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HESI RN COMPASS EXIT EXAM V1 HESI RN COMPASS EXIT EXAM V1 FINAL EXAM STUDY GUIDE. GRAD, Exams of Health sciences

Walden UniversityHealth sciences

HESI RN COMPASS EXIT EXAM V1 HESI RN COMPASS EXIT EXAM V1 FINAL EXAM STUDY GUIDE. GRADED A+. WITH QUESTIONS AND 100% VERIFIED ANSWERS. LATEST UPDATE HESI RN COMPASS EXIT EXAM V1 HESI RN COMPASS EXIT EXAM V1 FINAL EXAM STUDY GUIDE. GRADED A+. WITH QUESTIONS AND 100% VERIFIED ANSWERS. LATEST UPDATE HESI RN COMPASS EXIT EXAM V1 HESI RN COMPASS EXIT EXAM V1 FINAL EXAM STUDY GUIDE. GRADED A+. WITH QUESTIONS AND 100% VERIFIED ANSWERS. LATEST UPDATE

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2025/2026

Available from 11/28/2025

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HESI RN COMPASS EXIT EXAM V1
HESI RN COMPASS EXIT EXAM V1
FINAL EXAM STUDY GUIDE.
GRADED A+. WITH QUESTIONS
AND 100% VERIFIED ANSWERS.
LATEST UPDATE
1. The nurse is caring for a pre-adolescent client in skeletal
Dunlop traction. Which nursing intervention is appropriate for
this child?
A) Make certain the child is maintained in correct body alignment.
2. The nurse is assessing a healthy child at the 2 year check up.
Which of the following should the nurse report immediately to the
health care provider?
A) Height and weight percentiles vary widely
3. The parents of a 2 year-old child report that he has been holding
his breath whenever he has temper tantrums. What is the best
action by the nurse?
C) Advise the parents to ignore breath holding because breathing will begin as a
reflex
4. The nurse is assessing a client in the emergency room. Which
statement suggests that the problem is acute angina?
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Partial preview of the text

Download HESI RN COMPASS EXIT EXAM V1 HESI RN COMPASS EXIT EXAM V1 FINAL EXAM STUDY GUIDE. GRAD and more Exams Health sciences in PDF only on Docsity!

HESI RN COMPASS EXIT EXAM V

FINAL EXAM STUDY GUIDE.

GRADED A+. WITH QUESTIONS

AND 100% VERIFIED ANSWERS.

LATEST UPDATE

  1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A) Make certain the child is maintained in correct body alignment.
  2. The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider? A) Height and weight percentiles vary widely
  3. The parents of a 2 year-old child report that he has been holding his breath whenever he has temper tantrums. What is the best action by the nurse? C) Advise the parents to ignore breath holding because breathing will begin as a reflex
  4. The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?

A) "My pain is deep in my chest behind my sternum."

  1. Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the nurse perform as a priority before administering the medication? A. Checking the client's blood pressure
  2. A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides instructions to the client about the test. Which statement by the client indicates a need for further instruction? C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the morning of the test."
  3. 2 - A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a prescribed medication is higher than the normal dose. The nurse calls the physician's answering service and is told that the physician is off for the night and will be available in the morning. The nurse should: B. Ask the answering service to contact the on-call physician
  4. An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the

client's record and notes that the client routinely takes an oral antihypertensive medication each morning. The nurse should: A. Administer the antihypertensive with a small sip of water

  1. A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response by the nurse is therapeutic? A. "Tell me more about what you’re feeling."
  2. A client in labor experiences spontaneous rupture of the membranes. The nurse immediately counts the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor. Which of the following actions should be the nurse’s priority? A. Contacting the physician
  3. A nurse has assisted a physician in inserting a central venous access device into a client with a diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the catheter, the nurse immediately plans to: A. Call the radiography department to obtain a chest x-ray
  4. The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis? D) Safety
  5. While explaining an illness to a 10 year-old, what should the nurse keep in mind about the cognitive development at this age? B) They are able to think logically in organizing facts
  6. A home health nurse is at the home of a client with diabetes and arthritis. The client has difficulty drawing up insulin. It would be most appropriate for the nurse to refer the client to B) An occupational therapist from the community center
  1. A priority goal of involuntary hospitalization of the severely mentally ill client is C) Protection from harm to self or others
  2. The nurse is caring for a client with a long leg cast. During discharge teaching about appropriate exercises for the affected extremity, the nurse should recommend A) Isometric
  3. The nurse is teaching parents about the treatment plan for a 2 weeks-old infant with Tetralogy of Fallot. While awaiting future surgery, the nurse instructs the parents to

