N314 MED-SURG HESI COMPASS COMPREHENSIVE EXIT EXAM
2025/2026 AND PRACTICE EXAM TEST BANK WITH A STUDY
GUIDE | ALL VERSIONS OF THE EXAM WITH ALL MODULES
COVERED | ACCURATE AND VERIFIED QUESTIONS AND
ANSWERS | GUARANTEED PASS | LATEST UPDATE| GRADE A+
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for what
vitamin deficiency?
K
Feedback:
Clients should be monitored for an increased prothrombin time and prolonged bleeding times
which would alert the nurse to a vitamin K deficiency. These drugs reduce absorption of the fat
soluble (lipid) vitamins A, D, E, and K.
Based on the analysis of the client's atrial fibrillation, the nurse should prepare the client for
which treatment protocol?
Anticoagulation therapy.
Feedback:
The client is experiencing atrial fibrillation, and the nurse should prepare the client for
anticoagulation therapy (C) which should be prescribed before rhythm control therapies to
prevent cardioembolic events which result from blood pooling in the fibrillating atria
A client with a 16-year history of diabetes mellitus is having renal function tests because of
recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which
finding should the nurse conclude as an early symptom of renal insufficiency?
,Nocturia
Feedback:
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such phenols, hormones, electrolytes,
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the
inability of the kidneys to concentrate urine and contribute to nocturia
A female client receiving IV vasopressin (Pitressin) for esophageal varice rupture reports to the
nurse that she feels substernal tightness and pressure across her chest. Which PRN protocol
should the nurse initiate?
Start an IV nitroglycerin infusion.
Feedback:
Vasoconstriction of the coronary arteries can lead to angina and myocardial infarction, and
should be counteracted by IV nitroglycerin per prescribed protocol
The nurse is completing an admission interview and assessment on a client with a history of
Parkinson's disease. Which question should provide information relevant to the client's plan of
care?
Have you ever been 'frozen' in one spot, unable to move?
Feedback:
Clients with Parkinson's disease frequently experience difficulty in initiating, maintaining, and
performing motor activities. They may even experience being rooted to the spot and unable to
move
,The nurse is assessing a client who has a history of Parkinson's disease for the past 5 years.
What symptoms should this client most likely exhibit?
Shuffling gait, masklike facial expression, and tremors of the head.
An elderly male client comes to the geriatric screening clinic complaining of pain in his left calf.
The nurse notices a reddened area on the calf of his right leg which is warm to the touch and
suspects it might be thrombophlebitis. Which type of pain should further confirm this
suspicion?
Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
The healthcare provider prescribes aluminum and magnesium hydroxide (Maalox), 1 tablet PO
PRN, for a client with chronic renal failure who is complaining of indigestion. What intervention
should the nurse implement?
Question the healthcare provider's prescription
A 57-year-old male client is scheduled to have a stress-thallium test the following morning and
is NPO after midnight. At 0130, he is agitated because he cannot eat and is demanding food.
Which response is best for the nurse to provide to this client?
The test you are having tomorrow requires that you have nothing by mouth tonight.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in
sugar and fat. According to the Health Belief Model, which event is most likely to increase the
client's willingness to become compliant with the prescribed diet?
He visits his diabetic brother who just had surgery to amputate an infected foot.
, The nurse is planning to initiate a socialization group for older residents of a long-term facility.
Which information is most useful to the nurse when planning activities for the group?
The usual activity patterns of each member of the group.
A female client is brought to the clinic by her daughter for a flu shot. She has lost significant
weight since the last visit. She has poor personal hygiene and inadequate clothing for the
weather. The client states that she lives alone and denies problems or concerns. What action
should the nurse implement?
Collect further data to determine whether self-neglect is occurring.
The nurse is planning care for a client who has a right hemispheric stroke. Which nursing
diagnosis should the nurse include in the plan of care?
Risk for injury related to denial of deficits and impulsiveness.
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses
redness and warmth on the lower left calf. What intervention should be most helpful to this
client?
Advise the client to remain in bed with the leg elevated.
Which reaction should the nurse identify in a client who is responding to stimulation of the
sympathetic nervous system?
Increased heart rate.
