HESI COMPASS Comprehensive Exit Exam 2026 – Complete Practice & Review 1 2026-03-09
HESI COMPASS
Comprehensive Exit Exam
2026 – Complete Practice &
Review
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_1 of 71
Page 1 of 71 HESI COMPASS Comprehensive Exit Exam 2026 – Complete Practice & Review.pdf
,HESI COMPASS COMPREHENSIVE EXIT EXAM 2026 2 2026-03-09
1-Enalapril maleate (Vasotec) is prescribed for a A. Checking the client's blood pressure
hospitalized client. Which assessment does the nurse
perform as a priority before administering the Checking the client's blood pressure
medication? Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used
to treat hypertension. One common side effect is postural hypotension.
A. Checking the client's blood pressure Therefore the nurse would check the client's blood pressure immediately
B. Checking the client's peripheral pulses before administering each dose. Checking the client's peripheral pulses, the
C. Checking the most recent potassium level results of the most recent potassium level, and the intake and output for the
D. Checking the client's intake-and-output record for previous 24 hours are not specifically associated with this mediation.
the last 24 hours
2-A client is scheduled to undergo an upper C. "I need to drink citrate of magnesia the night before the test and give
gastrointestinal (GI) series, and the nurse provides myself a Fleet enema on the morning of the test."
instructions to the client about the test. Which
statement by the client indicates a need for further An upper GI series involves visualization of the esophagus, duodenum, and
instruction? upper jejunum by means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium), which is administered in a
A. "The test will take about 30 minutes." flavored milkshake. Films are taken at intervals during the test, which takes
B. "I need to fast for 8 hours before the test." about 30 minutes. No special preparation is necessary before a GI series,
C. "I need to drink citrate of magnesia the night before except that NPO status must be maintained for 8 hours before the test. After
the test and give myself a Fleet enema on the morning an upper GI series, the client is prescribed a laxative to hasten elimination of
of the test." the barium. Barium that remains in the colon may become hard and difficult
D. "I need to take a laxative after the test is completed, to expel, leading to fecal impaction.
because the liquid that I'll have to drink for the test can
be constipating."
Page 2 of 71 2 of 71 HESI COMPASS COMPREHENSIVE EXIT EXAM 2026.pdf
,HESI COMPASS COMPREHENSIVE EXIT EXAM 2026 3 2026-03-09
3-A nurse on the evening shift checks a physician's B. Ask the answering service to contact the on-call physician
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:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call
physician
C. Withhold the medication until the physician can be
reached in the morning
D. Administer the medication but consult the physician
when he becomes available
Page 3 of 71 3 of 71 HESI COMPASS COMPREHENSIVE EXIT EXAM 2026.pdf
, HESI COMPASS COMPREHENSIVE EXIT EXAM 2026 4 2026-03-09
4.An emergency department (ED) nurse is monitoring B. Asking the ED physician to check the client
a client with suspected acute myocardial infarction
(MI) who is awaiting transfer to the coronary intensive
care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the
monitor, checks the client's carotid pulse, and
determines that the PVCs are not resulting in
perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an
MI
Page 4 of 71 4 of 71 HESI COMPASS COMPREHENSIVE EXIT EXAM 2026.pdf
HESI COMPASS
Comprehensive Exit Exam
2026 – Complete Practice &
Review
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_1 of 71
Page 1 of 71 HESI COMPASS Comprehensive Exit Exam 2026 – Complete Practice & Review.pdf
,HESI COMPASS COMPREHENSIVE EXIT EXAM 2026 2 2026-03-09
1-Enalapril maleate (Vasotec) is prescribed for a A. Checking the client's blood pressure
hospitalized client. Which assessment does the nurse
perform as a priority before administering the Checking the client's blood pressure
medication? Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used
to treat hypertension. One common side effect is postural hypotension.
A. Checking the client's blood pressure Therefore the nurse would check the client's blood pressure immediately
B. Checking the client's peripheral pulses before administering each dose. Checking the client's peripheral pulses, the
C. Checking the most recent potassium level results of the most recent potassium level, and the intake and output for the
D. Checking the client's intake-and-output record for previous 24 hours are not specifically associated with this mediation.
the last 24 hours
2-A client is scheduled to undergo an upper C. "I need to drink citrate of magnesia the night before the test and give
gastrointestinal (GI) series, and the nurse provides myself a Fleet enema on the morning of the test."
instructions to the client about the test. Which
statement by the client indicates a need for further An upper GI series involves visualization of the esophagus, duodenum, and
instruction? upper jejunum by means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium), which is administered in a
A. "The test will take about 30 minutes." flavored milkshake. Films are taken at intervals during the test, which takes
B. "I need to fast for 8 hours before the test." about 30 minutes. No special preparation is necessary before a GI series,
C. "I need to drink citrate of magnesia the night before except that NPO status must be maintained for 8 hours before the test. After
the test and give myself a Fleet enema on the morning an upper GI series, the client is prescribed a laxative to hasten elimination of
of the test." the barium. Barium that remains in the colon may become hard and difficult
D. "I need to take a laxative after the test is completed, to expel, leading to fecal impaction.
because the liquid that I'll have to drink for the test can
be constipating."
Page 2 of 71 2 of 71 HESI COMPASS COMPREHENSIVE EXIT EXAM 2026.pdf
,HESI COMPASS COMPREHENSIVE EXIT EXAM 2026 3 2026-03-09
3-A nurse on the evening shift checks a physician's B. Ask the answering service to contact the on-call physician
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:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call
physician
C. Withhold the medication until the physician can be
reached in the morning
D. Administer the medication but consult the physician
when he becomes available
Page 3 of 71 3 of 71 HESI COMPASS COMPREHENSIVE EXIT EXAM 2026.pdf
, HESI COMPASS COMPREHENSIVE EXIT EXAM 2026 4 2026-03-09
4.An emergency department (ED) nurse is monitoring B. Asking the ED physician to check the client
a client with suspected acute myocardial infarction
(MI) who is awaiting transfer to the coronary intensive
care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the
monitor, checks the client's carotid pulse, and
determines that the PVCs are not resulting in
perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an
MI
Page 4 of 71 4 of 71 HESI COMPASS COMPREHENSIVE EXIT EXAM 2026.pdf
