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HESI RN Compass Comprehensive Exit Exam Test Bank 2025/2026 | All Versions of the Exam with All Modules Covered | Accurate and Verified Questions and Answers for Guaranteed Pass

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This complete HESI RN Compass Comprehensive Exit Exam test bank for the 2025/2026 testing cycle contains hundreds of verified, NCLEX-style practice questions with correct answers and detailed rationales. It comprehensively covers every major module, including pharmacology (enalapril, lithium, morphine calculations), critical care (myocardial infarction, central lines, carbon monoxide poisoning), maternal-child health (preeclampsia, placenta previa, oxytocin, amniocentesis, fetal monitoring), mental health (ECT, tardive dyskinesia, agoraphobia, MAOI diet), oncology (cervical cancer, ovarian cancer, mastectomy), renal/endocrine (chronic renal failure, gout, osteoporosis, diabetes in pregnancy), respiratory (sarcoidosis, silicosis, pneumonia), and more. Perfect for RN students preparing for the HESI RN Exit Exam and NCLEX-RN, this resource builds clinical judgment, prioritization, and safe practice skills for a guaranteed pass.

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Institution
HESI RN Compass
Course
HESI RN Compass

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HESI RN COMPASS COMPREHENSIVE
EXIT EXAM TEST BANK 2025/2026 | ALL
VERSIONS OF THE EXAM WITH ALL
MODULES COVERED | ACCURATE AND
VERIFIED QUESTIONS AND ANSWERS
FOR GUARANTEED PASS



QUESTION 1
A client has a prescription for enalapril maleate. Before administering the
medication, which action should the nurse take?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours
Correct answer: A. Checking the client's blood pressure ✓✓




QUESTION 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?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
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."
D. "I need to take a laxative after the test is completed, because the liquid
that I'll have to drink for the test can be constipating."
Correct answer: 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." ✓✓

,QUESTION 3
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:
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
Correct answer: B. Ask the answering service to contact the on-call
physician ✓✓




QUESTION 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 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
Correct answer: B. Asking the ED physician to check the client ✓✓




QUESTION 5
NPO status is imposed 8 hours before the procedure on a client scheduled
to undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of
the procedure, the nurse checks 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
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route

,D. Hold the antihypertensive and resume its administration on the day
after the ECT
Correct answer: A. Administer the antihypertensive with a small sip
of water ✓✓




QUESTION 6
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."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this
depression."
D. "Every client who has this surgery feels the same way for about a
month."
Correct answer: A. "Tell me more about what you're feeling." ✓✓




QUESTION 7
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
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR
Correct answer: A. Contacting the physician ✓✓




QUESTION 8
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
B. Check the client's blood glucose level to serve as a baseline
measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed
rate
D. Infuse normal saline solution through the catheter at a rate of 100
mL/hr to maintain patency
Correct answer: A. Call the radiography department to obtain a
chest x-ray ✓✓




QUESTION 9
A rape victim being treated in the emergency department says to the
nurse, "I'm really worried that I've got HIV now." What is the appropriate
response by the nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract HIV."
D. "Let's talk about the information that you need to determine your risk
of contracting HIV."
Correct answer: D. "Let's talk about the information that you need
to determine your risk of contracting HIV." ✓✓




QUESTION 10
A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times
daily, to relieve joint pain resulting from rheumatoid arthritis. The client
tells the nurse that the medication is causing nausea and indigestion. The
nurse should tell the client to:
A. Contact the physician
B. Stop taking the medication
C. Take the medication with food
D. Take the medication twice a day instead of four times
Correct answer: C. Take the medication with food ✓✓

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Uploaded on
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