2025/2026 AND PRACTICE EXAM TEST BANK WITH A STUDY
GUIDE | ALL VERSIONS OF THE EXAM WITH ALL MODULES
COVERED | ACCURATE AND VERIFIED QUESTIONS AND
ANSWERS | GUARANTEED PASS | LATEST UPDATE| GRADE A+
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for what
vitamin deficiency?
K
Feedback:
Clients should be monitored for an increased prothrombin time and prolonged bleeding times
which would alert the nurse to a vitamin K deficiency. These drugs reduce absorption of the fat
soluble (lipid) vitamins A, D, E, and K.
Based on the analysis of the client's atrial fibrillation, the nurse should prepare the client for
which treatment protocol?
Anticoagulation therapy.
Feedback:
The client is experiencing atrial fibrillation, and the nurse should prepare the client for
anticoagulation therapy (C) which should be prescribed before rhythm control therapies to
prevent cardioembolic events which result from blood pooling in the fibrillating atria
A client with a 16-year history of diabetes mellitus is having renal function tests because of
recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which
finding should the nurse conclude as an early symptom of renal insufficiency?
,Nocturia
Feedback:
As the glomerular filtration rate decreases in early renal insufficiency, metabolic waste products,
including urea, creatinine, and other substances, such phenols, hormones, electrolytes,
accumulate in the blood. In the early stage of renal insufficiency, polyuria results from the
inability of the kidneys to concentrate urine and contribute to nocturia
A female client receiving IV vasopressin (Pitressin) for esophageal varice rupture reports to the
nurse that she feels substernal tightness and pressure across her chest. Which PRN protocol
should the nurse initiate?
Start an IV nitroglycerin infusion.
Feedback:
Vasoconstriction of the coronary arteries can lead to angina and myocardial infarction, and
should be counteracted by IV nitroglycerin per prescribed protocol
The nurse is completing an admission interview and assessment on a client with a history of
Parkinson's disease. Which question should provide information relevant to the client's plan of
care?
Have you ever been 'frozen' in one spot, unable to move?
Feedback:
Clients with Parkinson's disease frequently experience difficulty in initiating, maintaining, and
performing motor activities. They may even experience being rooted to the spot and unable to
move
,The nurse is assessing a client who has a history of Parkinson's disease for the past 5 years.
What symptoms should this client most likely exhibit?
Shuffling gait, masklike facial expression, and tremors of the head.
An elderly male client comes to the geriatric screening clinic complaining of pain in his left calf.
The nurse notices a reddened area on the calf of his right leg which is warm to the touch and
suspects it might be thrombophlebitis. Which type of pain should further confirm this
suspicion?
Pain in the calf upon exertion which is relieved by rest and elevating the extremity.
The healthcare provider prescribes aluminum and magnesium hydroxide (Maalox), 1 tablet PO
PRN, for a client with chronic renal failure who is complaining of indigestion. What intervention
should the nurse implement?
Question the healthcare provider's prescription
A 57-year-old male client is scheduled to have a stress-thallium test the following morning and
is NPO after midnight. At 0130, he is agitated because he cannot eat and is demanding food.
Which response is best for the nurse to provide to this client?
The test you are having tomorrow requires that you have nothing by mouth tonight.
A middle-aged male client with diabetes continues to eat an abundance of foods that are high in
sugar and fat. According to the Health Belief Model, which event is most likely to increase the
client's willingness to become compliant with the prescribed diet?
He visits his diabetic brother who just had surgery to amputate an infected foot.
, The nurse is planning to initiate a socialization group for older residents of a long-term facility.
Which information is most useful to the nurse when planning activities for the group?
The usual activity patterns of each member of the group.
A female client is brought to the clinic by her daughter for a flu shot. She has lost significant
weight since the last visit. She has poor personal hygiene and inadequate clothing for the
weather. The client states that she lives alone and denies problems or concerns. What action
should the nurse implement?
Collect further data to determine whether self-neglect is occurring.
The nurse is planning care for a client who has a right hemispheric stroke. Which nursing
diagnosis should the nurse include in the plan of care?
Risk for injury related to denial of deficits and impulsiveness.
Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses
redness and warmth on the lower left calf. What intervention should be most helpful to this
client?
Advise the client to remain in bed with the leg elevated.
Which reaction should the nurse identify in a client who is responding to stimulation of the
sympathetic nervous system?
Increased heart rate.
