HESI RN COMPASS EXIT EXAM V2 2024
QUESTIONS & ANSWERS LATEST UPDATE
GRADED A UPDATED FOR APRIL 2024
1. A primipara with a breech presentation is in the transition phase pf
labor. The nurse visualizes the perineum and sees the umbilical cord
extruding from the introitus. In which position should the nurse place
the client? - ANSWER >>> Supine with the foot of the bed raised
2. The nurse is developing a series of childbirth preparation classes
for primigravida women and their significant others. what is the priority
expected outcome for these classes? - ANSWER >>> Participants
can identify at least three coping strategies to use during labor
3. Clinical portfolios are being introduced into the performance
apprasial process for the nurses employed at the hospital. What
should the nurse-manager request that each staff nurse include in the
portfolio? - ANSWER >>> A self evaluation that identifies how the
nurse has met professional objectives and goals
4. a work group is to be formed to determine a care map for a new
surgical intervention that is being conducted at the hospital. Which
group is likely to besot effective in developing the new care map? -
ANSWER >>> Multisicipilinary group
5. An older client who has been bedridden for a month is admitted with
a pressure ulcer on the left trochanter area. The nurse determines that
the ulcer extends into the subcutaneous tissue. At which stage should
the nurse document this finding? - ANSWER >>> Stage 3
6. When meeting with the client and the family, which nursing
intervention demonstrates the nurses role as collaborator of care? -
ANSWER >>> Coordinating and educating about multidisciplinary
services
,7. A low potassium diet is prescribed for a client what foods should the
nurse try to avoid? - ANSWER >>> Dried prunes
8. A client is admitted with a medical diagnosis of addisonian crisis.
When completing the admission assessment, the nurse expects this
client to exhibit which clinical manifestations? - ANSWER >>>
Hypotension, rapid weak pulse, and rapid respiratory rate
9. The nurse plans to suction a male client. Who has just undergone
right pneumonectomy for cancer of the lung. Secretions can be seen
around the endotracheal tube and the nurse osculates rattling in the
lungs. What safety factors should the nurse consider when suctioning
this client? - ANSWER >>> Use a soft tip rubber suction catheter and
avoid deep vigorous suctioning.
10. The nurse is conducting a drug education class for junior high
school students. Which statement, provided by one of the student
participants, best describes the primary characteristic of addiction?
The nurse is caring for critically ill clients. Which should be monitored
for the development of neutogenic shock? A client with? - ANSWER
>>> Spinal Cord injury
11. Which statement by the community health nurse is most helpful to
an adult who is in a crisis situation? - ANSWER >>> You seem to be
more tense these days. Would you like to talk about the problem and
how you are dealing with it?
12. The nurse is teaching staff in a long term - facility home the
principles of caring for clients with essential hypertension. Which
comment should the nurse include in the inservice presentation about
the care of clients with hypertension? - ANSWER >>> Frequent blood
pressure checks, including readings taken automated machines are
recommended
13. A client is admitted to the hospital for alcohol dependency. What is
the priority nursing intervention during the first 48 hours following
, admission? - ANSWER >>> Monitor for increased blood pressure and
pulse
14. A male client diagnosed with antisocial personality disorder is
morbidly obese and is placed on a low fat diet, low calorie diet. At
dinner the nurse notes that he is trying to get other clients on the unit
to give him part of their meals. what intervention should the nurse
implement? - ANSWER >>> Confront the client about the
consequences of the behavior
15. A child with tetrology of ballot suffers a hyper cyanotic episode.
Which immediate action by the nurse can lessen the symptoms of this
" TET" spell? - ANSWER >>> Place child in knee-chest position This
pressure reduces the rush of blood flow through the septal hole and
improves blood circulation.
