NUR 206 COMMUNITY HESI FINAL EXAM LATEST VERSION
ACTUAL EXAM ALL 250+ QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+| 2025 LATEST UPDATED
The nurse in the PACU performs postsurgical assessments on the newly admitted patient every
_________ minutes. - (answers)every 15 minutes
A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to
increase her peristalsis? - (answers)Ambulation
A patient is transferred from the operating room to the recovery room after undergoing an open
reduction and internal fixation (ORIF) of his left ankle. Which is the first assessment to make? -
(answers)Check airway for patency.
A postoperative patient who had a left inguinal hernia repair is ready for his discharge
instructions. Which information should the nurse provide? (Select all that apply.) - (answers)-
Care of the wound site and any dressings
- When he may operate a motor vehicle
- Signs and symptoms to report to the physician
- Actions and side effects of any medications
Anti-embolic stockings are in place on the obese post surgical patient. Which statement
accurately describes the standard of care in regards to anti-embolic stockings? - (answers)should
be removed approximately 20 minutes every shift.
Frequent assessment of a postoperative patient is essential. What is one of the first signs and
symptoms of hemorrhage? - (answers)Restlessness
The nurse educates the postsurgical patient about which potential effect of smoking on
postsurgical recovery? - (answers)Delayed healing
,The nurse is caring for a 90-year-old postoperative patient whose oxygen saturation is frequently
dropping below 90%. Which age-related change is most likely related to this finding? -
(answers)weakened respiratory muscles
The nurse is caring for a patient during the first postoperative day. Which goal works to prevent
atelectasis and is most appropriate for the nursing care plan? - (answers)Patient will "huff-cough"
every 2 hours
The nurse is caring for a patient following abdominal surgery. The patient asks the nurse when he
will be able to eat a normal diet. Which response is best? - (answers)"Once you have bowel
sounds and are passing gas, you may have clear liquids, and your diet will be advanced based
upon your tolerance."
The nurse is caring for a patient who had spinal anesthesia. Which drink is the best choice for the
nurse to offer the patient? - (answers)Tea
The nurse is caring for a surgical patient who complains of excessive gas. Which action should
the nurse take? - (answers)Ambulate the patient in the hall.
The nurse is educating the patient about vitamins and wound healing. The nurse explains that
which vitamin will enhance wound healing the most? - (answers)Vitamin C
The nurse is performing a neurological assessment on a patient who was just transferred from the
PACU following abdominal surgery. Which action(s) correctly demonstrate(s) knowledge of a
neurological assessment? (Select all that apply.) - (answers)- Asking the patient to identify where
he is.
- Noting if the patient can identify the sensation of touch.
- Asking the patient to move his arms and legs.
- Assessing the patient's pupils for response to light.
, The nurse is performing the Aldrete scoring system. Which factor(s) must be assessed? (Select
all that apply.) - (answers)- Activity
- Circulation
- Level of consciousness
- O2 saturation
- Respiration
The PACU nurse is caring for a semiconscious patient immediately following abdominal surgery.
The nurse correctly places the patient in which position? - (answers)Lateral
The PACU nurse is caring for an unconscious patient. Assessment reveals diminished breath
sounds bilaterally. Which action should the nurse take? - (answers)Document "diminished breath
sounds in both lower lobes."
The patient is brought into PACU still unconscious. What should the nurse do when the nurse
assesses an oral temperature of 94° F? - (answers)Cover with a warm blanket
The postoperative nursing intervention that would be contraindicated for a 45-year-old patient
who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial
pressure (ICP) would be: - (answers)coughing every 2 hours
When the postoperative patient complains of sudden chest pain combined with dyspnea,
cyanosis, and tachycardia, the nurse recognizes the signs of: - (answers)pulmonary embolus
Which action is most important for the nurse to take prior to ambulating the postsurgical patient
for the first time? - (answers)Raise the head of the bed
Which of the following early postoperative observations should be reported immediately? -
(answers)"Coffee ground" emesis
ACTUAL EXAM ALL 250+ QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+| 2025 LATEST UPDATED
The nurse in the PACU performs postsurgical assessments on the newly admitted patient every
_________ minutes. - (answers)every 15 minutes
A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to
increase her peristalsis? - (answers)Ambulation
A patient is transferred from the operating room to the recovery room after undergoing an open
reduction and internal fixation (ORIF) of his left ankle. Which is the first assessment to make? -
(answers)Check airway for patency.
