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 FOR
GUARANTEED PASS | LATEST
UPDATE
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
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---ans-✔✔A.-
Checking-the-client's-blood-pressure
Checking-the-client's-blood-pressure-
Enalapril-maleate-is-an-angiotensin-converting-enzyme-(ACE)-inhibitor-used-to-treat-
hypertension.-One-common-side-effect-is-postural-hypotension.-Therefore-the-nurse-
would-check-the-client's-blood-pressure-immediately-before-administering-each-dose.-
Checking-the-client's-peripheral-pulses,-the-results-of-the-most-recent-potassium-level,-
and-the-intake-and-output-for-the-previous-24-hours-are-not-specifically-associated-with-
this-mediation.
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."---ans-✔✔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."
An-upper-GI-series-involves-visualization-of-the-esophagus,-duodenum,-and-upper-
jejunum-by-means-of-the-use-of-a-contrast-medium.-It-involves-swallowing-a-contrast-
medium-(usually-barium),-which-is-administered-in-a-flavored-milkshake.-Films-are-taken-
at-intervals-during-the-test,-which-takes-about-30-minutes.-No-special-preparation-is-
necessary-before-a-GI-series,-except-that-NPO-status-must-be-maintained-for-8-hours-
before-the-test.-After-an-upper-GI-series,-the-client-is-prescribed-a-laxative-to-hasten-
elimination-of-the-barium.-Barium-that-remains-in-the-colon-may-become-hard-and-difficult-
to-expel,-leading-to-fecal-impaction.
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---ans-
✔✔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-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---ans-✔✔B.-Asking-the-ED-
physician-to-check-the-client
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---
ans-✔✔A.-Administer-the-antihypertensive-with-a-small-sip-of-water
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."---ans-
✔✔A.-"Tell-me-more-about-what-you're-feeling."
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---ans-✔✔A.-Contacting-the-physician-
Correct
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---ans-✔✔A.-Call-the-radiography-department-to-obtain-a-chest-x-ray
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."---ans-✔✔D.-"Let's-talk-about-the-information-that-you-need-to-determine-your-risk-of-
contracting-HIV."
, 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---ans-✔✔C.-Take-the-
medication-with-food
11-A-client's-oral-intake-of-liquids-includes-120-mL-on-the-night-shift,-800-mL-on-the-day-
shift,-and-650-mL-on-the-evening-shift.-The-client-is-receiving-an-intravenous-(IV)-
antibiotic-every-12-hours,-diluted-in-50-mL-of-normal-saline-solution.-The-nurse-empties-
700-mL-of-urine-from-the-client's-Foley-catheter-at-the-end-of-the-day-shift.-Thereafter,-500-
mL-of-urine-is-emptied-at-the-end-of-the-evening-shift-and-325-mL-at-the-end-of-the-night-
shift.-Nasogastric-tube-drainage-totals-155-mL-for-the-24-hour-period,-and-the-total-
drainage-from-the-Jackson-Pratt-device-is-175-mL.-What-is-the-client's-total-intake-during-
the-24-hour-period?-Type-your-answer-in-the-space-provided.
Answer:-________mL---ans-✔✔Correct-Responses:-"1670"
12-Lorazepam-(Ativan)-1-mg-by-way-of-intravenous-(IV)-injection-(IV-push)-is-prescribed-
for-a-client-for-the-management-of-anxiety.-The-nurse-prepares-the-medication-as-
prescribed-and-administers-the-medication-over-a-period-of:
A.-3-minutes
B.-10-seconds
C.-15-seconds
D.-30-minutes---ans-✔✔A.-3-minutes-Correct
13-A-nurse,-conducting-an-assessment-of-a-client-being-seen-in-the-clinic-for-symptoms-of-
a-sinus-infection,-asks-the-client-about-medications-that-he-is-taking.-The-client-tells-the-
nurse-that-he-is-taking-nefazodone-hydrochloride-(Serzone).-On-the-basis-of-this-
information,-the-nurse-determines-that-the-client-most-likely-has-a-history-of:
A.-Depression
B.-Diabetes-mellitus
C.-Hyperthyroidism
D.-Coronary-artery-disease---ans-✔✔A.-Depression
14-Phenelzine-sulfate-(Nardil)-is-prescribed-for-a-client-with-depression.-The-nurse-
provides-information-to-the-client-about-the-adverse-effects-of-the-medication-and-tells-the-
client-to-contact-the-physician-immediately-if-she-experiences:
A.-Dry-mouth
B.-Restlessness
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 FOR
GUARANTEED PASS | LATEST
UPDATE
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
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---ans-✔✔A.-
Checking-the-client's-blood-pressure
Checking-the-client's-blood-pressure-
Enalapril-maleate-is-an-angiotensin-converting-enzyme-(ACE)-inhibitor-used-to-treat-
hypertension.-One-common-side-effect-is-postural-hypotension.-Therefore-the-nurse-
would-check-the-client's-blood-pressure-immediately-before-administering-each-dose.-
Checking-the-client's-peripheral-pulses,-the-results-of-the-most-recent-potassium-level,-
and-the-intake-and-output-for-the-previous-24-hours-are-not-specifically-associated-with-
this-mediation.