of the diseased coronary artery to improve blood flow

  1. For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate? A) Institute seizure precautions
  2. Following mitral valve replacement surgery a client develops PVC’s. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mgm/minute. The IV solution contains 2 grams of Lidocaine in 500 cc’s of

D5W. The infusion pump delivers 60 micro drops/cc. What rate would deliver 4 mgm of Lidocaine/ minute? A) 60 microdrops/minute

  1. The nurse is taking a health history from parents of a child admitted with possible Reye's Syndrome. Which recent illness would the nurse recognize as increasing the risk to develop Reye's Syndrome? C) Varicella
  2. While giving care to a 2 year-old client, the nurse should remember that the toddler's tendency to say "no" to almost everything is an indication of what psychosocial skill? D) Assertion of control
  3. A postpartum client admits to alcohol use throughout the pregnancy. Which of the following newborn assessments suggests to the nurse that the infant has fetal alcohol syndrome? C) Cranial facial abnormalities are noted
  4. The nurse is attending a workshop about caring for persons infected with Hepatitis. Which statement is correct when referring to the incidence rate for Hepatitis? A) The number of persons in a population who develop Hepatitis B during a specific period of time
  5. A 36 year-old female client has a hemoglobin level of 14 g/dl and a hematocrit of 42% following a D&C. Which of the following would the nurse expect to find when assessing this client? A) Capillary refill less than 3 seconds
  6. The nurse is caring for a client suspected to have Tuberculosis (TB). Which of the following diagnostic tests is essential for determining the presence of active TB? The nurse is caring for a client suspected to have Tuberculosis (TB). Which of the following

burn. The best response by the nurse is C) "All layers of the skin were destroyed in the burn."

  1. The nurse is taking a health history from a Native American client. It is critical that the nurse must remember that eye contact with such clients is considered B) Rude
  2. A nurse is instructing a class for new parents at a local community center. The nurse would stress that which activity is most hazardous for an 8 month-old child? D) Eating peanuts
  3. When teaching parents about sickle cell disease, the nurse should tell them that their child's anemia is caused by B) An imbalance between red cell destruction and production
  4. The nurse is assessing a newborn delivered at home by an admitted heroin addict. Which of the following would the nurse expect to observe? D) Jitteriness at 24 - 48 hours
  5. The nurse is caring for a client with congestive heart failure. Which finding requires the nurse's immediate attention? A) Pulse oximetry of 85%
  6. The nurse is assessing a young child at a clinic visit for a mild respiratory infection. Koplik spots are noted on the oral mucous membranes. The nurse should then assess which area of the body? A) Inspect the skin
  7. Which action is most likely to ensure the safety of the nurse while making a home visit? C) Remain alert at all times and leave if cues suggest the home is not safe
  8. An adolescent client is admitted in respiratory alkalosis following

aspirin overdose. The nurse recognizes that this imbalance was caused by A) Tachypnea

  1. The nurse discovers that the parents of a 2 year-old child continue to use an apnea monitor each night. The parents state: “We are concerned about the possible occurrence of sudden infant death syndrome (SIDS).” In order to take appropriate action, the nurse must understand that D) 95% of SIDS cases occur before 6 months of age

