HESI COMPASS MODULE EXAM 5
ADVANCED CLINICAL SYNTHESIS
ASSESSMENT 2026 COMPLEX
MULTISYSTEM NURSING CARE COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
◉ The registered nurse has accepted a new position as case
manager in a hospital. Which of the following responsibilities are
part of the nurse's new role? Select all that apply.
Assessing the client's needs for home supplies and equipment
Prescribing treatments specific to the client's needs
Evaluating and updating the plan of care as needed
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client
Answer: Evaluating and updating the plan of care as needed
Assessing the client's needs for home supplies and equipment
Coordinating consultations and referrals to facilitate discharge
,Establishing a safe and cost-effective plan of care with the client
◉ ** A physician writes a medication prescription in a client's
record. While transcribing the prescription, the nurse notes that the
prescribed dose is three times higher than the recommended dose.
The nurse calls the physician, who states that this is the dose that
the client takes at home and that it is acceptable for this client's
condition. What is the appropriate action for the nurse to take?
Contact the nursing supervisor
Ask the nurse assigned to care for the client to administer the
medication
Verify the prescribed dose with the client before administering the
medication
Continue to transcribe the prescription
Answer: Contacting the nursing supervisor
◉ A nurse is assisting a primary health care provider in assessing a
hospitalized client. During the assessment, the primary health care
provider is paged to report to the recovery room. The primary
health care provider leaves the client's bedside after giving the nurse
a verbal prescription to change the solution and rate of the
intravenous (IV) fluid being administered. What is the appropriate
nursing action in this situation?
, Calling the nursing supervisor to obtain permission to accept the
verbal prescription
Changing the solution and rate of the IV fluid per the physician's
verbal prescription
Telling the primary health care provider that the prescription will
not be implemented until it is documented in the client's record
Asking the primary health care provider to write the prescription in
the client's record before leaving the nursing unit
Answer: Asking the primary health care provider to write the
prescription in the client's record before leaving the nursing unit
◉ A charge nurse on the 11 pm-to-7 am shift is gathering the
nursing staff together to listen to the 3-to-11 pm intershift report.
The charge nurse notes that a staff member has an odor of alcohol
on her breath, slurred speech, and an unsteady gait and suspects
alcohol intoxication. Which is the most appropriate action for the
charge nurse to take?
Tell the staff member that she is not allowed to administer
medications
Ask the staff member to rest in the nurses' lounge until the effects of
the alcohol wear off
Contact the nursing supervisor
Ask the staff member how much alcohol she has consumed
ADVANCED CLINICAL SYNTHESIS
ASSESSMENT 2026 COMPLEX
MULTISYSTEM NURSING CARE COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
◉ The registered nurse has accepted a new position as case
manager in a hospital. Which of the following responsibilities are
part of the nurse's new role? Select all that apply.
Assessing the client's needs for home supplies and equipment
Prescribing treatments specific to the client's needs
Evaluating and updating the plan of care as needed
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client
Answer: Evaluating and updating the plan of care as needed
Assessing the client's needs for home supplies and equipment
Coordinating consultations and referrals to facilitate discharge
,Establishing a safe and cost-effective plan of care with the client
◉ ** A physician writes a medication prescription in a client's
record. While transcribing the prescription, the nurse notes that the
prescribed dose is three times higher than the recommended dose.
The nurse calls the physician, who states that this is the dose that
the client takes at home and that it is acceptable for this client's
condition. What is the appropriate action for the nurse to take?
Contact the nursing supervisor
Ask the nurse assigned to care for the client to administer the
medication
Verify the prescribed dose with the client before administering the
medication
Continue to transcribe the prescription
Answer: Contacting the nursing supervisor
◉ A nurse is assisting a primary health care provider in assessing a
hospitalized client. During the assessment, the primary health care
provider is paged to report to the recovery room. The primary
health care provider leaves the client's bedside after giving the nurse
a verbal prescription to change the solution and rate of the
intravenous (IV) fluid being administered. What is the appropriate
nursing action in this situation?
, Calling the nursing supervisor to obtain permission to accept the
verbal prescription
Changing the solution and rate of the IV fluid per the physician's
verbal prescription
Telling the primary health care provider that the prescription will
not be implemented until it is documented in the client's record
Asking the primary health care provider to write the prescription in
the client's record before leaving the nursing unit
Answer: Asking the primary health care provider to write the
prescription in the client's record before leaving the nursing unit
◉ A charge nurse on the 11 pm-to-7 am shift is gathering the
nursing staff together to listen to the 3-to-11 pm intershift report.
The charge nurse notes that a staff member has an odor of alcohol
on her breath, slurred speech, and an unsteady gait and suspects
alcohol intoxication. Which is the most appropriate action for the
charge nurse to take?
Tell the staff member that she is not allowed to administer
medications
Ask the staff member to rest in the nurses' lounge until the effects of
the alcohol wear off
Contact the nursing supervisor
Ask the staff member how much alcohol she has consumed