16. A client with metastatic cancer is preparing to make a decisions
about end-of-life issues. When the nurse explains a durable power of
attorney for health care, which description is accurate? - ANSWER
>>> It will identify someone that can make the decisions for you health
care if you are ever in a coma or vegetative state
17.After eye drops are instilled, which instruction should the nurse
provide to the client? - ANSWER >>> Close your eyelids
18. The nurse is preparing to administer IV fluid to a client with strict
fluid restriction. IV tubing with which feature is most important for the
nurse to select? - ANSWER >>> Burretrol Attachment
19. At a community health fair the blood pressure of a 62 year-old
client is 160/96. The client states "My blood pressure is usually much
lower." The nurse should tell the client to - ANSWER >>> go get a
blood pressure check within the next 48 to 72 hours
20. A client is admitted to the emergency room with renal calculi and is
complaining of moderate to severe flank pain and nausea. The client's
QUESTIONS & ANSWERS LATEST UPDATE
GRADED A UPDATED FOR APRIL 2024
1. A primipara with a breech presentation is in the transition phase pf
labor. The nurse visualizes the perineum and sees the umbilical cord
extruding from the introitus. In which position should the nurse place
the client? - ANSWER >>> Supine with the foot of the bed raised
2. The nurse is developing a series of childbirth preparation classes
for primigravida women and their significant others. what is the priority
expected outcome for these classes? - ANSWER >>> Participants
can identify at least three coping strategies to use during labor
3. Clinical portfolios are being introduced into the performance
apprasial process for the nurses employed at the hospital. What
should the nurse-manager request that each staff nurse include in the
portfolio? - ANSWER >>> A self evaluation that identifies how the
nurse has met professional objectives and goals
4. a work group is to be formed to determine a care map for a new
surgical intervention that is being conducted at the hospital. Which
group is likely to besot effective in developing the new care map? -
ANSWER >>> Multisicipilinary group
5. An older client who has been bedridden for a month is admitted with
a pressure ulcer on the left trochanter area. The nurse determines that
the ulcer extends into the subcutaneous tissue. At which stage should
the nurse document this finding? - ANSWER >>> Stage 3
6. When meeting with the client and the family, which nursing
intervention demonstrates the nurses role as collaborator of care? -
ANSWER >>> Coordinating and educating about multidisciplinary
services
,7. A low potassium diet is prescribed for a client what foods should the
nurse try to avoid? - ANSWER >>> Dried prunes
8. A client is admitted with a medical diagnosis of addisonian crisis.
When completing the admission assessment, the nurse expects this
client to exhibit which clinical manifestations? - ANSWER >>>
Hypotension, rapid weak pulse, and rapid respiratory rate
9. The nurse plans to suction a male client. Who has just undergone
right pneumonectomy for cancer of the lung. Secretions can be seen
around the endotracheal tube and the nurse osculates rattling in the
lungs. What safety factors should the nurse consider when suctioning
this client? - ANSWER >>> Use a soft tip rubber suction catheter and
avoid deep vigorous suctioning.
10. The nurse is conducting a drug education class for junior high
school students. Which statement, provided by one of the student
participants, best describes the primary characteristic of addiction?
The nurse is caring for critically ill clients. Which should be monitored
for the development of neutogenic shock? A client with? - ANSWER
>>> Spinal Cord injury
11. Which statement by the community health nurse is most helpful to
an adult who is in a crisis situation? - ANSWER >>> You seem to be
more tense these days. Would you like to talk about the problem and
how you are dealing with it?
12. The nurse is teaching staff in a long term - facility home the
principles of caring for clients with essential hypertension. Which
comment should the nurse include in the inservice presentation about
the care of clients with hypertension? - ANSWER >>> Frequent blood
pressure checks, including readings taken automated machines are
recommended
13. A client is admitted to the hospital for alcohol dependency. What is
the priority nursing intervention during the first 48 hours following
, admission? - ANSWER >>> Monitor for increased blood pressure and
pulse
14. A male client diagnosed with antisocial personality disorder is
morbidly obese and is placed on a low fat diet, low calorie diet. At
dinner the nurse notes that he is trying to get other clients on the unit
to give him part of their meals. what intervention should the nurse
implement? - ANSWER >>> Confront the client about the
consequences of the behavior
15. A child with tetrology of ballot suffers a hyper cyanotic episode.
Which immediate action by the nurse can lessen the symptoms of this
" TET" spell? - ANSWER >>> Place child in knee-chest position This
pressure reduces the rush of blood flow through the septal hole and
improves blood circulation.
16. A client with metastatic cancer is preparing to make a decisions
about end-of-life issues. When the nurse explains a durable power of
attorney for health care, which description is accurate? - ANSWER
>>> It will identify someone that can make the decisions for you health
care if you are ever in a coma or vegetative state
17.After eye drops are instilled, which instruction should the nurse
provide to the client? - ANSWER >>> Close your eyelids
18. The nurse is preparing to administer IV fluid to a client with strict
fluid restriction. IV tubing with which feature is most important for the
nurse to select? - ANSWER >>> Burretrol Attachment
19. At a community health fair the blood pressure of a 62 year-old
client is 160/96. The client states "My blood pressure is usually much
lower." The nurse should tell the client to - ANSWER >>> go get a
blood pressure check within the next 48 to 72 hours
20. A client is admitted to the emergency room with renal calculi and is
complaining of moderate to severe flank pain and nausea. The client's
