HESI RN COMPASS V2 EXIT EXAM
HESI RN COMPASS V2 EXIT EXAM. EXAM STUDY
GUIDE. GRADED A+. QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST 2025/2026
UPDATE
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 nurseplace 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
theirsignificant 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 theportfolio?
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
beingconducted 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 whichstage should the nurse document this finding?
Stage 3
,HESI RN COMPASS V2 EXIT EXAM
6. When meeting with the client and the family, which nursing intervention demonstrates
the nursesrole 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 ofthe 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
ofneutogenic 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
crisissituation? You seem to be more tense these days. Would you like to talk about the
problem and how you aredealing with it?
12. The nurse is teaching staff in a long term - facility home the principles of caring for clients
withessential hypertension. Which comment should the nurse include in the inservice
presentation about the care ofclients 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
interventionduring the first 48 hours following admission?
Monitor for increased blood pressure and pulse
,HESI RN COMPASS V2 EXIT EXAM
14. A male client diagnosed with antisocial personality disorder is morbidly obese and is placed on a
lowfat 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 thenurse can lessen the symptoms of this " TET" spell?
Place child in knee-chest positionThis pressure reduces the rush of blood flow through the
septal holeand improves blood circulation.
16. A client with metastatic cancer is preparing to make a decisions about end-of-life issues.
When thenurse explains a durable power of attorney for health care, which description is
accurate?
It will identify someone that can make the decisions for you health care if you are ever in a coma
orvegetative state.
17. After eye drops are instilled, which instruction should the nurse provide to the
client?Close your eyelids
18. The nurse is preparing to administer IV fluid to a client with strict fluid restriction. IV
tubing withwhich feature is most important for the nurse to select?
A Buretrol 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 clientto
A) 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 ofmoderate to severe flank pain and nausea. The client’s
temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this
client is
C) Manage pain
21. An RN who usually works in a spinal rehabilitation unit is floated to the
emergency department. Which of these clients should the charge nurse
, HESI RN COMPASS V2 EXIT EXAM
assign to this RN?
An adolescent who has been on pain medications for terminal cancer with an
initial assessment finding of pinpoint pupils and a relaxed respiratory rate of
10
22. While planning care for a toddler, the nurse teaches the parents about the
expected developmental changes for this age. Which statement by the mother
shows that she understands the child's developmental needs?
C) "I understand the need to use those new skills."
23. A client who is pregnant comes to the clinic for a first visit. The nurse gathers
data about her obstetric history, which includes 3 year old twins at home and a
miscarriage 10years ago at 12 weeks
gestation. How would the nurse accurately document this
information?C) Gravida 3 para 1
24. A child who ingested 15 maximum strength acetaminophen tablets 45 minutes
ago isseen in the emergency department. Which of these orders should the
nurse do first?
A) Gastric lavage PRN
25. The nurse is preparing to administer an enteral feeding to a client via a
nasogastricfeeding tube. The most important action of the nurse is
A) Verify correct placement of the tube
26. The nurse anticipates that for a family who practices Chinese medicine the
prioritygoal would be to
D) Restore yin and yang
27. Which complication of cardiac catheterization should the nurse monitor for
in theinitial 24 hours after the procedure?
HESI RN COMPASS V2 EXIT EXAM. EXAM STUDY
GUIDE. GRADED A+. QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST 2025/2026
UPDATE
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 nurseplace 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
theirsignificant 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 theportfolio?
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
beingconducted 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 whichstage should the nurse document this finding?
Stage 3
,HESI RN COMPASS V2 EXIT EXAM
6. When meeting with the client and the family, which nursing intervention demonstrates
the nursesrole 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 ofthe 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
ofneutogenic 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
crisissituation? You seem to be more tense these days. Would you like to talk about the
problem and how you aredealing with it?
12. The nurse is teaching staff in a long term - facility home the principles of caring for clients
withessential hypertension. Which comment should the nurse include in the inservice
presentation about the care ofclients 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
interventionduring the first 48 hours following admission?
Monitor for increased blood pressure and pulse
,HESI RN COMPASS V2 EXIT EXAM
14. A male client diagnosed with antisocial personality disorder is morbidly obese and is placed on a
lowfat 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 thenurse can lessen the symptoms of this " TET" spell?
Place child in knee-chest positionThis pressure reduces the rush of blood flow through the
septal holeand improves blood circulation.
16. A client with metastatic cancer is preparing to make a decisions about end-of-life issues.
When thenurse explains a durable power of attorney for health care, which description is
accurate?
It will identify someone that can make the decisions for you health care if you are ever in a coma
orvegetative state.
17. After eye drops are instilled, which instruction should the nurse provide to the
client?Close your eyelids
18. The nurse is preparing to administer IV fluid to a client with strict fluid restriction. IV
tubing withwhich feature is most important for the nurse to select?
A Buretrol 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 clientto
A) 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 ofmoderate to severe flank pain and nausea. The client’s
temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this
client is
C) Manage pain
21. An RN who usually works in a spinal rehabilitation unit is floated to the
emergency department. Which of these clients should the charge nurse
, HESI RN COMPASS V2 EXIT EXAM
assign to this RN?
An adolescent who has been on pain medications for terminal cancer with an
initial assessment finding of pinpoint pupils and a relaxed respiratory rate of
10
22. While planning care for a toddler, the nurse teaches the parents about the
expected developmental changes for this age. Which statement by the mother
shows that she understands the child's developmental needs?
C) "I understand the need to use those new skills."
23. A client who is pregnant comes to the clinic for a first visit. The nurse gathers
data about her obstetric history, which includes 3 year old twins at home and a
miscarriage 10years ago at 12 weeks
gestation. How would the nurse accurately document this
information?C) Gravida 3 para 1
24. A child who ingested 15 maximum strength acetaminophen tablets 45 minutes
ago isseen in the emergency department. Which of these orders should the
nurse do first?
A) Gastric lavage PRN
25. The nurse is preparing to administer an enteral feeding to a client via a
nasogastricfeeding tube. The most important action of the nurse is
A) Verify correct placement of the tube
26. The nurse anticipates that for a family who practices Chinese medicine the
prioritygoal would be to
D) Restore yin and yang
27. Which complication of cardiac catheterization should the nurse monitor for
in theinitial 24 hours after the procedure?
