NUR 206 COMMUNITY HESI EXAM 2 2023-2024 ACTUAL EXAM ALL 270
QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g7zv14
1. The nurse teaches a patient about pursed lip 4
breathing. Which action by the patient would indi-
cate to the nurse that further teaching is needed?
The patient practices by blowing through a straw.
The patient's ratio of inhalation to exhalation is
1:3.
The patient inhales slowly through the nose.
The patient puffs up the cheeks while exhaling.
2. A 55-year-old patient with increasing dyspnea is 2
being evaluated for a possible diagnosis of chron-
ic obstructive pulmonary disease (COPD). When
teaching a patient about pulmonary function test-
ing (PFT) for this condition, what is the most im-
portant question the nurse should ask?
"Do you have any metal implants or prostheses?"
"Have you taken any bronchodilators in the past
6 hours?"
"Are you claustrophobic?"
"Are you allergic to shellfish?"
3. A patient has just been admitted with proba- 4
ble bacterial pneumonia and sepsis. Which order
should the nurse implement first?
, NUR 206 COMMUNITY HESI EXAM 2 2023-2024 ACTUAL EXAM ALL 270
QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g7zv14
Ciprofloxacin (Cipro) 400 mg IV
Acetaminophen (Tylenol) rectal suppository
Chest x-ray via stretcher
Blood cultures from two sites
4. A patient hospitalized with chronic obstructive 2
pulmonary disease (COPD) is being discharged
home on oxygen therapy. Which instruction
should the nurse include in the discharge teach-
ing?
Oxygen flow should be increased if the patient
has more dyspnea.
Oxygen use can improve the patient's prognosis
and quality of life.
Storage of oxygen tanks will require adequate
space in the home.
Travel opportunities will be limited because of the
use of oxygen.
5. A client in the emergency department is taking 2,4,5
rifampin (Rifadin) for tuberculosis. The client re-
ports yellowing of the sclera and skin and bleed-
ing after minor trauma. What laboratory results
correlate to this condition? (Select all that apply.)
White blood cell (WBC) count: 72,000/mm
, NUR 206 COMMUNITY HESI EXAM 2 2023-2024 ACTUAL EXAM ALL 270
QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g7zv14
Prothrombin time: 35 seconds
Serum sodium: 130 mEq/L
Blood urea nitrogen (BUN): 19 mg/dL
International normalized ratio (INR): 6.3
6. A patient who is experiencing an acute asthma 3
attack is admitted to the emergency department.
Which assessment should the nurse complete
first?
Determine when the dyspnea started.
Obtain the forced expiratory volume (FEV) flow
rate.
Listen to the patient's breath sounds.
Ask about inhaled corticosteroid use.
7. A patient with a tracheostomy has a new order for 1
a fenestrated tracheostomy tube. Which action
should the nurse include in the plan of care in
collaboration with the speech therapist?
Assess the ability to swallow before using the fen-
estrated tube.
Inflate the tracheostomy cuff during use of the
fenestrated tube.
, NUR 206 COMMUNITY HESI EXAM 2 2023-2024 ACTUAL EXAM ALL 270
QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g7zv14
Leave the tracheostomy inner cannula inserted at
all times.
Place the decannulation cap in the tube before
cuff deflation.
8. An alcoholic and homeless patient is diagnosed 2
with active tuberculosis (TB). Which intervention
by the nurse will be most effective in ensuring
adherence with the treatment regimen?
Teach the patient about the high risk for infecting
others unless treatment is followed.
Arrange for a daily noon meal at a community
center where the drug will be administered.
Arrange for a friend to administer the medication
on schedule.
Give the patient written instructions about how to
take the medications.
9. A lobectomy is scheduled for a patient with stage 2
I non-small cell lung cancer. The patient tells the
nurse, "I would rather have chemotherapy than
surgery." Which response by the nurse is most
appropriate?
"Surgery is the treatment of choice for stage I
lung cancer."
QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g7zv14
1. The nurse teaches a patient about pursed lip 4
breathing. Which action by the patient would indi-
cate to the nurse that further teaching is needed?
The patient practices by blowing through a straw.
The patient's ratio of inhalation to exhalation is
1:3.
The patient inhales slowly through the nose.
The patient puffs up the cheeks while exhaling.
2. A 55-year-old patient with increasing dyspnea is 2
being evaluated for a possible diagnosis of chron-
ic obstructive pulmonary disease (COPD). When
teaching a patient about pulmonary function test-
ing (PFT) for this condition, what is the most im-
portant question the nurse should ask?
"Do you have any metal implants or prostheses?"
"Have you taken any bronchodilators in the past
6 hours?"
"Are you claustrophobic?"
"Are you allergic to shellfish?"
3. A patient has just been admitted with proba- 4
ble bacterial pneumonia and sepsis. Which order
should the nurse implement first?
, NUR 206 COMMUNITY HESI EXAM 2 2023-2024 ACTUAL EXAM ALL 270
QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g7zv14
Ciprofloxacin (Cipro) 400 mg IV
Acetaminophen (Tylenol) rectal suppository
Chest x-ray via stretcher
Blood cultures from two sites
4. A patient hospitalized with chronic obstructive 2
pulmonary disease (COPD) is being discharged
home on oxygen therapy. Which instruction
should the nurse include in the discharge teach-
ing?
Oxygen flow should be increased if the patient
has more dyspnea.
Oxygen use can improve the patient's prognosis
and quality of life.
Storage of oxygen tanks will require adequate
space in the home.
Travel opportunities will be limited because of the
use of oxygen.
5. A client in the emergency department is taking 2,4,5
rifampin (Rifadin) for tuberculosis. The client re-
ports yellowing of the sclera and skin and bleed-
ing after minor trauma. What laboratory results
correlate to this condition? (Select all that apply.)
White blood cell (WBC) count: 72,000/mm
, NUR 206 COMMUNITY HESI EXAM 2 2023-2024 ACTUAL EXAM ALL 270
QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g7zv14
Prothrombin time: 35 seconds
Serum sodium: 130 mEq/L
Blood urea nitrogen (BUN): 19 mg/dL
International normalized ratio (INR): 6.3
6. A patient who is experiencing an acute asthma 3
attack is admitted to the emergency department.
Which assessment should the nurse complete
first?
Determine when the dyspnea started.
Obtain the forced expiratory volume (FEV) flow
rate.
Listen to the patient's breath sounds.
Ask about inhaled corticosteroid use.
7. A patient with a tracheostomy has a new order for 1
a fenestrated tracheostomy tube. Which action
should the nurse include in the plan of care in
collaboration with the speech therapist?
Assess the ability to swallow before using the fen-
estrated tube.
Inflate the tracheostomy cuff during use of the
fenestrated tube.
, NUR 206 COMMUNITY HESI EXAM 2 2023-2024 ACTUAL EXAM ALL 270
QUESTIONS AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g7zv14
Leave the tracheostomy inner cannula inserted at
all times.
Place the decannulation cap in the tube before
cuff deflation.
8. An alcoholic and homeless patient is diagnosed 2
with active tuberculosis (TB). Which intervention
by the nurse will be most effective in ensuring
adherence with the treatment regimen?
Teach the patient about the high risk for infecting
others unless treatment is followed.
Arrange for a daily noon meal at a community
center where the drug will be administered.
Arrange for a friend to administer the medication
on schedule.
Give the patient written instructions about how to
take the medications.
9. A lobectomy is scheduled for a patient with stage 2
I non-small cell lung cancer. The patient tells the
nurse, "I would rather have chemotherapy than
surgery." Which response by the nurse is most
appropriate?
"Surgery is the treatment of choice for stage I
lung cancer."
