NUR 206 I Page |1
NUR 206 Hesi Exam 2 Prep with a
Review of 100 Latest Exam Questions
and Correct Answers/ NUR 206
Community Nursing Concepts Hesi
Exam Prep Latest (Fortis)
A home care nurse prefills syringes containing NPH (Humulin N) and regular (Humulin R) insulin for a
client with diabetes mellitus who will be administering his/her own insulin but has difficulty seeing and
accurately preparing doses. How does the nurse place the medication in the client's refrigerator with
the syringes?
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, NUR 206 I Page |2
Lying flat
In a horizontal position
In a vertical position with the needles pointing up
In a vertical position with the needles pointing down –
Correct Answer :In a vertical position with the needles pointing up
Rationale:
The syringes should be stored vertically, with the needles pointing up to prevent clogging of the
needle with the insulin. Mixtures of insulin in prefilled syringes may be stored in a refrigerator, where
they will be stable for at least 1 to 2 weeks. Before administration of the medication, the syringe should
be agitated gently to resuspend the insulin.
Tolbutamide is prescribed to a client whose type 2 diabetes mellitus has not been controlled with diet
and exercise alone. The nurse provides instructions to the client about the medication. Which
statement by the client indicates a need for further instruction?
"I need to maintain my exercise program."
"I need to stay on my calorie-restricted diet."
"I can take the medication with food if it upsets my stomach."
"I can have a beer or glass of wine as long as I stay within my daily dietary restrictions." –
Correct Answer :"I can have a beer or glass of wine as long as I stay within my daily dietary
restrictions."
Rationale:
There is a need for further instruction when the client says "I can have a beer or glass of wine as long
as I stay within my daily dietary restrictions." Tolbutamide, a first-generation sulfonylurea, is used as an
adjunct to calorie restriction and exercise to maintain glycemic control in clients with type 2 diabetes
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, NUR 206 I Page |3
mellitus. When alcohol is combined with tolbutamide, a disulfiram-like reaction, including flushing,
palpitations, and nausea, may occur. Alcohol also potentiates the hypoglycemic effects of
tolbutamide. The client must be told about the dangers of alcohol consumption. The statements in
the remaining options are correct.
The nurse is reviewing the record of a client admitted with Cushing's syndrome due to ingestion of
large doses of long-term glucocorticoids used to treat nonendocrine conditions. What
signs/symptoms does the nurse expect to note? Select all that apply.
Moon face
Dizziness
Osteoporosis
Hyperkalemia
Loss of weight
Edema in the feet –
Correct Answer :Moon face
Dizziness
Osteoporosis
Edema in the feet
Rationale:
Signs/symptoms of clients with Cushing's syndrome include moon face, dizziness, osteoporosis, and
swelling of the feet. Other signs/symptoms include puffy eyelids, increased bruising, bleeding, and
menstrual irregularities. Hyperkalemia, not hypokalemia, also occurs, as well as gaining, not losing,
weight.
Oral prednisone 10 mg/day is prescribed for a client with an acute exacerbation of rheumatoid arthritis.
The nurse is providing information to the client about the medication. What time of day does the
nurse tell the client is best to take the medication?
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At bedtime
With lunch
In the evening, after 9 p.m.
In the morning, before 9:00 a.m. –
Correct Answer :In the morning, before 9:00 a.m.
Rationale:
The nurse tells the client that it is best to take glucocorticoids before 9 a.m. This schedule helps
minimize adrenal insufficiency and mimics the burst of glucocorticoids released naturally by the
adrenals each morning. Prednisone, a glucocorticoid, may be prescribed to reduce inflammation and
pain in acute exacerbations of rheumatoid arthritis. The time frames in the remaining options are
incorrect.
A child with growth hormone deficiency will be receiving somatropin. The nurse provides information
to the mother about the medication. Which of the following laboratory values does the nurse tell the
mother will require monitoring?
Creatinine
Hemoglobin
Blood urea nitrogen (BUN)
Thyroid-stimulating hormone (TSH) - Correct Answer :Thyroid-stimulating hormone (TSH)
Rationale: TSH is the laboratory value the nurse tells the mother to monitor. Somatropin is a growth
hormone. One adverse reaction to somatropin is hypothyroidism. Thyroid function is assessed before
treatment and periodically thereafter. Creatinine and BUN are used to evaluate renal function, and
hemoglobin reflects hematologic activity.