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."---ans-✔✔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."
An-upper-GI-series-involves-visualization-of-the-esophagus,-duodenum,-and-upper-
jejunum-by-means-of-the-use-of-a-contrast-medium.-It-involves-swallowing-a-contrast-
medium-(usually-barium),-which-is-administered-in-a-flavored-milkshake.-Films-are-taken-
at-intervals-during-the-test,-which-takes-about-30-minutes.-No-special-preparation-is-
necessary-before-a-GI-series,-except-that-NPO-status-must-be-maintained-for-8-hours-
before-the-test.-After-an-upper-GI-series,-the-client-is-prescribed-a-laxative-to-hasten-
elimination-of-the-barium.-Barium-that-remains-in-the-colon-may-become-hard-and-difficult-
to-expel,-leading-to-fecal-impaction.
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---ans-
✔✔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-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---ans-✔✔B.-Asking-the-ED-
physician-to-check-the-client
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---
ans-✔✔A.-Administer-the-antihypertensive-with-a-small-sip-of-water
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."---ans-
✔✔A.-"Tell-me-more-about-what-you're-feeling."
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---ans-✔✔A.-Contacting-the-physician-
Correct
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---ans-✔✔A.-Call-the-radiography-department-to-obtain-a-chest-x-ray
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."---ans-✔✔D.-"Let's-talk-about-the-information-that-you-need-to-determine-your-risk-of-
contracting-HIV."
, 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---ans-✔✔C.-Take-the-
medication-with-food
11-A-client's-oral-intake-of-liquids-includes-120-mL-on-the-night-shift,-800-mL-on-the-day-
shift,-and-650-mL-on-the-evening-shift.-The-client-is-receiving-an-intravenous-(IV)-
antibiotic-every-12-hours,-diluted-in-50-mL-of-normal-saline-solution.-The-nurse-empties-
700-mL-of-urine-from-the-client's-Foley-catheter-at-the-end-of-the-day-shift.-Thereafter,-500-
mL-of-urine-is-emptied-at-the-end-of-the-evening-shift-and-325-mL-at-the-end-of-the-night-
shift.-Nasogastric-tube-drainage-totals-155-mL-for-the-24-hour-period,-and-the-total-
drainage-from-the-Jackson-Pratt-device-is-175-mL.-What-is-the-client's-total-intake-during-
the-24-hour-period?-Type-your-answer-in-the-space-provided.
Answer:-________mL---ans-✔✔Correct-Responses:-"1670"
12-Lorazepam-(Ativan)-1-mg-by-way-of-intravenous-(IV)-injection-(IV-push)-is-prescribed-
for-a-client-for-the-management-of-anxiety.-The-nurse-prepares-the-medication-as-
prescribed-and-administers-the-medication-over-a-period-of:
A.-3-minutes
B.-10-seconds
C.-15-seconds
D.-30-minutes---ans-✔✔A.-3-minutes-Correct
13-A-nurse,-conducting-an-assessment-of-a-client-being-seen-in-the-clinic-for-symptoms-of-
a-sinus-infection,-asks-the-client-about-medications-that-he-is-taking.-The-client-tells-the-
nurse-that-he-is-taking-nefazodone-hydrochloride-(Serzone).-On-the-basis-of-this-
information,-the-nurse-determines-that-the-client-most-likely-has-a-history-of:
A.-Depression
B.-Diabetes-mellitus
C.-Hyperthyroidism
D.-Coronary-artery-disease---ans-✔✔A.-Depression
14-Phenelzine-sulfate-(Nardil)-is-prescribed-for-a-client-with-depression.-The-nurse-
provides-information-to-the-client-about-the-adverse-effects-of-the-medication-and-tells-the-
client-to-contact-the-physician-immediately-if-she-experiences:
A.-Dry-mouth
B.-Restlessness
