N220 Hesi Exam Questions With
Verified Answers
C. Yearly mammograms should be done regardless of previous normal x-rays. -
ANSWER Which information about mammograms is most important to provide a
post-menopausal female client?
A. Breast self-examinations are not needed if annual mammograms are
obtained.
B. Radiation exposure is minimized by shielding the abdomen with a lead-lined
apron.
C. Yearly mammograms should be done regardless of previous normal x-rays.
D. Women at high risk should have annual routine and ultrasound mammograms.
B. Obese older male client with a short, thick neck. - ANSWER Which client
should the nurse recognize as most likely to experience sleep apnea?
A. Middle-aged female who takes a diuretic nightly.
B. Obese older male client with a short, thick neck.
C. Adolescent female with a history of tonsillectomy.
D. School-aged male with a history of hyperactivity disorder.
A. Lower left quadrant pain and a low-grade fever. - ANSWER A client is
admitted to the hospital with a diagnosis of severe acute diverticulitis. Which
assessment finding should the nurse expect this client to exhibit?
A. Lower left quadrant pain and a low-grade fever.
B. Severe pain at McBurney's point and nausea.
C. Abdominal pain and intermittent tenesmus.
D. Exacerbations of severe diarrhea.
C. A potassium supplement will be prescribed. - ANSWER A client taking a
thiazide diuretic for the past six months has a serum potassium level of 3. The
nurse anticipates which change in prescription for the client?
A. The dosage of the diuretic will be decreased.
B. The diuretic will be discontinued.
C. A potassium supplement will be prescribed.
D. The dosage of the diuretic will be increased.
A. "Chemotherapy affects the cells of the body that grow rapidly, both normal
and malignant." - ANSWER A client who is receiving chemotherapy asks the
nurse, "Why is so much of my hair falling out each day?" Which response by the
nurse best explains the reason for alopecia?
,A. "Chemotherapy affects the cells of the body that grow rapidly, both normal
and malignant."
B. "Alopecia is a common side effect you will experience during long-term
steroid therapy."
C. "Your hair will grow back completely after your course of chemotherapy is
completed."
D. "The chemotherapy causes permanent alterations in your hair follicles that
lead to hair loss."
C. Provide back and skin care while maintaining the traction. - ANSWER A client
who was in a motor vehicle collision was admitted to the hospital and the right
knee was placed in skeletal traction. The nurse has documented this nursing
diagnosis in the client's medical record: "Potential for impairment of skin
integrity related to immobility from traction." Which nursing intervention is
indicated based on this diagnosis statement?
A. Release the traction q4h to provide skin care.
B. Turn the client for back care while suspending traction.
C. Provide back and skin care while maintaining the traction.
D. Give back care after the client is released from traction.
A. Quality of the pain.
B. Signs of inflammation.
C. Ankle range of motion.
E. Visible deformities of the joint. - ANSWER Which information should the nurse
obtain when performing an initial assessment of a client who presents to the
emergency department with a painful ankle injury? (Select all that apply.)
A. Quality of the pain.
B. Signs of inflammation.
C. Ankle range of motion.
D. Muscle strength testing.
E. Visible deformities of the joint.
A. Clear, watery drainage from the ear. - ANSWER A client is admitted to the
emergency department after falling from a high roof. Which finding should the
nurse report immediately?
A. Clear, watery drainage from the ear.
B. Dried blood around the ear and neck.
C. Tenderness on palpation of the ear.
D. Pearly appearance of the tympanic membrane.
A. Muscle weakness. - ANSWER During assessment of a client with amyotrophic
lateral sclerosis (ALS), which finding should the nurse identify when planning
care for this client?
A. Muscle weakness.
B. Urinary frequency.
C. Abnormal involuntary movements.
, D. A decline in cognitive function.
D. Question the healthcare provider's prescription. - ANSWER The healthcare
provider prescribes aluminum and magnesium hydroxide, 1 tablet PO PRN, for a
client with chronic kidney disease (CKD) who is complaining of indigestion.
