NUR 206 Hesi Exam Prep with a Review
of 100 Latest Exam Questions and
Correct Answers/ NUR 206 Community
Nursing Concepts Hesi Exam Prep
Latest (Fortis)
What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful procedure. –
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Correct Answer :B. A decreased flow rate could result in the formation of a thrombosis.
(Venous return is usually better in the upper extremities. Cannulation of the veins in the lower
extremities increases the risk of thrombus formation (B) which, if dislodged, could be life-threatening.
Superficial veins are often very easy (A) to find in the feet and legs. Handing a leg or foot with an IV (C)
is probably not anymore difficult than handling an arm or hand. Even if the nurse did believe moving a
cannulated leg was more difficult, that is not the most important reason for using the upper
extremities. Pain (D) is not a consideration. )
The nurse is administering medications through a nasogastric tube (NGT) which is connected to
suction. After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. –
Correct Answer :B. Flush the tube with water.
(The NGT should be flushed before, after, and in between each medication administered (B). Once all
medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.)
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg
IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300. –
Correct Answer :D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
(To ensure that a therapeutic level of medication is maintained, the nurse should administer dose as
soon as possible, and revise the administration schedule accordingly to prevent dangerously
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increasing the level of medication in the bloodstream (D). The nurse should document the reason for
the late dose, but (A and C) are not warranted. (B) could result in increased blood levels of the drug.)
While instructing a male client's wife in the performance of passive range-of-motion exercises to his
contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What
nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion. –
Correct Answer :A.
Acknowledge that she is supporting the arm correctly. (The wife is performing the passive ROM
correctly, therefore the nurse should acknowledge this fact (A). The joint that is being exercised
should be uncovered (B) while the best of the body should remain covered for warmth and privacy. (C
and D) do not provide adequate support for the joint while still allowing for joint movement.)
An adult male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should be the
nurse's first response?
A. It is important that you continue your medication while learning to meditate.
B. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C. Obtain your healthcare provider's permission before starting meditation.
D. Complementary therapy and western medicine can be effective for you. –
Correct Answer :A. "It is important that you continue your medication while learning to meditate."
(The prolonged practice of meditation may lead to reduced need for antihypertensive medications.
However, the medications must be continued (A) while the physiologic response to meditation is
monitored. (B) is not as important as continuing the medication. The HCP should be informed, but
permission is not required to mediate (C). Although, it is true that the complimentary therapy might be
effective (D), it is essential that the client continue with antihypertensive mediations until the effect of
mediation can be measured.)
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The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional
need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. –
Correct Answer :B. A lactating woman nursing her 3-day-old infant.
(A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all
conditions that require protein but do NOT have the increased metabolic protein demands of
lactation.)
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse
have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed. –
Correct Answer :B. Blood transfusions are forbidden.
When conducting an admission assessment, the nurse should ask the client about the use of
complimentary healing practices. Which statement is accurate regarding the use of these practices?
A. Complimentary healing practices interfere with the efficacy of the medical model of treatment.
B. Conventional medications are likely to interact with folk remedies and cause adverse effects.
C. Many complimentary healing practices can be used in conjunction with conventional practices.
D. Conventional medical practices will ultimately replace the use of complimentary healing practices. –
Correct Answer :C. Many complimentary healing practices can be used in conjunction with
conventional practices. (Conventional approaches to health care can be depersonalizing and often fail
to take into consideration all aspects of an individual, including body, mind, and spirit. Often
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