P a g e 4 | 135
NUR 206 Hesi Exam 2 Prep with a
Review of 100 Latest Exam Questions
and Correct Answers/ NUR 206
Community Nursing Concepts Hesi
Exam Prep Latest (Fortis)
A home care nurse prefills syringes containing NPH (Humulin N) and regular (Humulin R) insulin for a
client with diabetes mellitus who will be administering his/her own insulin but has difficulty seeing and
accurately preparing doses. How does the nurse place the medication in the client's refrigerator with
the syringes?
P a g e 1 | 135
, NUR 206 I Page |2
Lying flat
In a horizontal position
In a vertical position with the needles pointing up
In a vertical position with the needles pointing down –
Correct Answer :In a vertical position with the needles pointing up
Rationale:
The syringes should be stored vertically, with the needles pointing up to prevent clogging of the
needle with the insulin. Mixtures of insulin in prefilled syringes may be stored in a refrigerator, where
they will be stable for at least 1 to 2 weeks. Before administration of the medication, the syringe should
be agitated gently to resuspend the insulin.
Tolbutamide is prescribed to a client whose type 2 diabetes mellitus has not been controlled with diet
and exercise alone. The nurse provides instructions to the client about the medication. Which
statement by the client indicates a need for further instruction?
"I need to maintain my exercise program."
"I need to stay on my calorie-restricted diet."
"I can take the medication with food if it upsets my stomach."
"I can have a beer or glass of wine as long as I stay within my daily dietary restrictions." –
Correct Answer :"I can have a beer or glass of wine as long as I stay within my daily dietary
restrictions."
Rationale:
There is a need for further instruction when the client says "I can have a beer or glass of wine as long
as I stay within my daily dietary restrictions." Tolbutamide, a first-generation sulfonylurea, is used as an
adjunct to calorie restriction and exercise to maintain glycemic control in clients with type 2 diabetes
P a g e 2 | 135
, NUR 206 I Page |3
mellitus. When alcohol is combined with tolbutamide, a disulfiram-like reaction, including flushing,
palpitations, and nausea, may occur. Alcohol also potentiates the hypoglycemic effects of
tolbutamide. The client must be told about the dangers of alcohol consumption. The statements in
the remaining options are correct.
The nurse is reviewing the record of a client admitted with Cushing's syndrome due to ingestion of
large doses of long-term glucocorticoids used to treat nonendocrine conditions. What
signs/symptoms does the nurse expect to note? Select all that apply.
Moon face
Dizziness
Osteoporosis
Hyperkalemia
Loss of weight
Edema in the feet –
Correct Answer :Moon face
Dizziness
Osteoporosis
Edema in the feet
Rationale:
Signs/symptoms of clients with Cushing's syndrome include moon face, dizziness, osteoporosis, and
swelling of the feet. Other signs/symptoms include puffy eyelids, increased bruising, bleeding, and
menstrual irregularities. Hyperkalemia, not hypokalemia, also occurs, as well as gaining, not losing,
weight.
Oral prednisone 10 mg/day is prescribed for a client with an acute exacerbation of rheumatoid arthritis.
The nurse is providing information to the client about the medication. What time of day does the
nurse tell the client is best to take the medication?
P a g e 3 | 135
, NUR 206 I Page |4
At bedtime
With lunch
In the evening, after 9 p.m.
In the morning, before 9:00 a.m. –
Correct Answer :In the morning, before 9:00 a.m.
Rationale:
The nurse tells the client that it is best to take glucocorticoids before 9 a.m. This schedule helps
minimize adrenal insufficiency and mimics the burst of glucocorticoids released naturally by the
adrenals each morning. Prednisone, a glucocorticoid, may be prescribed to reduce inflammation and
pain in acute exacerbations of rheumatoid arthritis. The time frames in the remaining options are
incorrect.
A child with growth hormone deficiency will be receiving somatropin. The nurse provides information
to the mother about the medication. Which of the following laboratory values does the nurse tell the
mother will require monitoring?
Creatinine
Hemoglobin
Blood urea nitrogen (BUN)
Thyroid-stimulating hormone (TSH) - Correct Answer :Thyroid-stimulating hormone (TSH)
Rationale: TSH is the laboratory value the nurse tells the mother to monitor. Somatropin is a growth
hormone. One adverse reaction to somatropin is hypothyroidism. Thyroid function is assessed before
treatment and periodically thereafter. Creatinine and BUN are used to evaluate renal function, and
hemoglobin reflects hematologic activity.
P a g e 4 | 135
