NUR 206 I Page |1
NUR 206 Hesi Exam 4 Prep with a
Review of 100 Latest Exam Questions
and Correct Answers/ NUR 206
Community Nursing Concepts Hesi
Exam Prep Latest (Fortis)
The nurse hears the presence of secretions in the lungs and determines the client, post thoracotomy,
needs to be suctioned. What steps will the nurse include in the suctioning procedure? (Select all that
apply.)
A.
Perform hand hygiene.
B.
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Position in no less than a semi-Fowler's position.
C.
Lubricate the suction catheter with a petroleum-based product.
D.
Insert the catheter with the suction on.
E.
Listen for breath sounds.
F.
Hyperoxygenate the client. –
Correct Answer :A, B, E, F
Rationale:
The suction catheter does need to be lubricated, but with a water-based product, not a petroleum-
based product. The suction catheter needs to be inserted with the suction off, not on. Suction should
be applied intermittently while withdrawing the catheter. The remainder are steps in the suction
process.
The nurse is providing care to a client immediately after a total right mastectomy. What steps will the
nurse include when positioning the client? (Select all that apply.)
A.
Raise the head of the bed 30 to 45 degrees.
B.
Roll the client to her right side and place a pillow behind her back.
C.
Elevate her right arm under two pillows.
D.
Require the client to stay in bed for 72 hours post procedure.
E.
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Place a sandbag on the incision. –
Correct Answer :A, C
Rationale:
The client must stay on her back or on the unaffected side, not on the operative side. Mobility as
tolerated; there is no need to remain immobile. A sandbag is used when there is risk of bleeding from
the wound. There is no mention of that risk in the stem. Sitting up and elevating the arm will help
lymph drainage.
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing the risk of
a heart attack or stroke. Which health promotion brochure is most important for the nurse to provide
to this client?
A.
"Monitoring Your Blood Pressure at Home"
B.
"Smoking Cessation as a Lifelong Commitment"
C.
"Decreasing Cholesterol Levels Through Diet"
D.
"Stress Management for a Healthier You" –
Correct Answer :C
Rationale:
A health promotion brochure about decreasing cholesterol is most important to provide this client,
because the most significant risk factor contributing to development of arteriosclerosis is excess
dietary fat, particularly saturated fat and cholesterol. Option A does not address the underlying causes
of arteriosclerosis. Options B and D are also important factors for reversing arteriosclerosis but are not
as important as lowering cholesterol.
The nurse is preparing the room for a client after a laparotomy with a 5 inch midline abdominal
incision. The nurse plans on teaching the client how to splint the wound when coughing or deep
breathing. What extra item will the nurse place in the client's room?
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A.
Pillow case
B.
Pillow
C.
Sheet
D.
Blue absorbent pad –
Correct Answer :B
Rationale:
The purpose of splinting an incision is to offer additional support to the wound. The client can hold a
pillow or rolled up blanket against the abdominal incision. The remaining items do not offer the level of
support necessary to splint the wound.
The nurse is instructing a client in the proper use of a metered-dose inhaler. Which instruction should
the nurse provide the client to ensure the optimal benefits from the drug?
A.
"Fill your lungs with air through your mouth and then compress the inhaler."
B.
"Compress the inhaler while slowly breathing in through your mouth."
C.
"Compress the inhaler while inhaling quickly through your nose."
D.
"Exhale completely after compressing the inhaler and then inhale." –
Correct Answer :B
Rationale:
P a g e 4 | 176
NUR 206 Hesi Exam 4 Prep with a
Review of 100 Latest Exam Questions
and Correct Answers/ NUR 206
Community Nursing Concepts Hesi
Exam Prep Latest (Fortis)
The nurse hears the presence of secretions in the lungs and determines the client, post thoracotomy,
needs to be suctioned. What steps will the nurse include in the suctioning procedure? (Select all that
apply.)
A.
Perform hand hygiene.
B.
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, NUR 206 I Page |2
Position in no less than a semi-Fowler's position.
C.
Lubricate the suction catheter with a petroleum-based product.
D.
Insert the catheter with the suction on.
E.
Listen for breath sounds.
F.
Hyperoxygenate the client. –
Correct Answer :A, B, E, F
Rationale:
The suction catheter does need to be lubricated, but with a water-based product, not a petroleum-
based product. The suction catheter needs to be inserted with the suction off, not on. Suction should
be applied intermittently while withdrawing the catheter. The remainder are steps in the suction
process.
The nurse is providing care to a client immediately after a total right mastectomy. What steps will the
nurse include when positioning the client? (Select all that apply.)
A.
Raise the head of the bed 30 to 45 degrees.
B.
Roll the client to her right side and place a pillow behind her back.
C.
Elevate her right arm under two pillows.
D.
Require the client to stay in bed for 72 hours post procedure.
E.
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, NUR 206 I Page |3
Place a sandbag on the incision. –
Correct Answer :A, C
Rationale:
The client must stay on her back or on the unaffected side, not on the operative side. Mobility as
tolerated; there is no need to remain immobile. A sandbag is used when there is risk of bleeding from
the wound. There is no mention of that risk in the stem. Sitting up and elevating the arm will help
lymph drainage.
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing the risk of
a heart attack or stroke. Which health promotion brochure is most important for the nurse to provide
to this client?
A.
"Monitoring Your Blood Pressure at Home"
B.
"Smoking Cessation as a Lifelong Commitment"
C.
"Decreasing Cholesterol Levels Through Diet"
D.
"Stress Management for a Healthier You" –
Correct Answer :C
Rationale:
A health promotion brochure about decreasing cholesterol is most important to provide this client,
because the most significant risk factor contributing to development of arteriosclerosis is excess
dietary fat, particularly saturated fat and cholesterol. Option A does not address the underlying causes
of arteriosclerosis. Options B and D are also important factors for reversing arteriosclerosis but are not
as important as lowering cholesterol.
The nurse is preparing the room for a client after a laparotomy with a 5 inch midline abdominal
incision. The nurse plans on teaching the client how to splint the wound when coughing or deep
breathing. What extra item will the nurse place in the client's room?
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A.
Pillow case
B.
Pillow
C.
Sheet
D.
Blue absorbent pad –
Correct Answer :B
Rationale:
The purpose of splinting an incision is to offer additional support to the wound. The client can hold a
pillow or rolled up blanket against the abdominal incision. The remaining items do not offer the level of
support necessary to splint the wound.
The nurse is instructing a client in the proper use of a metered-dose inhaler. Which instruction should
the nurse provide the client to ensure the optimal benefits from the drug?
A.
"Fill your lungs with air through your mouth and then compress the inhaler."
B.
"Compress the inhaler while slowly breathing in through your mouth."
C.
"Compress the inhaler while inhaling quickly through your nose."
D.
"Exhale completely after compressing the inhaler and then inhale." –
Correct Answer :B
Rationale:
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