NUR 206 Hesi Exam 3 Prep with a
Review of 100 Latest Exam Questions
and Correct Answers/ NUR 206
Community Nursing Concepts Hesi
Exam Prep Latest (Fortis)
The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-
delivered medication to demonstrate correct use of the inhaler?
A. Immediately after exhalation.
B. During the inhalation.
C. At the end of three inhalations.
D. Immediately after inhalation. –
P a g e 1 | 152
, NUR 206 I Page |2
Correct Answer :The client should be instructed to deliver the medication during the last part of
inhalation (B). After the medication is delivered, the client should remove the mouthpiece, keeping
his/her lips closed and breath held for several seconds to allow for distribution of the medication. The
client should not deliver the dose as stated in (A or D), and should deliver no more than two
inhalations at a time (C).
Correct Answer: B
The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5 mg PO. Zaroxolyn is
available in 5 mg tablets. How much should the nurse plan to administer?
A. ½ tablet.
B. 1 tablet.
C. 1½ tablets.
D. 2 tablets. –
Correct Answer :(C) is the correct calculation: D/H × Q = 7.5/5 × 1 tablet = 1½ tablets.
Correct Answer: C
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2 ml. How
many milliliters should the nurse administer?
A. 1 ml.
B. 1.5 ml.
C. 1.75 ml.
D. 2 ml. –
Correct Answer :(B) is the correct calculation: Dosage on hand/amount on hand = Dosage desired/x
amount. 20 mg : 2 ml = 15 mg : x . 20x = 30. x = 30/20; = 1½ or 1.5 ml.
Correct Answer: B
Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5½ hours. How much heparin
has the client received?
P a g e 2 | 152
, NUR 206 I Page |3
A. 11,000 units.
B. 13,000 units.
C. 15,000 units.
D. 17,000 units. –
Correct Answer :(A) is the correct calculation: 20,000 units/500 ml = 40 units (the amount of units in
one ml of fluid). 40 units/ml x 50 ml/hr = 2,000 units/hour (1,000 units in 1/2 hour). 5.5 x 2,000 = 11,000
(A). OR, multiply 5 x 2,000 and add the 1/2 hour amount of 1,000 to reach the same conclusion =
11,000 units.
Correct Answer: A
The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8 mg per ml.
How many ml should the nurse administer?
A. 0.5 ml.
B. 1 ml.
C. 1.5 ml.
D. 2 ml. –
Correct Answer :Using ratio and proportion:
8mg: 1ml :: 4mg:Xml
8X=4
X=0.5
Correct Answer: A
The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The infusion set
delivers 10 drops per milliliter. The nurse should regulate the IV to administer approximately how many
drops per minute?
A. 80
B. 8
C. 21
P a g e 3 | 152
, NUR 206 I Page |4
D. 25 –
Correct Answer :The accepted formula for figuring drops per minute is: amount to be infused in one
hour × drop factor/time for infusion (min)= drops per minute. Using this formula: 1,000/8 hours = 125
ml/ hour 125 × 10 (drip factor) = 1,250 drops in one hour. 1,250/ 60 (number of minutes in one hour) =
20.8 or 21 gtt/min (C).
Correct Answer: C
Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first. –
Correct Answer :Gloved hands held below waist level are considered unsterile (C). (A and B) are not
essential to maintaining asepsis. While it may be helpful to put the glove on the dominant hand first, it
is not necessary to ensure asepsis (D).
Correct Answer: C
A client's infusion of normal saline infiltrated earlier today, and approximately 500 ml of saline infused
into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding
"stronger pain medications." What initial action is most important for the nurse to take?
A. Ask about any past history of drug abuse or addiction.
B. Measure the pulse volume and capillary refill distal to the infiltration.
C. Compress the infiltrated tissue to measure the degree of edema.
D. Evaluate the extent of ecchymosis over the forearm area. –
Correct Answer :Pain and diminished pulse volume (B) are signs of compartment syndrome, which can
progress to complete loss of the peripheral pulse in the extremity. Compartment syndrome occurs
when external pressure (usually from a cast), or internal pressure (usually from subcutaneous infused
fluid), exceeds capillary perfusion pressure resulting in decreased blood flow to the extremity. (A)
should not be pursued until physical causes of the pain are ruled out. (C) is of less priority than
P a g e 4 | 152