HESI RN COMPASS EXIT EXAM
V2 2025 LATEST NEWEST
UPDATE WITH ACTUAL
QUESTIONS AND DETAILED
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RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
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PASS YOUR EXAMS
During a pt assessment, the pt says, "I can't walk very well." Which action should the nurse
implement first?
Identify the problem
, The nurse identifies a pt's needs and formulates the nursing problem of, "Imbalanced
nutrition: less than body requirements, r/t mental impairment and decreased intake, as
evidenced by increasing confusion and weight loss of more than 30 lbs over the last 6
months." Which short term goal is best for this pt?
Eat 50% of six small meals each day by the end of one week
A male pt is angry and is leaving the hospital AMA. The pt demands to take his chart with
him and states it's "his" and doesn't want contact with the hospital anymore. How should the
nurse respond?
The chart is the property of the hospital but I will see that a copy is made for you.
The nurse manager is assisting a nurse with improving organizational skills and time
management. Which nursing activity is the priority in pre-planning a schedule for selected
nursing activities in the daily assignment?
Medication administration
What nursing delivery of care provides the nurse to plan and direct care of a group of pts over
a 24-hour period?
Primary nursing
Two UAPs are arguing on the unit about who deserves to take a break first. What is the most
important basic guideline that the nurse should follow in resolving the conflict?
Deal with the issues and not personalities
The nurse is caring for a pt who is unable to void. The plan of care establishes an objective
for the pt to ingest at least 1000 mL of fluid between 7a and 330p. Which pt response should
the nurse document that indicates successful outcome?
Drinks 240 mL of fluid 5 times during the shift
The nurse plans a teaching session with a pt but postpones the planned session based on
which nursing problem?
Activity intolerance r/t post-op pain
A pt who has active TB is admitted to the medical unit. What action is most important for the
nurse to implement?
Assign pt to a negative air-flow room
A client is receiving atenolol (Tenormin) 25 mg PO after a MI. The nurse determines the
client's apical pulse is 65 bpm. What action should the nurse implement next?
Administer the med
, The nurse is assessing a pt and identifies a bruit over the thyroid. This finding is consistent
with which interpretation?
Hyperthyroidism
A 6-year-old pt is alert but quiet when brought the the ER with periorbital ecchymosis and
ecchymosis behind the ears. The nurse suspects potential child abuse and continues to assess
the child for additional manifestations of a basilar skull Fx. What assessment finding would
be consistent with a basilar skull Fx?
Rhinorrhoea or otorrhoea with Halo sign
The nurse is assessing a pt who c/o weight loss, racing HR, and difficulty sleeping. The nurse
determines the pt has moist skin with fine hair, prominent eyes, lid retraction, and a staring
expression. These findings are consistent with which disorder?
Grave's Disease
The nurse is assessing an older pt and determines that the pt's left upper eyelid droops,
covering more of the iris than the right eyelid. Which description should the nurse use to
document this finding?
Ptosis on the left eyelid
The nurse is assessing a child's weight and height during a clinic visit prior to starting school.
The nurse plots the child's weight on the growth chart and notes that the child's weight is in
the 95th percentile for the child's height. What action should the nurse take?
Question the type and quantity of foods eaten in a typical day
The nurse obtains HR of 89 bpm for an infant before administering digoxin (Lanoxin). Which
action should the nurse take?
Withhold the med and contact MD
The nurse is developing a teaching plan for an adolescent with a Milwaukee brace. Which
instruction should the nurse include?
Wear the brace over a t-shirt 23 hours per day
A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks
the nurse, "Why do you have to wear a gown and mask when you are in my room?" How
should the nurse respond?
"To protect you because you can get an infection very easily"
The nurse is giving d/c instructions to the parents of a newborn with a Rx for home
phototherapy. Which statement by a parent indicates understanding of phototherapy?
V2 2025 LATEST NEWEST
UPDATE WITH ACTUAL
QUESTIONS AND DETAILED
VERIFIED ANSWERS WITH
RATIONALES (100%
CORRECT) //BRAND NEW!!
/ALREADY GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
During a pt assessment, the pt says, "I can't walk very well." Which action should the nurse
implement first?
Identify the problem
, The nurse identifies a pt's needs and formulates the nursing problem of, "Imbalanced
nutrition: less than body requirements, r/t mental impairment and decreased intake, as
evidenced by increasing confusion and weight loss of more than 30 lbs over the last 6
months." Which short term goal is best for this pt?
Eat 50% of six small meals each day by the end of one week
A male pt is angry and is leaving the hospital AMA. The pt demands to take his chart with
him and states it's "his" and doesn't want contact with the hospital anymore. How should the
nurse respond?
The chart is the property of the hospital but I will see that a copy is made for you.
The nurse manager is assisting a nurse with improving organizational skills and time
management. Which nursing activity is the priority in pre-planning a schedule for selected
nursing activities in the daily assignment?
Medication administration
What nursing delivery of care provides the nurse to plan and direct care of a group of pts over
a 24-hour period?
Primary nursing
Two UAPs are arguing on the unit about who deserves to take a break first. What is the most
important basic guideline that the nurse should follow in resolving the conflict?
Deal with the issues and not personalities
The nurse is caring for a pt who is unable to void. The plan of care establishes an objective
for the pt to ingest at least 1000 mL of fluid between 7a and 330p. Which pt response should
the nurse document that indicates successful outcome?
Drinks 240 mL of fluid 5 times during the shift
The nurse plans a teaching session with a pt but postpones the planned session based on
which nursing problem?
Activity intolerance r/t post-op pain
A pt who has active TB is admitted to the medical unit. What action is most important for the
nurse to implement?
Assign pt to a negative air-flow room
A client is receiving atenolol (Tenormin) 25 mg PO after a MI. The nurse determines the
client's apical pulse is 65 bpm. What action should the nurse implement next?
Administer the med
, The nurse is assessing a pt and identifies a bruit over the thyroid. This finding is consistent
with which interpretation?
Hyperthyroidism
A 6-year-old pt is alert but quiet when brought the the ER with periorbital ecchymosis and
ecchymosis behind the ears. The nurse suspects potential child abuse and continues to assess
the child for additional manifestations of a basilar skull Fx. What assessment finding would
be consistent with a basilar skull Fx?
Rhinorrhoea or otorrhoea with Halo sign
The nurse is assessing a pt who c/o weight loss, racing HR, and difficulty sleeping. The nurse
determines the pt has moist skin with fine hair, prominent eyes, lid retraction, and a staring
expression. These findings are consistent with which disorder?
Grave's Disease
The nurse is assessing an older pt and determines that the pt's left upper eyelid droops,
covering more of the iris than the right eyelid. Which description should the nurse use to
document this finding?
Ptosis on the left eyelid
The nurse is assessing a child's weight and height during a clinic visit prior to starting school.
The nurse plots the child's weight on the growth chart and notes that the child's weight is in
the 95th percentile for the child's height. What action should the nurse take?
Question the type and quantity of foods eaten in a typical day
The nurse obtains HR of 89 bpm for an infant before administering digoxin (Lanoxin). Which
action should the nurse take?
Withhold the med and contact MD
The nurse is developing a teaching plan for an adolescent with a Milwaukee brace. Which
instruction should the nurse include?
Wear the brace over a t-shirt 23 hours per day
A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks
the nurse, "Why do you have to wear a gown and mask when you are in my room?" How
should the nurse respond?
"To protect you because you can get an infection very easily"
The nurse is giving d/c instructions to the parents of a newborn with a Rx for home
phototherapy. Which statement by a parent indicates understanding of phototherapy?
