HESI RN COMPASS EXIT EXAM V2 QUESTIONS WITH
CORRECT ANSWERS100%
,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?
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?
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?
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? 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?
Stage 3
6. When meeting with the client and the family, which nursing intervention
demonstrates the nurses role as collaborator of care?
Coordinating and educating about multidisciplinary services
7. A low potassium diet is prescribed for a client what foods should the
nurse try to avoid? 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?
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?
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?
Spinal cord injury
11. Which statement by the community health nurse is most helpful to an
adult who is in a crisis situation?
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?
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?
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?
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?
Place child in knee-chest positionThis 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
CORRECT ANSWERS100%
,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?
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?
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?
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? 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?
Stage 3
6. When meeting with the client and the family, which nursing intervention
demonstrates the nurses role as collaborator of care?
Coordinating and educating about multidisciplinary services
7. A low potassium diet is prescribed for a client what foods should the
nurse try to avoid? 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?
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?
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?
Spinal cord injury
11. Which statement by the community health nurse is most helpful to an
adult who is in a crisis situation?
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?
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?
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?
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?
Place child in knee-chest positionThis 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
