HESI RN COMPASS EXIT CERTIFICATION
EVALUATION 2026 EXAM SCRIPT FULLY
SOLVED QUESTIONS
◉2. A client has altered renal function and is being treated at home.
The nurse recognizes
that the most accurate indicator of fluid balance during the weekly
visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight. Answer: The correct answer is D: weekly weight
◉3. A client has been diagnosed with Zollinger-Ellison
syndrome.Which information is most important for the nurse to
reinforce with the client?
A)It is a condition in which one or more tumors called gastrinomas
form in the pancreas
or in the upper part of the small intestine (duodenum)
B)It is critical to report promptly to your health care provider any
findings of peptic
,ulcers
c)Treatment consists of medications to reduce acid and heal any
peptic ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers
may occur at unusual
areas of the stomach or intestine. Answer: The correct answer is B: It
is critical to report promptly to your health care provider any
findings of peptic ulcers.
◉4. A primigravida in the third trimester is hospitalized for
preeclampsia. The nurse
determines that the client's blood pressure is increasing. Which
action should the nurse
take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output. Answer: The correct answer is B: Have
the client turn to the left side
◉5. The nurse is caring for a client in atrial fibrillation. The atrial
heart rate is 250 and the
,ventricular rate is controlled at 75. Which of the following findings is
cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea. Answer: The correct answer is C: A cold, pale lower
leg
◉6. The client with infective endocarditis must be assessed
frequently by the home health
nurse. Which finding suggests that antibiotic therapy is not effective,
and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness. Answer: The correct answer is B: Fever of 103
degrees F (39.5 degrees C)
◉7. A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
, A) Until the health care provider has determined that your ejaculate
doesn't contain
sperm, continue to use another form of contraception.
B)This procedure doesn't impede the production of male hormones
or the production of
sperm in the testicles. The sperm can no longer enter your semen
and no sperm are in
your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for
at least 48 hours. If
your work doesn't involve hard physical labor, you can return to
your job as soon as you
feel up to it. The stitches
generally dissolve in seven to ten days.
D)The health care provider at this clinic recommends rest, ice, an
athletic supporter or
over-the-counter pain medication to relieve any discomfort..
Answer: The correct answer is A: Until the health care provider has
determined that your ejaculate
doesn't contain sperm, continue to use another form of
contraception.
◉8. A client who is to have antineoplastic chemotherapy tells the
nurses of a fear of being
EVALUATION 2026 EXAM SCRIPT FULLY
SOLVED QUESTIONS
◉2. A client has altered renal function and is being treated at home.
The nurse recognizes
that the most accurate indicator of fluid balance during the weekly
visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight. Answer: The correct answer is D: weekly weight
◉3. A client has been diagnosed with Zollinger-Ellison
syndrome.Which information is most important for the nurse to
reinforce with the client?
A)It is a condition in which one or more tumors called gastrinomas
form in the pancreas
or in the upper part of the small intestine (duodenum)
B)It is critical to report promptly to your health care provider any
findings of peptic
,ulcers
c)Treatment consists of medications to reduce acid and heal any
peptic ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers
may occur at unusual
areas of the stomach or intestine. Answer: The correct answer is B: It
is critical to report promptly to your health care provider any
findings of peptic ulcers.
◉4. A primigravida in the third trimester is hospitalized for
preeclampsia. The nurse
determines that the client's blood pressure is increasing. Which
action should the nurse
take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output. Answer: The correct answer is B: Have
the client turn to the left side
◉5. The nurse is caring for a client in atrial fibrillation. The atrial
heart rate is 250 and the
,ventricular rate is controlled at 75. Which of the following findings is
cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea. Answer: The correct answer is C: A cold, pale lower
leg
◉6. The client with infective endocarditis must be assessed
frequently by the home health
nurse. Which finding suggests that antibiotic therapy is not effective,
and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness. Answer: The correct answer is B: Fever of 103
degrees F (39.5 degrees C)
◉7. A client who had a vasectomy is in the post recovery unit at an
outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
, A) Until the health care provider has determined that your ejaculate
doesn't contain
sperm, continue to use another form of contraception.
B)This procedure doesn't impede the production of male hormones
or the production of
sperm in the testicles. The sperm can no longer enter your semen
and no sperm are in
your ejaculate.
C) After your vasectomy, strenuous activity needs to be avoided for
at least 48 hours. If
your work doesn't involve hard physical labor, you can return to
your job as soon as you
feel up to it. The stitches
generally dissolve in seven to ten days.
D)The health care provider at this clinic recommends rest, ice, an
athletic supporter or
over-the-counter pain medication to relieve any discomfort..
Answer: The correct answer is A: Until the health care provider has
determined that your ejaculate
doesn't contain sperm, continue to use another form of
contraception.
◉8. A client who is to have antineoplastic chemotherapy tells the
nurses of a fear of being