A postoperative patient who had a left inguinal hernia repair is ready for his discharge
instructions. Which information should the nurse provide? (Select all that apply.) - (answers)-
Care of the wound site and any dressings
- When he may operate a motor vehicle
- Signs and symptoms to report to the physician
- Actions and side effects of any medications
Anti-embolic stockings are in place on the obese post surgical patient. Which statement
accurately describes the standard of care in regards to anti-embolic stockings? - (answers)should
be removed approximately 20 minutes every shift.
Frequent assessment of a postoperative patient is essential. What is one of the first signs and
symptoms of hemorrhage? - (answers)Restlessness
The nurse educates the postsurgical patient about which potential effect of smoking on
postsurgical recovery? - (answers)Delayed healing
,The nurse is caring for a 90-year-old postoperative patient whose oxygen saturation is frequently
dropping below 90%. Which age-related change is most likely related to this finding? -
(answers)weakened respiratory muscles
The nurse is caring for a patient during the first postoperative day. Which goal works to prevent
atelectasis and is most appropriate for the nursing care plan? - (answers)Patient will "huff-cough"
every 2 hours
The nurse is caring for a patient following abdominal surgery. The patient asks the nurse when he
will be able to eat a normal diet. Which response is best? - (answers)"Once you have bowel
sounds and are passing gas, you may have clear liquids, and your diet will be advanced based
upon your tolerance."
The nurse is caring for a patient who had spinal anesthesia. Which drink is the best choice for the
nurse to offer the patient? - (answers)Tea
The nurse is caring for a surgical patient who complains of excessive gas. Which action should
the nurse take? - (answers)Ambulate the patient in the hall.
The nurse is educating the patient about vitamins and wound healing. The nurse explains that
which vitamin will enhance wound healing the most? - (answers)Vitamin C
The nurse is performing a neurological assessment on a patient who was just transferred from the
PACU following abdominal surgery. Which action(s) correctly demonstrate(s) knowledge of a
neurological assessment? (Select all that apply.) - (answers)- Asking the patient to identify where
he is.
- Noting if the patient can identify the sensation of touch.
- Asking the patient to move his arms and legs.
- Assessing the patient's pupils for response to light.
, The nurse is performing the Aldrete scoring system. Which factor(s) must be assessed? (Select
all that apply.) - (answers)- Activity
- Circulation
- Level of consciousness
- O2 saturation
- Respiration
The PACU nurse is caring for a semiconscious patient immediately following abdominal surgery.
The nurse correctly places the patient in which position? - (answers)Lateral
The PACU nurse is caring for an unconscious patient. Assessment reveals diminished breath
sounds bilaterally. Which action should the nurse take? - (answers)Document "diminished breath
sounds in both lower lobes."
The patient is brought into PACU still unconscious. What should the nurse do when the nurse
assesses an oral temperature of 94° F? - (answers)Cover with a warm blanket
The postoperative nursing intervention that would be contraindicated for a 45-year-old patient
who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial
pressure (ICP) would be: - (answers)coughing every 2 hours
When the postoperative patient complains of sudden chest pain combined with dyspnea,
cyanosis, and tachycardia, the nurse recognizes the signs of: - (answers)pulmonary embolus
Which action is most important for the nurse to take prior to ambulating the postsurgical patient
for the first time? - (answers)Raise the head of the bed
Which of the following early postoperative observations should be reported immediately? -
(answers)"Coffee ground" emesis
