HESI RN COMPASS EXIT EXAM V1 LATEST
UPDATE QUESTION &ANSWERS (100%
VERIFIED)
The nurse is caring for a pre-adolescent client in
skeletalDunlop traction. Which
nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body
alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's
comfort
D) Release the traction for 15-20 minutes every 6 hours
PRN. The correct answer is A: Make certain the child is
maintained incorrect body alignment.
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
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The correct answer is A: Height and weight percentiles
varywidely
The parents of a 2 year-old child report that he
has beenholding his breath whenever
he has temper tantrums. What is the best action by the
nurse?
A) Teach the parents how to perform
,cardiopulmonaryresuscitation
B) Recommend that the parents give in when he holds his
breathto prevent anoxia
C) Advise the parents to ignore breath holding because
breathingwill begin as a reflex
D) Instruct the parents on how to reason with the child
aboutpossible harmful effects
The correct answer is C: Advise the parents to ignore
breathholding because breathing
will begin as a reflex
A nurse has just received a medication order which
is notlegible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no
idea ofwhat you mean."
B) "Would you please clarify what you have written so I
am sure Iam reading it
correctly?"
C) "I am having difficulty reading your handwriting. It
would saveme time if you would
be more careful."
D) "Please print in the future so I do not have to spend
extra timeattempting to read your
writing."
The correct answer is B) "Would you please clarify what
you havewritten so I am sure I
am
reading it correctly?"
The nurse is assessing a client in the emergency room.
Whichstatement suggests that
,the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
The correct answer is A: "My pain is deep in my chest
behind mysternum."
.
In evaluating the growth of a 12 month-old child,
which ofthese findings would the
nurse expect to be present in the infant?
A) Increased 10% in height
B) 2 deciduous teeth
C) Tripled the birth weight
D) Head > chest circumference
The correct answer is C: Tripled the birth weight
A Hispanic client in the postpartum period
refuses thehospital food because it is
"cold." The best initial action by the nurse is to
A) Have the unlicensed assistive personnel (UAP) reheat
the food if the client wishesB) Ask the client what foods
are acceptable or bad
C) Encourage her to eat for healing and strength
D) Schedule the dietitian to meet with the client as
soon aspossible
The correct answer is B: Ask the client what foods are
acceptable
The father of an 8 month-old infant asks the
nurse if hisinfant's vocalizations are
normal for his age. Which of the following would the nurse
expectat this age?
, A) Cooing
B) Imitation of sounds
C) Throaty sounds
D) Laughter
The correct answer is B: Imitation of Sounds
The nurse is assessing the mental status of a client
admittedwith possible organic brain
disorder. Which of these questions will best assess the
function ofthe client's recentmemory?
UPDATE QUESTION &ANSWERS (100%
VERIFIED)
The nurse is caring for a pre-adolescent client in
skeletalDunlop traction. Which
nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body
alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's
comfort
D) Release the traction for 15-20 minutes every 6 hours
PRN. The correct answer is A: Make certain the child is
maintained incorrect body alignment.
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
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The correct answer is A: Height and weight percentiles
varywidely
The parents of a 2 year-old child report that he
has beenholding his breath whenever
he has temper tantrums. What is the best action by the
nurse?
A) Teach the parents how to perform
,cardiopulmonaryresuscitation
B) Recommend that the parents give in when he holds his
breathto prevent anoxia
C) Advise the parents to ignore breath holding because
breathingwill begin as a reflex
D) Instruct the parents on how to reason with the child
aboutpossible harmful effects
The correct answer is C: Advise the parents to ignore
breathholding because breathing
will begin as a reflex
A nurse has just received a medication order which
is notlegible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no
idea ofwhat you mean."
B) "Would you please clarify what you have written so I
am sure Iam reading it
correctly?"
C) "I am having difficulty reading your handwriting. It
would saveme time if you would
be more careful."
D) "Please print in the future so I do not have to spend
extra timeattempting to read your
writing."
The correct answer is B) "Would you please clarify what
you havewritten so I am sure I
am
reading it correctly?"
The nurse is assessing a client in the emergency room.
Whichstatement suggests that
,the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
The correct answer is A: "My pain is deep in my chest
behind mysternum."
.
In evaluating the growth of a 12 month-old child,
which ofthese findings would the
nurse expect to be present in the infant?
A) Increased 10% in height
B) 2 deciduous teeth
C) Tripled the birth weight
D) Head > chest circumference
The correct answer is C: Tripled the birth weight
A Hispanic client in the postpartum period
refuses thehospital food because it is
"cold." The best initial action by the nurse is to
A) Have the unlicensed assistive personnel (UAP) reheat
the food if the client wishesB) Ask the client what foods
are acceptable or bad
C) Encourage her to eat for healing and strength
D) Schedule the dietitian to meet with the client as
soon aspossible
The correct answer is B: Ask the client what foods are
acceptable
The father of an 8 month-old infant asks the
nurse if hisinfant's vocalizations are
normal for his age. Which of the following would the nurse
expectat this age?
, A) Cooing
B) Imitation of sounds
C) Throaty sounds
D) Laughter
The correct answer is B: Imitation of Sounds
The nurse is assessing the mental status of a client
admittedwith possible organic brain
disorder. Which of these questions will best assess the
function ofthe client's recentmemory?
