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HESI Compass Comprehensive Exit
Exam 2026|Actual Practice
Questions And Verified Answers
1 A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day shift, and 650 mL
on the evening shift. The client is receiving an intravenous (IV) antibiotic every 12 hours, diluted in 50
mL of normal saline solution. The nurse empties 700 mL of urine from the client's Foley catheter at the
end of the day shift. Thereafter, 500 mL of urine is emptied at the end of the evening shift and 325 mL at
the end of the night shift. Nasogastric tube drainage totals 155 mL for the 24-hour period, and the total
drainage from the Jackson-Pratt device is 175 mL. What is the client's total intake during the 24-hour
period? Type your answer in the space provided.
Answer: ________mL - correct-answer - Correct Responses: "1670"
2 Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed for a client for the
management of anxiety. The nurse prepares the medication as prescribed and administers the
medication over a period of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
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D. 30 minutes - correct-answer - A. 3 minutes Correct
3 A nurse, conducting an assessment of a client being seen in the clinic for symptoms of a sinus
infection, asks the client about medications that he is taking. The client tells the nurse that he is taking
nefazodone hydrochloride (Serzone). On the basis of this information, the nurse determines that the
client most likely has a history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease - correct-answer - A. Depression
4.An emergency department (ED) nurse is monitoring a client with suspected acute myocardial
infarction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden
onset of premature ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and
determines that the PVCs are not resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - correct-answer - B. Asking the ED physician
to check the client
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5.NPO status is imposed 8 hours before the procedure on a client scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the client's
record and notes that the client routinely takes an oral antihypertensive medication each morning. The
nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day after the ECT - correct-answer -
A. Administer the antihypertensive with a small sip of water
6 A client who recently underwent coronary artery bypass graft surgery comes to the physician's office
for a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which
response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
D. "Every client who has this surgery feels the same way for about a month." - correct-answer - A. "Tell
me more about what you're feeling."
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7 A client in labor experiences spontaneous rupture of the membranes. The nurse immediately counts
the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse notes that the
fluid is yellow and has a strong odor. Which of the following actions should be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - correct-answer - A. Contacting the physician Correct
8 A nurse has assisted a physician in inserting a central venous access device into a client with a
diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the
catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to maintain patency -
correct-answer - A. Call the radiography department to obtain a chest x-ray
9 A rape victim being treated in the emergency department says to the nurse, "I'm really worried that
I've got HIV now." What is the appropriate response by the nurse?
HESI Compass Comprehensive Exit
Exam 2026|Actual Practice
Questions And Verified Answers
1 A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day shift, and 650 mL
on the evening shift. The client is receiving an intravenous (IV) antibiotic every 12 hours, diluted in 50
mL of normal saline solution. The nurse empties 700 mL of urine from the client's Foley catheter at the
end of the day shift. Thereafter, 500 mL of urine is emptied at the end of the evening shift and 325 mL at
the end of the night shift. Nasogastric tube drainage totals 155 mL for the 24-hour period, and the total
drainage from the Jackson-Pratt device is 175 mL. What is the client's total intake during the 24-hour
period? Type your answer in the space provided.
Answer: ________mL - correct-answer - Correct Responses: "1670"
2 Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed for a client for the
management of anxiety. The nurse prepares the medication as prescribed and administers the
medication over a period of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
,2|Page
D. 30 minutes - correct-answer - A. 3 minutes Correct
3 A nurse, conducting an assessment of a client being seen in the clinic for symptoms of a sinus
infection, asks the client about medications that he is taking. The client tells the nurse that he is taking
nefazodone hydrochloride (Serzone). On the basis of this information, the nurse determines that the
client most likely has a history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease - correct-answer - A. Depression
4.An emergency department (ED) nurse is monitoring a client with suspected acute myocardial
infarction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden
onset of premature ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and
determines that the PVCs are not resulting in perfusion. The appropriate action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - correct-answer - B. Asking the ED physician
to check the client
,3|Page
5.NPO status is imposed 8 hours before the procedure on a client scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the client's
record and notes that the client routinely takes an oral antihypertensive medication each morning. The
nurse should:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication by way of the intravenous (IV) route
D. Hold the antihypertensive and resume its administration on the day after the ECT - correct-answer -
A. Administer the antihypertensive with a small sip of water
6 A client who recently underwent coronary artery bypass graft surgery comes to the physician's office
for a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which
response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
D. "Every client who has this surgery feels the same way for about a month." - correct-answer - A. "Tell
me more about what you're feeling."
, 4|Page
7 A client in labor experiences spontaneous rupture of the membranes. The nurse immediately counts
the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse notes that the
fluid is yellow and has a strong odor. Which of the following actions should be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR - correct-answer - A. Contacting the physician Correct
8 A nurse has assisted a physician in inserting a central venous access device into a client with a
diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the
catheter, the nurse immediately plans to:
A. Call the radiography department to obtain a chest x-ray
B. Check the client's blood glucose level to serve as a baseline measurement
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse normal saline solution through the catheter at a rate of 100 mL/hr to maintain patency -
correct-answer - A. Call the radiography department to obtain a chest x-ray
9 A rape victim being treated in the emergency department says to the nurse, "I'm really worried that
I've got HIV now." What is the appropriate response by the nurse?
