis caused by
trauma to the underlying blood vessels. Small elevations containing pus
describe pustules. The generalized red skin area is nonspecific and
incomplete.
A child with bacterial conjunctivitis receives a prescription for
erythromycin eye drops. Which information is most important for the
nurse to include in the teaching plan?
A. Apply warm compresses to reduce swelling.
B. Wear sunglasses to protect eyes from sunlight.
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,C. Take acetaminophen for any eye discomfort.
D. Avoid sharing towels and washcloths with siblings. - Correct
AnswerD. Avoid sharing towels and washcloths with siblings.
All of the information is important to include in the teaching plan, but it
is most important to avoid spreading bacterial infection. The child
should avoid sharing towels and washcloths and should stay home from
school for the first 24 hours after antibiotics are started, to prevent
contamination of others. The other choices are important measures to
reduce the child's discomfort, but inhibiting the spread of the infection
is the priority intervention.
The nurse is planning care for a client who is having abdominal surgery.
To achieve desired postoperative outcomes, the nurse includes
interventions that promote progressive mobilization, such as turning,
coughing, deep breathing, and early ambulation. Which additional
intervention should the nurse include?
A. Explain the rationale for each postoperative exercise and
intervention.
B. Praise the client when actively participating in postoperative
exercises.
C. Administer analgesics prior to encouraging progressive activities and
ambulation.
D. Advise the client about complications related to inactivity in the
postoperative period. - Correct AnswerC. Administer analgesics prior to
encouraging progressive activities and ambulation.
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, Effective pain management in the postoperative period promotes the
client's participation in exercises that promote optimal healing and
prevent complications, so the client should be given an analgesic prior
to mobilization.
The nurse is caring for critically ill clients. Which client should be
monitored for the development of neurogenic shock?
A. Heart failure.
B. Gastrointestinal hemorrhage.
C. Spinal cord injury.
D. Diabetes insipidus. - Correct AnswerC. Spinal cord injury.
Spinal cord injuries place the client at high risk for the development of
neurogenic distributive shock.
The nurse is assessing a client and identifies a bruit over the thyroid.
This finding is consistent with which interpretation?
A. Thyroid cyst.
B. Thyroid cancer.
C. Hypothyroidism.
D. Hyperthyroidism. - Correct AnswerD. Hyperthyroidism.
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LATEST VERSION B 2026-2027/HESI EXIT
RN NEXT GENERATION EXAM ALL 160+
QUESTIONS AND CORRECT DETAILED
ANSWERS
A primipara with a breech presentation is in the transition phase of
labor. The nurse visualizes the perineum and sees the umbilical cord
extruding from the introitus. In which position should the nurse place
the client?
A. Left supine with thighs flexed on the abdomen.
B. Right lateral side with both legs flexed.
C. Semi-Fowler's with head of bed elevated 30 degrees.
D. Supine with the foot of the bed elevated. - Correct AnswerD. Supine
with the foot of the bed elevated.
The supine position with the foot of the bed elevated (Trendelenburg) is
one position used to alleviate gravitational pressure by the fetus on the
Page 1 of 219
,prolapsed umbilical cord. The other listed positions do not alleviate
pressure on the umbilical cord.
The nurse is assessing a client and identifies the presence of petechiae.
Which documentation best describes this finding?
A. Purplish-red pinpoint lesions of the skin.
B. Purple to bluish discoloration of the skin.
C. Small circumscribed elevations containing purulent fluid.
D. Generalized reddish discoloration of an area of skin. - Correct
AnswerA. Purplish-red pinpoint lesions of the skin.
Petechiae are described as purplish to red, non-blanchable, pinpoint
lesions that are tiny hemorrhages within the dermal or submucosal
layers. Purplish skin discoloration describes ecchymosis caused by
trauma to the underlying blood vessels. Small elevations containing pus
describe pustules. The generalized red skin area is nonspecific and
incomplete.
A child with bacterial conjunctivitis receives a prescription for
erythromycin eye drops. Which information is most important for the
nurse to include in the teaching plan?
A. Apply warm compresses to reduce swelling.
B. Wear sunglasses to protect eyes from sunlight.
Page 2 of 219
,C. Take acetaminophen for any eye discomfort.
D. Avoid sharing towels and washcloths with siblings. - Correct
AnswerD. Avoid sharing towels and washcloths with siblings.
All of the information is important to include in the teaching plan, but it
is most important to avoid spreading bacterial infection. The child
should avoid sharing towels and washcloths and should stay home from
school for the first 24 hours after antibiotics are started, to prevent
contamination of others. The other choices are important measures to
reduce the child's discomfort, but inhibiting the spread of the infection
is the priority intervention.
The nurse is planning care for a client who is having abdominal surgery.
To achieve desired postoperative outcomes, the nurse includes
interventions that promote progressive mobilization, such as turning,
coughing, deep breathing, and early ambulation. Which additional
intervention should the nurse include?
A. Explain the rationale for each postoperative exercise and
intervention.
B. Praise the client when actively participating in postoperative
exercises.
C. Administer analgesics prior to encouraging progressive activities and
ambulation.
D. Advise the client about complications related to inactivity in the
postoperative period. - Correct AnswerC. Administer analgesics prior to
encouraging progressive activities and ambulation.
Page 3 of 219
, Effective pain management in the postoperative period promotes the
client's participation in exercises that promote optimal healing and
prevent complications, so the client should be given an analgesic prior
to mobilization.
The nurse is caring for critically ill clients. Which client should be
monitored for the development of neurogenic shock?
A. Heart failure.
B. Gastrointestinal hemorrhage.
C. Spinal cord injury.
D. Diabetes insipidus. - Correct AnswerC. Spinal cord injury.
Spinal cord injuries place the client at high risk for the development of
neurogenic distributive shock.
The nurse is assessing a client and identifies a bruit over the thyroid.
This finding is consistent with which interpretation?
A. Thyroid cyst.
B. Thyroid cancer.
C. Hypothyroidism.
D. Hyperthyroidism. - Correct AnswerD. Hyperthyroidism.
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