N220 HESI EXAM COMPLETE
QUESTIONS WITH 100% VERIFIED
ANSWERS
\.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.
- ANSWERS-C. Yearly mammograms should be done regardless of previous normal
x-rays.
\.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. - ANSWERS-B. Obese
older male client with a short, thick neck.
,\.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. - ANSWERS-A. Lower left quadrant pain and a
low-grade fever.
\.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. - ANSWERS-C. A potassium
supplement will be prescribed.
\.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." - ANSWERS-A. "Chemotherapy affects the cells of the body that grow
rapidly, both normal and malignant."
\.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. - ANSWERS-C. Provide
back and skin care while maintaining the traction.
\.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. - ANSWERS-A. Quality of the pain.
B. Signs of inflammation.
C. Ankle range of motion.
E. Visible deformities of the joint.
, \.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. - ANSWERS-A. Clear, watery
drainage from the ear.
\.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. - ANSWERS-A. Muscle weakness.
\.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. - ANSWERS-D. Question the
healthcare provider's prescription.
QUESTIONS WITH 100% VERIFIED
ANSWERS
\.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.
- ANSWERS-C. Yearly mammograms should be done regardless of previous normal
x-rays.
\.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. - ANSWERS-B. Obese
older male client with a short, thick neck.
,\.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. - ANSWERS-A. Lower left quadrant pain and a
low-grade fever.
\.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. - ANSWERS-C. A potassium
supplement will be prescribed.
\.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." - ANSWERS-A. "Chemotherapy affects the cells of the body that grow
rapidly, both normal and malignant."
\.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. - ANSWERS-C. Provide
back and skin care while maintaining the traction.
\.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. - ANSWERS-A. Quality of the pain.
B. Signs of inflammation.
C. Ankle range of motion.
E. Visible deformities of the joint.
, \.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. - ANSWERS-A. Clear, watery
drainage from the ear.
\.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. - ANSWERS-A. Muscle weakness.
\.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. - ANSWERS-D. Question the
healthcare provider's prescription.
