HESI COMPASS MODULE EXAM 1 EXAM
PREP 2026 MEDICATION SAFETY AND
BASIC PHARMACOLOGY COMPLETE
SOLUTIONS
◉ Following major abdominal surgery, a male client's arterial blood
gas analysis reveals Pa02 95 mmHg and PaC02 50 mmHg. He is
receiving oxygen by nasal cannula at 4 liters/minute and is reluctant
to move in bed or deep breathe. Based on this information, what
action should the nurse implement at this time?
Answer: Encourage the use of an incentive spirometer
Blood gas reveals adequate oxygenation (Pa02 95) and
hypoventilation (PaCO2 <45). Encourage pt to increase depth of
breathing (with incentive spirometer)
◉ A retired office worker is admitted to the psychiatric inpatient
unit with a diagnosis of major depression. The initial nursing care
plan includes the goal, "Assist client to express feelings of anger."
Which nursing intervention is most important to include in the
client's plan of care?
Answer: Ask client to describe triggers of anger
,Awareness is first step in dealing with anger (or any other feeling),
so RN efforts should be directed toward increasing pt awareness of
feelings
◉ 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?
Answer: Wanting the drug is all that matters to an addict
hallmark is impaired control; all that matters is obtaining the drug of
choice
◉ The nurse is caring for critically ill clients. Which client should be
monitored for the development of neurogenic shock? A client with
Answer: spinal cord injury
places pt's at high risk for development of neurogenic distributive
shock
◉ Which statement by the community health nurse is most helpful
to an adult who is in a crisis situation?
Answer: "You seem to be more tense these days. Would you like to
talk about the problem and how you are dealing with it?
, acknowledging the stress and encouraging client to discuss options
to deal with problems
◉ A child with bacterial conjunctivitis receives a prescription for
erythromycin eye drops. Which information is most important for
the nurse to include in the teaching plan?
Answer: Avoid sharing towels and washcloths with siblings
avoids the spread of bacterial infection. Should also stay home from
school for first 24 hours after antibiotics start; take Tylenol for pain,
sunglasses, warm compresses all true but not most important
◉ The school nurse is reviewing health risks associated with
extracurricular activities of grade-school children. Regular
participation in which activity places child at highest risk for
developing external otitis?
Answer: Swimming lessons in an indoor pool
commonly caused by exposure to bacteria while swimming. Chlorine
also tends to alter normal flora
◉ The nurse is planning to conduct nutritional assessments and diet
teaching to clients at a family health clinic. Which individual has the
greatest nutritional and energy demands?
Answer: A pregnant woman
PREP 2026 MEDICATION SAFETY AND
BASIC PHARMACOLOGY COMPLETE
SOLUTIONS
◉ Following major abdominal surgery, a male client's arterial blood
gas analysis reveals Pa02 95 mmHg and PaC02 50 mmHg. He is
receiving oxygen by nasal cannula at 4 liters/minute and is reluctant
to move in bed or deep breathe. Based on this information, what
action should the nurse implement at this time?
Answer: Encourage the use of an incentive spirometer
Blood gas reveals adequate oxygenation (Pa02 95) and
hypoventilation (PaCO2 <45). Encourage pt to increase depth of
breathing (with incentive spirometer)
◉ A retired office worker is admitted to the psychiatric inpatient
unit with a diagnosis of major depression. The initial nursing care
plan includes the goal, "Assist client to express feelings of anger."
Which nursing intervention is most important to include in the
client's plan of care?
Answer: Ask client to describe triggers of anger
,Awareness is first step in dealing with anger (or any other feeling),
so RN efforts should be directed toward increasing pt awareness of
feelings
◉ 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?
Answer: Wanting the drug is all that matters to an addict
hallmark is impaired control; all that matters is obtaining the drug of
choice
◉ The nurse is caring for critically ill clients. Which client should be
monitored for the development of neurogenic shock? A client with
Answer: spinal cord injury
places pt's at high risk for development of neurogenic distributive
shock
◉ Which statement by the community health nurse is most helpful
to an adult who is in a crisis situation?
Answer: "You seem to be more tense these days. Would you like to
talk about the problem and how you are dealing with it?
, acknowledging the stress and encouraging client to discuss options
to deal with problems
◉ A child with bacterial conjunctivitis receives a prescription for
erythromycin eye drops. Which information is most important for
the nurse to include in the teaching plan?
Answer: Avoid sharing towels and washcloths with siblings
avoids the spread of bacterial infection. Should also stay home from
school for first 24 hours after antibiotics start; take Tylenol for pain,
sunglasses, warm compresses all true but not most important
◉ The school nurse is reviewing health risks associated with
extracurricular activities of grade-school children. Regular
participation in which activity places child at highest risk for
developing external otitis?
Answer: Swimming lessons in an indoor pool
commonly caused by exposure to bacteria while swimming. Chlorine
also tends to alter normal flora
◉ The nurse is planning to conduct nutritional assessments and diet
teaching to clients at a family health clinic. Which individual has the
greatest nutritional and energy demands?
Answer: A pregnant woman
