N220 HESI EXAM COMPLETE QUESTIONS
WITH 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.
/.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 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.
/.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 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."
,/.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.
/.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 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.
/.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.
/.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.
/.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.
/.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.
/.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.
/.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.
/.The nurse working in a postoperative surgical clinic is assessing a woman who had a
left radical mastectomy for breast cancer. Which factor puts this client at greatest risk
for developing lymphedema?
A. She sustained an insect bite to her left arm yesterday.
B. She has lost twenty pounds since the surgery.
C. Her healthcare provider now prescribes a calcium channel blocker for hypertension.
D. Her hobby is playing classical music on the piano.
WITH 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.
/.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 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.
/.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 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."
,/.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.
/.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 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.
/.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.
/.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.
/.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.
/.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.
/.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.
/.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.
/.The nurse working in a postoperative surgical clinic is assessing a woman who had a
left radical mastectomy for breast cancer. Which factor puts this client at greatest risk
for developing lymphedema?
A. She sustained an insect bite to her left arm yesterday.
B. She has lost twenty pounds since the surgery.
C. Her healthcare provider now prescribes a calcium channel blocker for hypertension.
D. Her hobby is playing classical music on the piano.
