NUR 206 I Page |1
NUR 206 Hesi Exam 1 Prep with a
Review of 100 Latest Exam Questions
and Correct Answers/ NUR 206
Community Nursing Concepts Hesi
Exam Prep Latest (Fortis)
The nurse worked with a client to alleviate pain with aroma and relaxation therapy. Twenty minutes
after working with the client, the nurse returns to the room and finds the client's eyes are closed and
breathing deeply. What is the best entry for the nurse to document this finding?
A.
Client sleeping
B.
Pain medication working
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C.
Eyes closed, deeply breathing
D.
Effective use of alternative therapy –
Correct Answer :C
Rationale:
The purpose of charting is to document the client's response to care. Charting must be objective. The
client could still be awake, and in a calm state. Clients can sleep through pain, especially if the client
has chronic pain. There is no mention of pain medication in the questions. Chart the client's response
to the care; while the method of achieving relaxation is important, it is not the most important.
The postoperative nurse is reviewing the use of an incentive spirometer. Which instructions will the
nurse include in the client's teaching plan? (Select all that apply.)
A.
Sit in an upright position.
B.
Cough deeply three times.
C.
Hold breath for 5 seconds after inhaling on the spirometer.
D.
Place mouth securely around the mouthpiece of the spirometer.
E.
Remove mouth from mouthpiece and exhale through the nose. –
Correct Answer :A, C, D
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Rationale:
After the spirometer is used the nurse can encourage deep coughing. The client should exhale
through pursed lips. The remaining steps are correct.
The postoperative client is placed on a clear liquid diet. Which selections will the nurse select for the
client? (Select all that apply.)
A.
Apple juice
B.
Popsicles
C.
Vanilla pudding
D.
Tomato soup
E.
Gelatin
F.
Black coffee –
Correct Answer :A, B, E, F
Rationale:
Clear liquids are transparent and liquid at room temperature. Tomato soup and vanilla pudding are
included in a full liquid diet
The nurse is providing care to clients at a day treatment center. One of the clients who is usually
talkative and eats well is now confused and did not eat lunch. The nurse learns these are new findings
as of today. What are the next nursing actions? (Select all that apply.)
A.
Obtain a clean catch urine sample.
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B.
Take the client's vital signs.
C.
Assess for the initiation of any new medications.
D.
Obtain an oxygen saturation.
E.
Call the client's children to report the confusion.
F.
Call the facility's bus service to return the client home. –
Correct Answer :A, B, C, D
Rationale:
Until the assessment is complete, there is no need to contact the client's children. With the client's
state of confusion, the nurse cannot dismiss the client to home. The client is exhibiting signs of an
infection with the confusion and anorexia. The remaining assessments will help the nurse determine if
the client has an infection or if there is another reason for the confusion.
The nurse is providing care to an 86-year-old admitted for a heart catheterization. The nurse
determines the client does not have an advance directive (AD) on file. What are the nurse's next
steps? (Select all that apply.)
A.
Ask the client's cardiologist to come to the hospital and obtain the AD.
B.
Ask the client, "Have you considered completing the paperwork for an AD?"
C.
Ask the client's spouse to complete the AD.
D.
Tell the client, "An AD helps the staff provide care according to your wishes."
E.
P a g e 4 | 132
NUR 206 Hesi Exam 1 Prep with a
Review of 100 Latest Exam Questions
and Correct Answers/ NUR 206
Community Nursing Concepts Hesi
Exam Prep Latest (Fortis)
The nurse worked with a client to alleviate pain with aroma and relaxation therapy. Twenty minutes
after working with the client, the nurse returns to the room and finds the client's eyes are closed and
breathing deeply. What is the best entry for the nurse to document this finding?
A.
Client sleeping
B.
Pain medication working
P a g e 1 | 132
, NUR 206 I Page |2
C.
Eyes closed, deeply breathing
D.
Effective use of alternative therapy –
Correct Answer :C
Rationale:
The purpose of charting is to document the client's response to care. Charting must be objective. The
client could still be awake, and in a calm state. Clients can sleep through pain, especially if the client
has chronic pain. There is no mention of pain medication in the questions. Chart the client's response
to the care; while the method of achieving relaxation is important, it is not the most important.
The postoperative nurse is reviewing the use of an incentive spirometer. Which instructions will the
nurse include in the client's teaching plan? (Select all that apply.)
A.
Sit in an upright position.
B.
Cough deeply three times.
C.
Hold breath for 5 seconds after inhaling on the spirometer.
D.
Place mouth securely around the mouthpiece of the spirometer.
E.
Remove mouth from mouthpiece and exhale through the nose. –
Correct Answer :A, C, D
P a g e 2 | 132
, NUR 206 I Page |3
Rationale:
After the spirometer is used the nurse can encourage deep coughing. The client should exhale
through pursed lips. The remaining steps are correct.
The postoperative client is placed on a clear liquid diet. Which selections will the nurse select for the
client? (Select all that apply.)
A.
Apple juice
B.
Popsicles
C.
Vanilla pudding
D.
Tomato soup
E.
Gelatin
F.
Black coffee –
Correct Answer :A, B, E, F
Rationale:
Clear liquids are transparent and liquid at room temperature. Tomato soup and vanilla pudding are
included in a full liquid diet
The nurse is providing care to clients at a day treatment center. One of the clients who is usually
talkative and eats well is now confused and did not eat lunch. The nurse learns these are new findings
as of today. What are the next nursing actions? (Select all that apply.)
A.
Obtain a clean catch urine sample.
P a g e 3 | 132
, NUR 206 I Page |4
B.
Take the client's vital signs.
C.
Assess for the initiation of any new medications.
D.
Obtain an oxygen saturation.
E.
Call the client's children to report the confusion.
F.
Call the facility's bus service to return the client home. –
Correct Answer :A, B, C, D
Rationale:
Until the assessment is complete, there is no need to contact the client's children. With the client's
state of confusion, the nurse cannot dismiss the client to home. The client is exhibiting signs of an
infection with the confusion and anorexia. The remaining assessments will help the nurse determine if
the client has an infection or if there is another reason for the confusion.
The nurse is providing care to an 86-year-old admitted for a heart catheterization. The nurse
determines the client does not have an advance directive (AD) on file. What are the nurse's next
steps? (Select all that apply.)
A.
Ask the client's cardiologist to come to the hospital and obtain the AD.
B.
Ask the client, "Have you considered completing the paperwork for an AD?"
C.
Ask the client's spouse to complete the AD.
D.
Tell the client, "An AD helps the staff provide care according to your wishes."
E.
P a g e 4 | 132