Which intervention should the nurse implement?
A. Administer 30 minutes before eating.
B. Evaluate the effectiveness 1 hour after administration.
C. Instruct the client to swallow the tablet whole.
D. Question the healthcare provider's prescription.
A. Hoarseness. - ANSWER Which physical assessment finding should the nurse
anticipate in a client with long-term gastroesophageal reflux disease (GERD)?
A. Hoarseness.
B. Dry mouth.
C. Mouth ulcers.
D. Weight loss.
A. pH 7.32, pCO 2 46 mmHg, HCO 3 24 MEq/L. - ANSWER The registered nurse
(RN) assesses arterial blood gas results of a client that has emphysema. Which
finding is consistent with respiratory acidosis?
A. pH 7.32, pCO 2 46 mmHg, HCO 3 24 MEq/L.
B. pH 7.45 , pCO 2 37 mmHg, HCO 3 24 mEq/L.
C. pH 7.34, pCO 2 36 mmHg, HCO 3 21 mEq/L.
D. pH 7.46, pCO 2 35 mmHg, HCO 3 28 mEq/L.
B. Calcium loss from bones can be slowed by increasing calcium intake and
exercise. - ANSWER A 58-year-old client who has been post-menopausal for five
years is concerned about the risk for osteoporosis because her mother has the
condition. Which information should the nurse offer?
A. Osteoporosis is a progressive genetic disease with no effective treatment.
B. Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
C. Estrogen replacement therapy should be started to prevent the progression
osteoporosis.
D. Low-dose corticosteroid treatment effectively halts the course of
osteoporosis.
D. Medium yellow. - ANSWER Despite several eye surgeries, a 78-year-old client
who lives alone has persistent vision problems. The visiting nurse is discussing
home safety hazards with the client. The nurse suggests that the edges of the
steps be painted which color?
A. Black.
B. White.
C. Light green.
D. Medium yellow.
Verified Answers
C. Yearly mammograms should be done regardless of previous normal x-rays. -
ANSWER Which information about mammograms is most important to provide a
post-menopausal female client?
A. Breast self-examinations are not needed if annual mammograms are
obtained.
B. Radiation exposure is minimized by shielding the abdomen with a lead-lined
apron.
C. Yearly mammograms should be done regardless of previous normal x-rays.
D. Women at high risk should have annual routine and ultrasound mammograms.
B. Obese older male client with a short, thick neck. - ANSWER Which client
should the nurse recognize as most likely to experience sleep apnea?
A. Middle-aged female who takes a diuretic nightly.
B. Obese older male client with a short, thick neck.
C. Adolescent female with a history of tonsillectomy.
D. School-aged male with a history of hyperactivity disorder.
A. Lower left quadrant pain and a low-grade fever. - ANSWER A client is
admitted to the hospital with a diagnosis of severe acute diverticulitis. Which
assessment finding should the nurse expect this client to exhibit?
A. Lower left quadrant pain and a low-grade fever.
B. Severe pain at McBurney's point and nausea.
C. Abdominal pain and intermittent tenesmus.
D. Exacerbations of severe diarrhea.
C. A potassium supplement will be prescribed. - ANSWER A client taking a
thiazide diuretic for the past six months has a serum potassium level of 3. The
nurse anticipates which change in prescription for the client?
A. The dosage of the diuretic will be decreased.
B. The diuretic will be discontinued.
C. A potassium supplement will be prescribed.
D. The dosage of the diuretic will be increased.
A. "Chemotherapy affects the cells of the body that grow rapidly, both normal
and malignant." - ANSWER A client who is receiving chemotherapy asks the
nurse, "Why is so much of my hair falling out each day?" Which response by the
nurse best explains the reason for alopecia?
,A. "Chemotherapy affects the cells of the body that grow rapidly, both normal
and malignant."
B. "Alopecia is a common side effect you will experience during long-term
steroid therapy."
