HESI RN COMPASS EXIT EXAM V1 2024 LATEST
UPDATE QUESTION &ANSWERS.
• The nurse is caring for a pre-adolescent client in
skeletalDunlop traction. Which nursing intervention is
appropriate for this child?
A. Make certain the child is maintained in correct body alignment.
B.Be sure the traction weights touch the end of the bed.
C. Adjust the head and foot of the bed for the child's comfort
D. Release the traction for 15-20 minutes every 6 hours PRN. The
correct answer is A: Make certain the child is maintained incorrect
body alignment.
• The nurse is assessing a healthy child at the 2 year check up.
Which of the following
should the nurse report immediately to the health care provider?
A. Height and weight percentiles vary widely
B. Growth pattern appears to have slowed
C. Recumbent and standing height are different
D. Short term weight changes are uneven
The correct answer is A: Height and weight percentiles vary widely
• The parents of a 2 year-old child report that he has
beenholding his breath whenever
, he has temper tantrums. What is the best action by the nurse?
A. Teach the parents how to perform cardiopulmonary resuscitation
B. Recommend that the parents give in when he holds his breathto
prevent anoxia
C. Advise the parents to ignore breath holding because
breathingwill begin as a reflex
D. Instruct the parents on how to reason with the child
aboutpossible harmful effects
The correct answer is C: Advise the parents to ignore breathholding
because breathing will begin as a reflex.
• A nurse has just received a medication order which is
notlegible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea ofwhat
you mean."
B) "Would you please clarify what you have written so I am sure Iam
reading it
correctly?"
C)"I am having difficulty reading your handwriting. It would
saveme time if you would
be more careful."
D)"Please print in the future so I do not have to spend extra time
attempting to read your writing."
The correct answer is B) "Would you please clarify what you have
written so I am sure I am reading it correctly?"
,• The nurse is assessing a client in the emergency room.
Whichstatement suggests that the problem is acute angina?
A. "My pain is deep in my chest behind my sternum."
B. "When I sit up the pain gets worse."
C. "As I take a deep breath the pain gets worse."
D. "The pain is right here in my stomach area."
The correct answer is A: "My pain is deep in my chest behind
mysternum."
.
• In evaluating the growth of a 12 month-old child, which
ofthese findings would the
nurse expect to be present in the infant?
A. Increased 10% in height
B. 2 deciduous teeth
C. Tripled the birth weight
D. Head > chest circumference
The correct answer is C: Tripled the birth weight
• A Hispanic client in the postpartum period refuses
thehospital food because it is
"cold." The best initial action by the nurse is to?
A) Have the unlicensed assistive personnel (UAP) reheat the food if
the client wishes.
B) Ask the client what foods are acceptable or bad
, C) Encourage her to eat for healing and strength
D) Schedule the dietitian to meet with the client as soon
aspossible
The correct answer is B: Ask the client what foods are acceptable or bad
• The father of an 8 month-old infant asks the nurse if
hisinfant's vocalizations are
normal for his age. Which of the following would the nurse expectat this
age?
A. Cooing
B. Imitation of sounds
C. Throaty sounds
D. Laughter
The correct answer is B: Imitation of Sounds
• In planning care for a 6 month-old infant, what must the
nurseprovide to assist in the
development of trust?
A. Food
B. Warmth
C. Security
D. Comfort
The correct answer is C: Security
UPDATE QUESTION &ANSWERS.
• The nurse is caring for a pre-adolescent client in
skeletalDunlop traction. Which nursing intervention is
appropriate for this child?
A. Make certain the child is maintained in correct body alignment.
B.Be sure the traction weights touch the end of the bed.
C. Adjust the head and foot of the bed for the child's comfort
D. Release the traction for 15-20 minutes every 6 hours PRN. The
correct answer is A: Make certain the child is maintained incorrect
body alignment.
• The nurse is assessing a healthy child at the 2 year check up.
Which of the following
should the nurse report immediately to the health care provider?
A. Height and weight percentiles vary widely
B. Growth pattern appears to have slowed
C. Recumbent and standing height are different
D. Short term weight changes are uneven
The correct answer is A: Height and weight percentiles vary widely
• The parents of a 2 year-old child report that he has
beenholding his breath whenever
, he has temper tantrums. What is the best action by the nurse?
A. Teach the parents how to perform cardiopulmonary resuscitation
B. Recommend that the parents give in when he holds his breathto
prevent anoxia
C. Advise the parents to ignore breath holding because
breathingwill begin as a reflex
D. Instruct the parents on how to reason with the child
aboutpossible harmful effects
The correct answer is C: Advise the parents to ignore breathholding
because breathing will begin as a reflex.
• A nurse has just received a medication order which is
notlegible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea ofwhat
you mean."
B) "Would you please clarify what you have written so I am sure Iam
reading it
correctly?"
C)"I am having difficulty reading your handwriting. It would
saveme time if you would
be more careful."
D)"Please print in the future so I do not have to spend extra time
attempting to read your writing."
The correct answer is B) "Would you please clarify what you have
written so I am sure I am reading it correctly?"
,• The nurse is assessing a client in the emergency room.
Whichstatement suggests that the problem is acute angina?
A. "My pain is deep in my chest behind my sternum."
B. "When I sit up the pain gets worse."
C. "As I take a deep breath the pain gets worse."
D. "The pain is right here in my stomach area."
The correct answer is A: "My pain is deep in my chest behind
mysternum."
.
• In evaluating the growth of a 12 month-old child, which
ofthese findings would the
nurse expect to be present in the infant?
A. Increased 10% in height
B. 2 deciduous teeth
C. Tripled the birth weight
D. Head > chest circumference
The correct answer is C: Tripled the birth weight
• A Hispanic client in the postpartum period refuses
thehospital food because it is
"cold." The best initial action by the nurse is to?
A) Have the unlicensed assistive personnel (UAP) reheat the food if
the client wishes.
B) Ask the client what foods are acceptable or bad
, C) Encourage her to eat for healing and strength
D) Schedule the dietitian to meet with the client as soon
aspossible
The correct answer is B: Ask the client what foods are acceptable or bad
• The father of an 8 month-old infant asks the nurse if
hisinfant's vocalizations are
normal for his age. Which of the following would the nurse expectat this
age?
A. Cooing
B. Imitation of sounds
C. Throaty sounds
D. Laughter
The correct answer is B: Imitation of Sounds
• In planning care for a 6 month-old infant, what must the
nurseprovide to assist in the
development of trust?
A. Food
B. Warmth
C. Security
D. Comfort
The correct answer is C: Security