A) Hold a rattle

  1. When teaching a 10 year-old child about their impending heart surgery, which form of explanation meets the developmental needs of this age child? D) Explain the surgery using a model of the heart
  2. The parents of a child who has suddenly been hospitalized for an acute illness state that they should have taken the child to the pediatrician earlier. Which approach by the nurse is best when dealing with the parents' comments? D) Accept their feelings without judgment
  1. When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse? C) Sterile technique for dressing change at IV site
  2. When caring for a client who is receiving a thrombolytic agent to open a clot occluded coronary artery after a myocardial infarction, which finding would be of greatest concern to the nurse? B) Hematemesis
  3. A 52 year-old client is being transfused with one unit of packed cells. A half hour after the transfusion was initiated, the client complains of chills and headache. Which action should the nurse implement first? C) Stop the transfusion
  4. An adolescent client is hospitalized with menarthrosis from a Hemophilia A bleeding episode. Which order should be questioned by the nurse? C) Aspirin for pain management
  5. The nurse is giving instructions to the mother of a newborn infant with oral candidiasis. Which statement by the mother would indicate the need for further teaching? D) "The therapy can be discontinued when the spots disappear."
  6. The nurse is preparing a client for discharge following in- patient treatment for pulmonary tuberculosis. Which of these instructions should be given to the client? B) Continue medication use as prescribed
  7. The nurse is administering an intravenous piggyback infusion of penicillin. Which of the following client statements would require the nurse's immediate attention? C) "I am itching all over."

B) Relief of insomnia

  1. A client with diabetes has a blood sugar is 306 this morning. After the nurse reports this lab result and the client's symptoms of excessive hunger and thirst, what would the nurse expect the health care provider to order? B) Regular insulin
  2. The nurse is planning to administer otic drops to a 6 year-old child. Which of the following is the correct procedure? A) Hold the pinna up and back to instill the drops
  3. A 1 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? C) Monitor serum glucose levels
  4. Today's prothrombin time for a client receiving Coumadin is 20 (normal range listed by the lab is 10-14). What is the appropriate nursing action? B) Recognize that this is a therapeutic level
  5. The nurse administered intravenous gamma globulin to an 18 month-old child with AIDS. The parent asks why this medication is being given. What is the nurse’s best response? C) "This medication is used to prevent bacterial infections."
  6. The nurse is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse's immediate attention? D) Blood glucose of 350 mg/dl
  7. The nurse is teaching a client with asthma about the correct use of the Azmacort (triamcinolone) inhaler. Which of the following

statements, if made by the client, would indicate that the teaching was effective? B) "I should rinse my mouth after using the inhaler."

  1. A client is admitted to the hospital because of heart failure and digoxin toxicity. At home, the client was taking digoxin (Lanoxin) and furosemide (Lasix). Which symptom would the nurse anticipate finding on the initial assessment? A) Muscle weakness and cramping
  2. The nurse admits a client with hypertension who complains of dizziness after taking diltiazem (Cardizem). Which of the following is the most important information for the

use of occasional pursed-lip breathing D) "By prolonging breathing out with pursed lips the little areas in my lungs don't collapse."

  1. During the admission assessment on a client with chronic bilateral glaucoma, which statement by the client would the nurse anticipate since it is associated with this problem? C) "I have to turn my head to see my room."
  2. A 19 year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client was using the mechanism of "suppression"? A) "I don't remember anything about what happened to me."
  1. While caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse's first action? B) Massage the fundus
  2. An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight at 6 months of age? A) Double the birth weight
  3. On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse’s initial response should be to B) Introduce him/herself and accompany the client to the client’s room
  4. A client with asthma has low pitched wheezes present on the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client A) Has increased airway obstruction
  5. A client asks the nurse about including her 2 and 12 year-old sons in the care of their newborn sister. Which of the following is an appropriate initial statement by the nurse? A) "Focus on your sons' needs during the first days at home."
  6. A 16 year-old client is admitted to a psychiatric unit with a diagnosis of attempted suicide. The nurse is aware that the most frequent cause for suicide in adolescents is D) Feelings of alienation or isolation
  7. A newborn has been diagnosed with hypothyroidism. In discussing the condition and treatment with the family, the nurse should emphasize B) Administration of thyroid hormone will prevent problems
  8. A Hispanic client refuses emergency room treatment until a