HESI RN EXIT EXAM 5 WITH NGN
LATEST VERSION B 2026-2027/HESI EXIT
RN NEXT GENERATION EXAM ALL 160+
QUESTIONS AND CORRECT DETAILED
ANSWERS
A client with chronic kidney disease (CKD) selects a scrambled egg for
his breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary management of
CKD. - Correct AnswerA. Commend the client for selecting a high
biologic value protein. (Foods such as eggs and milk (A) are high biologic
proteins which are allowed because they are complete proteins and
supply the essential amino acids that are necessary for growth and cell
repair. Orange juice is rich in potassium and should not be encouraged.
The client has made a good diet choice so (D) is not necessary.)
Page 1 of 362
,In developing a plan of care for a client with dementia, the nurse should
remember that confusion in the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep - Correct AnswerB. often
follows relocation to new surroundings (Relocation (B) often results in
confusion among elderly clients-- moving is stressful for anyone. (A) is
stereotypical judgement. Stress in the elderly often manifests itself as
confusion, so (C) is wrong. Adequate sleep is not a prevention (D) for
confusion.)
A postoperative client will need to perform daily dressing changes after
discharge. Which outcome statement best demonstrates the client's
readiness to manage his wound care after discharge? The client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care - Correct AnswerC.
demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective
assessment of the client's ability to perform a task, while (A and B) are
subjective measures. (D) is important, but is less of a priority than the
the nurse's assessment of the client's ability to complete wound care.)
Page 2 of 362
,A client who is 5 '5" tall and weighs 200 pounds is scheduled for surgery
the next day. What question is most important for the nurse to include
during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?" - Correct AnswerB.
"What vitamin and mineral supplements do you take?"
(Vitamin and mineral supplements (B) may impact medications used
during the operative period. (A and C) are appropriate questions for
long-term dietary counseling. The nature of the surgery and anesthesia
will determine the need for a clear liquid diet (D), rather than the
client's preference.)
During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber. Which intervention should
the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water. - Correct
AnswerD. Encourage additional oral intake of juices and water.
Which intervention is most important for the nurse to implement for a
male client who is experiencing urinary retention?
Page 3 of 362
, A. Apply a condom catheter
B. Apply a skin protectant
C. Encourage increased fluid intake
D. Assess for bladder distention - Correct AnswerD. Assess the bladder
for distention (Urinary retention is the inability to void all urine
collected in the bladder, which leads to uncomfortable bladder
distention (D). (A and B) are useful actions to protect the skin of a client
with urinary incontinence. (C) may worsen the bladder distention.)
A client with acute hemorrhagic anemia is to receive four units of
packed RBCs as rapidly as possible. Which intervention is most
important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up
C. Monitor vital signs q 15 min for the first hour.
D. Ensure the accuracy of the blood type match. - Correct AnswerD.
Ensure the accuracy of the blood type match.
(ALL interventions should be implemented prior to administering blood,
but (D) has the highest priority. Any time blood is administered the
nurse should ensure the accuracy of the blood type match in order to
prevent a possible hemolytic reaction.)
A male client being discharged with a prescription for the
bronchodilator theophylline tells the nurse that he understands he is to
take three doses of the medication each day. Since, at the time of
discharge, time-released capsules are not available, which dosing
Page 4 of 362
LATEST VERSION B 2026-2027/HESI EXIT
RN NEXT GENERATION EXAM ALL 160+
QUESTIONS AND CORRECT DETAILED
ANSWERS
A client with chronic kidney disease (CKD) selects a scrambled egg for
his breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary management of
CKD. - Correct AnswerA. Commend the client for selecting a high
biologic value protein. (Foods such as eggs and milk (A) are high biologic
proteins which are allowed because they are complete proteins and
supply the essential amino acids that are necessary for growth and cell
repair. Orange juice is rich in potassium and should not be encouraged.
The client has made a good diet choice so (D) is not necessary.)
Page 1 of 362
,In developing a plan of care for a client with dementia, the nurse should
remember that confusion in the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep - Correct AnswerB. often
follows relocation to new surroundings (Relocation (B) often results in
confusion among elderly clients-- moving is stressful for anyone. (A) is
stereotypical judgement. Stress in the elderly often manifests itself as
confusion, so (C) is wrong. Adequate sleep is not a prevention (D) for
confusion.)
A postoperative client will need to perform daily dressing changes after
discharge. Which outcome statement best demonstrates the client's
readiness to manage his wound care after discharge? The client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care - Correct AnswerC.
demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective
assessment of the client's ability to perform a task, while (A and B) are
subjective measures. (D) is important, but is less of a priority than the
the nurse's assessment of the client's ability to complete wound care.)
Page 2 of 362
,A client who is 5 '5" tall and weighs 200 pounds is scheduled for surgery
the next day. What question is most important for the nurse to include
during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?" - Correct AnswerB.
"What vitamin and mineral supplements do you take?"
(Vitamin and mineral supplements (B) may impact medications used
during the operative period. (A and C) are appropriate questions for
long-term dietary counseling. The nature of the surgery and anesthesia
will determine the need for a clear liquid diet (D), rather than the
client's preference.)
During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber. Which intervention should
the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water. - Correct
AnswerD. Encourage additional oral intake of juices and water.
Which intervention is most important for the nurse to implement for a
male client who is experiencing urinary retention?
Page 3 of 362
, A. Apply a condom catheter
B. Apply a skin protectant
C. Encourage increased fluid intake
D. Assess for bladder distention - Correct AnswerD. Assess the bladder
for distention (Urinary retention is the inability to void all urine
collected in the bladder, which leads to uncomfortable bladder
distention (D). (A and B) are useful actions to protect the skin of a client
with urinary incontinence. (C) may worsen the bladder distention.)
A client with acute hemorrhagic anemia is to receive four units of
packed RBCs as rapidly as possible. Which intervention is most
important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up
C. Monitor vital signs q 15 min for the first hour.
D. Ensure the accuracy of the blood type match. - Correct AnswerD.
Ensure the accuracy of the blood type match.
(ALL interventions should be implemented prior to administering blood,
but (D) has the highest priority. Any time blood is administered the
nurse should ensure the accuracy of the blood type match in order to
prevent a possible hemolytic reaction.)
A male client being discharged with a prescription for the
bronchodilator theophylline tells the nurse that he understands he is to
take three doses of the medication each day. Since, at the time of
discharge, time-released capsules are not available, which dosing
Page 4 of 362
