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 - CORRECT ANSWERS-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." - CORRECT ANSWERS-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 - CORRECT
ANSWERS-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 - CORRECT ANSWERS-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
electroconvulsivedtherapyd(ECT)datd1dp.m.dOndthedmorningdofdthedprocedure,dthednursedchecksdth
edclient'sdrecorddanddnotesdthatdthedclientdroutinelydtakesdandoraldantihypertensivedmedicationdea
chdmorning.dThednursedshould:
A.dAdministerdthedantihypertensivedwithdadsmalldsipdofdwater
B.dWithholddthedantihypertensivedanddadministerditdatdbedtime
C.dAdministerdthedmedicationdbydwaydofdthedintravenousd(IV)droute
D.dHolddthedantihypertensivedanddresumeditsdadministrationdondtheddaydafterdthedECTd-
ddCORRECTdANSWERS-A.dAdministerdthedantihypertensivedwithdadsmalldsipdofdwater
6dAdclientdwhodrecentlydunderwentdcoronarydarterydbypassdgraftdsurgerydcomesdtodthedphysician's
dofficedfordadfollow-
updvisit.dOndassessment,dthedclientdtellsdthednursedthatdhedisdfeelingddepressed.dWhichdresponsedb
ydthednursedisdtherapeutic?
A.d"Telldmedmoredaboutdwhatdyou'redfeeling."d
B.d"That'sdadnormaldresponsedafterdthisdtypedofdsurgery."
, C.d"Itdwilldtakedtime,dbut,dIdpromisedyou,dyoudwilldgetdoverdthisddepression."
D.d"Everydclientdwhodhasdthisdsurgerydfeelsdthedsamedwaydfordaboutdadmonth."d-
ddCORRECTdANSWERS-A.d"Telldmedmoredaboutdwhatdyou'redfeeling."
7dAdclientdindlabordexperiencesdspontaneousdrupturedofdthedmembranes.dThednursedimmediatelydc
ountsdthedfetaldheartdrated(FHR)dford1dfulldminutedanddthendchecksdthedamnioticdfluid.dThednursedn
otesdthatdthedfluiddisdyellowdanddhasdadstrongdodor.dWhichdofdthedfollowingdactionsdshoulddbedthed
nurse'sdpriority?
A.dContactingdthedphysician
B.dDocumentingdthedfindings
C.dCheckingdthedfluiddfordprotein
D.dContinuingdtodmonitordthedclientdanddthedFHRd-ddCORRECTdANSWERS-
A.dContactingdthedphysiciandCorrect
8dAdnursedhasdassisteddadphysiciandindinsertingdadcentraldvenousdaccessddevicedintodadclientdwithdad
diagnosisdofdseveredmalnutritiondwhodwilldbedreceivingdparenteraldnutritiond(PN).dAfterdinsertiond
ofdthedcatheter,dthednursedimmediatelydplansdto:
A.dCalldthedradiographyddepartmentdtodobtaindadchestdx-ray
B.dCheckdthedclient'sdblooddglucosedleveldtodservedasdadbaselinedmeasurement
C.dHangdthedprescribeddbagdofdPNdanddstartdthedinfusiondatdthedprescribeddrate
D.dInfusednormaldsalinedsolutiondthroughdthedcatheterdatdadratedofd100dmL/hrdtodmaintaindpatencyd
-ddCORRECTdANSWERS-A.dCalldthedradiographyddepartmentdtodobtaindadchestdx-ray
9dAdrapedvictimdbeingdtreateddindthedemergencyddepartmentdsaysdtodthednurse,d"I'mdreallydworrie
ddthatdI'vedgotdHIVdnow."dWhatdisdthedappropriatedresponsedbydthednurse?
A.d"HIVdisdrarelydandissuedindrapedvictims."
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 - CORRECT ANSWERS-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." - CORRECT ANSWERS-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 - CORRECT
ANSWERS-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 - CORRECT ANSWERS-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
electroconvulsivedtherapyd(ECT)datd1dp.m.dOndthedmorningdofdthedprocedure,dthednursedchecksdth
edclient'sdrecorddanddnotesdthatdthedclientdroutinelydtakesdandoraldantihypertensivedmedicationdea
chdmorning.dThednursedshould:
A.dAdministerdthedantihypertensivedwithdadsmalldsipdofdwater
B.dWithholddthedantihypertensivedanddadministerditdatdbedtime
C.dAdministerdthedmedicationdbydwaydofdthedintravenousd(IV)droute
D.dHolddthedantihypertensivedanddresumeditsdadministrationdondtheddaydafterdthedECTd-
ddCORRECTdANSWERS-A.dAdministerdthedantihypertensivedwithdadsmalldsipdofdwater
6dAdclientdwhodrecentlydunderwentdcoronarydarterydbypassdgraftdsurgerydcomesdtodthedphysician's
dofficedfordadfollow-
updvisit.dOndassessment,dthedclientdtellsdthednursedthatdhedisdfeelingddepressed.dWhichdresponsedb
ydthednursedisdtherapeutic?
A.d"Telldmedmoredaboutdwhatdyou'redfeeling."d
B.d"That'sdadnormaldresponsedafterdthisdtypedofdsurgery."
, C.d"Itdwilldtakedtime,dbut,dIdpromisedyou,dyoudwilldgetdoverdthisddepression."
D.d"Everydclientdwhodhasdthisdsurgerydfeelsdthedsamedwaydfordaboutdadmonth."d-
ddCORRECTdANSWERS-A.d"Telldmedmoredaboutdwhatdyou'redfeeling."
7dAdclientdindlabordexperiencesdspontaneousdrupturedofdthedmembranes.dThednursedimmediatelydc
ountsdthedfetaldheartdrated(FHR)dford1dfulldminutedanddthendchecksdthedamnioticdfluid.dThednursedn
otesdthatdthedfluiddisdyellowdanddhasdadstrongdodor.dWhichdofdthedfollowingdactionsdshoulddbedthed
nurse'sdpriority?
A.dContactingdthedphysician
B.dDocumentingdthedfindings
C.dCheckingdthedfluiddfordprotein
D.dContinuingdtodmonitordthedclientdanddthedFHRd-ddCORRECTdANSWERS-
A.dContactingdthedphysiciandCorrect
8dAdnursedhasdassisteddadphysiciandindinsertingdadcentraldvenousdaccessddevicedintodadclientdwithdad
diagnosisdofdseveredmalnutritiondwhodwilldbedreceivingdparenteraldnutritiond(PN).dAfterdinsertiond
ofdthedcatheter,dthednursedimmediatelydplansdto:
A.dCalldthedradiographyddepartmentdtodobtaindadchestdx-ray
B.dCheckdthedclient'sdblooddglucosedleveldtodservedasdadbaselinedmeasurement
C.dHangdthedprescribeddbagdofdPNdanddstartdthedinfusiondatdthedprescribeddrate
D.dInfusednormaldsalinedsolutiondthroughdthedcatheterdatdadratedofd100dmL/hrdtodmaintaindpatencyd
-ddCORRECTdANSWERS-A.dCalldthedradiographyddepartmentdtodobtaindadchestdx-ray
9dAdrapedvictimdbeingdtreateddindthedemergencyddepartmentdsaysdtodthednurse,d"I'mdreallydworrie
ddthatdI'vedgotdHIVdnow."dWhatdisdthedappropriatedresponsedbydthednurse?
A.d"HIVdisdrarelydandissuedindrapedvictims."