C. "Your hair will grow back completely after your course of chemotherapy is
completed."
D. "The chemotherapy causes permanent alterations in your hair follicles that
lead to hair loss."
C. Provide back and skin care while maintaining the traction. - ANSWER A client
who was in a motor vehicle collision was admitted to the hospital and the right
knee was placed in skeletal traction. The nurse has documented this nursing
diagnosis in the client's medical record: "Potential for impairment of skin
integrity related to immobility from traction." Which nursing intervention is
indicated based on this diagnosis statement?
A. Release the traction q4h to provide skin care.
B. Turn the client for back care while suspending traction.
C. Provide back and skin care while maintaining the traction.
D. Give back care after the client is released from traction.
A. Quality of the pain.
B. Signs of inflammation.
C. Ankle range of motion.
E. Visible deformities of the joint. - ANSWER Which information should the nurse
obtain when performing an initial assessment of a client who presents to the
emergency department with a painful ankle injury? (Select all that apply.)
A. Quality of the pain.
B. Signs of inflammation.
C. Ankle range of motion.
D. Muscle strength testing.
E. Visible deformities of the joint.
A. Clear, watery drainage from the ear. - ANSWER A client is admitted to the
emergency department after falling from a high roof. Which finding should the
nurse report immediately?
A. Clear, watery drainage from the ear.
B. Dried blood around the ear and neck.
C. Tenderness on palpation of the ear.
D. Pearly appearance of the tympanic membrane.
A. Muscle weakness. - ANSWER During assessment of a client with amyotrophic
lateral sclerosis (ALS), which finding should the nurse identify when planning
care for this client?
A. Muscle weakness.
B. Urinary frequency.
C. Abnormal involuntary movements.
, D. A decline in cognitive function.
D. Question the healthcare provider's prescription. - ANSWER The healthcare
provider prescribes aluminum and magnesium hydroxide, 1 tablet PO PRN, for a
client with chronic kidney disease (CKD) who is complaining of indigestion.
Which intervention should the nurse implement?
A. Administer 30 minutes before eating.
B. Evaluate the effectiveness 1 hour after administration.
C. Instruct the client to swallow the tablet whole.
D. Question the healthcare provider's prescription.
A. Hoarseness. - ANSWER Which physical assessment finding should the nurse
anticipate in a client with long-term gastroesophageal reflux disease (GERD)?
A. Hoarseness.
B. Dry mouth.
C. Mouth ulcers.
D. Weight loss.
A. pH 7.32, pCO 2 46 mmHg, HCO 3 24 MEq/L. - ANSWER The registered nurse
(RN) assesses arterial blood gas results of a client that has emphysema. Which
finding is consistent with respiratory acidosis?
A. pH 7.32, pCO 2 46 mmHg, HCO 3 24 MEq/L.
B. pH 7.45 , pCO 2 37 mmHg, HCO 3 24 mEq/L.
C. pH 7.34, pCO 2 36 mmHg, HCO 3 21 mEq/L.
D. pH 7.46, pCO 2 35 mmHg, HCO 3 28 mEq/L.
B. Calcium loss from bones can be slowed by increasing calcium intake and
exercise. - ANSWER A 58-year-old client who has been post-menopausal for five
years is concerned about the risk for osteoporosis because her mother has the
condition. Which information should the nurse offer?
A. Osteoporosis is a progressive genetic disease with no effective treatment.
B. Calcium loss from bones can be slowed by increasing calcium intake and
exercise.
C. Estrogen replacement therapy should be started to prevent the progression
osteoporosis.
D. Low-dose corticosteroid treatment effectively halts the course of
osteoporosis.
D. Medium yellow. - ANSWER Despite several eye surgeries, a 78-year-old client
who lives alone has persistent vision problems. The visiting nurse is discussing
home safety hazards with the client. The nurse suggests that the edges of the
steps be painted which color?
A. Black.
B. White.
C. Light green.
D. Medium yellow.
