9/3/25, 3:37 AM NP 230 HESI Final Exam
NP 230 HESI Final Exam | Questions and Answers | 2025/2026
Updates | 100% Correct – Herzing.
Correct
Incorrect
NP 230 HESI Final Exam
87 Correct terms
Questions and answers
,9/3/25, 3:37 AM NP 230 HESI Final Exam
1 of 87
Term
A male client has just undergone a laryngectomy and has a cuffed
tracheostomy tube in place. When initiating bolus tube feedings
postoperatively, when should the nurse inflate the cuff?
A) Immediately after feeding.
B) Just prior to tube feeding.
C) Continuous inflation is required.
D) Inflation is not required.
Give this one a go later!
B.
The cuff should be inflate before the feeding to block the trachea and prevent
food from entering if oral feedings are started while a cuff tracheostomy tube
is in place. It should remain inflated throughout feeding to prevent aspiration
of food into the respiratory system. C places the patient at risk for tracheal
wall necrosis.
A.
Cushing's syndrome results from a hypersecretion of glucocorticouds in the adrenal
cortex. Clients with Cushing's syndrome often develop diabetes mellitus. Fatigue is
usually not an overwhelming factor in Cushing's syndrome, so an emphasis on the
need for rest is not indicated.
C.
The excretion of potassium and maintenance of potassium balance are normal
functions of the kidneys. In the client with acute kidney injury or chronic kidney
,9/3/25, 3:37 AM NP 230 HESI Final Exam
disease, potassium intake must be restricted as much as possible. The primary
mechanism of potassium removal during AKI is dialysis.
D.
The test for rheumatoid factor detects the presence of unusual antibodies of the
IgG and IgM type, which develop in a number of CT diseases.
Don't know?
2 of 87
Term
A home health nurse knows that a 70-year-old male client who is
convalescing at home following a hip replacement is at risk for
developing pressure ulcers. Which physical characteristic of aging puts
the client at risk?
A) 16% increase in overall body fat.
B) Reduced melanin production.
C) Thinning of the skin, with loss of elasticity.
D) Calcium loss in the bones.
Give this one a go later!
C.
Thin, nonelastic skin is an important factor in pressure formation. The
proportion of body fat to lean mass increases with age and might help
decrease ulcer tendency. D can contribute to broken bones, but is probably
not a factor in pressure ulcer formation.
, 9/3/25, 3:37 AM NP 230 HESI Final Exam
B.
Clients with angle-closure glaucoma should not take medications that dilate the
pupil because they can precipitate acute and severely increased IOP. A, C, and D
do not cause increased IOP, which is the primary concern with angle-closure
glaucoma.
C.
Clients with tumor lysis syndrome may experience hyperkalemia, requiring the
addition of insulin to the IV solution to reduce the serum potassium level. It is most
important for the nurse to monitor the client's serum potassium and blood glucose
levels to ensure that they are not at dangerous levels.
C.
The primary reason for performing frequent mouth care preoperatively is to reduce
the risk of postop infection because these clients may be regurgitating retained
food particles, blood, or pus from the tumor. Meticulous oral care should be
provided several times a day before surgery.
Don't know?
3 of 87
Term
Which nursing action is necessary for the client with a flail chest?
A) Withhold prescribed analgesic medications.
B) Percuss the fractured rib area with light taps.
C) Avoid implementing pulmonary suctioning.
D) Encourage coughing and deep breathing.
NP 230 HESI Final Exam | Questions and Answers | 2025/2026
Updates | 100% Correct – Herzing.
Correct
Incorrect
NP 230 HESI Final Exam
87 Correct terms
Questions and answers
,9/3/25, 3:37 AM NP 230 HESI Final Exam
1 of 87
Term
A male client has just undergone a laryngectomy and has a cuffed
tracheostomy tube in place. When initiating bolus tube feedings
postoperatively, when should the nurse inflate the cuff?
A) Immediately after feeding.
B) Just prior to tube feeding.
C) Continuous inflation is required.
D) Inflation is not required.
Give this one a go later!
B.
The cuff should be inflate before the feeding to block the trachea and prevent
food from entering if oral feedings are started while a cuff tracheostomy tube
is in place. It should remain inflated throughout feeding to prevent aspiration
of food into the respiratory system. C places the patient at risk for tracheal
wall necrosis.
A.
Cushing's syndrome results from a hypersecretion of glucocorticouds in the adrenal
cortex. Clients with Cushing's syndrome often develop diabetes mellitus. Fatigue is
usually not an overwhelming factor in Cushing's syndrome, so an emphasis on the
need for rest is not indicated.
C.
The excretion of potassium and maintenance of potassium balance are normal
functions of the kidneys. In the client with acute kidney injury or chronic kidney
,9/3/25, 3:37 AM NP 230 HESI Final Exam
disease, potassium intake must be restricted as much as possible. The primary
mechanism of potassium removal during AKI is dialysis.
D.
The test for rheumatoid factor detects the presence of unusual antibodies of the
IgG and IgM type, which develop in a number of CT diseases.
Don't know?
2 of 87
Term
A home health nurse knows that a 70-year-old male client who is
convalescing at home following a hip replacement is at risk for
developing pressure ulcers. Which physical characteristic of aging puts
the client at risk?
A) 16% increase in overall body fat.
B) Reduced melanin production.
C) Thinning of the skin, with loss of elasticity.
D) Calcium loss in the bones.
Give this one a go later!
C.
Thin, nonelastic skin is an important factor in pressure formation. The
proportion of body fat to lean mass increases with age and might help
decrease ulcer tendency. D can contribute to broken bones, but is probably
not a factor in pressure ulcer formation.
, 9/3/25, 3:37 AM NP 230 HESI Final Exam
B.
Clients with angle-closure glaucoma should not take medications that dilate the
pupil because they can precipitate acute and severely increased IOP. A, C, and D
do not cause increased IOP, which is the primary concern with angle-closure
glaucoma.
C.
Clients with tumor lysis syndrome may experience hyperkalemia, requiring the
addition of insulin to the IV solution to reduce the serum potassium level. It is most
important for the nurse to monitor the client's serum potassium and blood glucose
levels to ensure that they are not at dangerous levels.
C.
The primary reason for performing frequent mouth care preoperatively is to reduce
the risk of postop infection because these clients may be regurgitating retained
food particles, blood, or pus from the tumor. Meticulous oral care should be
provided several times a day before surgery.
Don't know?
3 of 87
Term
Which nursing action is necessary for the client with a flail chest?
A) Withhold prescribed analgesic medications.
B) Percuss the fractured rib area with light taps.
C) Avoid implementing pulmonary suctioning.
D) Encourage coughing and deep breathing.
