HESI RN Compass Comprehensive
Exit Exam Test Bank Complete Study
Guide with Actual Exam Questions,
Verified Correct Answers & Detailed
HESI RN Compass Comprehensive Exit Exam Test |
Comprehensive Examination
HESI RN Compass Comprehensive Exit Exam Test Bank
Complete Study Guide with Actual Exam Questions, Verified
Correct Answers & Detailed Rationales Latest Update
INTRODUCTION
This document is an important and very helpful preparation
resource for HESI RN Compass Comprehensive Exit Exam Test
Bank Complete Study Guide with Actual Exam Questions,
Verified Correct Answers & Detailed Rationales Latest Update
2026/2027 - Already Graded A+. Every item uses a focused
exam stem, four response options, a keyed response, and a clear
rationale, making it easier to understand the subject, spot
distractors, and build real exam confidence.
Page 1
, Question 1
A patient is prescribed vancomycin IV for MRSA bacteremia. The trough level
is drawn 30 minutes before the fourth dose and is reported as 22 mcg/mL. The
patient's serum creatinine has increased from 0.9 to 1.6 mg/dL over 48 hours.
Which action should the nurse take first?
A. Administer the next dose as scheduled because the trough is within
therapeutic range for bacteremia.
B. Hold the dose and notify the provider of the elevated trough and
worsening renal function.
C. Request an order for a peak vancomycin level to confirm toxicity.
D. Encourage increased oral fluid intake to enhance renal clearance of
vancomycin.
Correct Answer: B - Hold the dose and notify the provider of the
elevated trough and worsening renal function.
RATIONALE
A vancomycin trough >20 mcg/mL combined with a rising creatinine
indicates increased risk of nephrotoxicity; the nurse should hold the
dose and notify the provider. Administering the dose could worsen
renal injury. Peak levels are not routinely used for vancomycin
monitoring. Oral fluids do not significantly enhance clearance of IV
vancomycin.
Question 2
A patient with a new colostomy is being taught about dietary management.
Which statement by the patient indicates a need for further teaching?
A. I should avoid gas-forming foods like broccoli and beans.
B. I can eat foods like bananas and applesauce to help thicken my stool.
C. I need to drink at least 2 liters of fluid each day.
D. I should limit high-fiber foods to prevent blockage.
Correct Answer: D - I should limit high-fiber foods to prevent
Page 2
, blockage.
RATIONALE
Patients with a colostomy are generally encouraged to include
high-fiber foods to promote regular stool consistency, unless a
blockage is present. Avoiding gas-forming foods and using
bananas/applesauce to thicken stool are appropriate. Adequate fluid
intake is essential. Limiting fiber is not routinely recommended.
Question 3
A nurse is caring for a patient receiving a continuous infusion of heparin for a
pulmonary embolism. The aPTT is 95 seconds (therapeutic range 60-80
seconds). Which action should the nurse take?
A. Continue the infusion and recheck aPTT in 6 hours.
B. Stop the infusion and prepare to administer protamine sulfate.
C. Decrease the infusion rate by 2 units/kg/hr and recheck aPTT in 6
hours.
D. Administer vitamin K 10 mg IV push.
Correct Answer: B - Stop the infusion and prepare to administer
protamine sulfate.
RATIONALE
An aPTT of 95 seconds is above the therapeutic range and indicates a
risk of bleeding; the infusion should be stopped and protamine sulfate
administered if clinically indicated. Continuing or decreasing the rate
without stopping is unsafe. Vitamin K is the antidote for warfarin, not
heparin.
Question 4
A patient with bipolar I disorder is prescribed lithium carbonate. Which
assessment finding requires immediate intervention?
A. Serum lithium level of 0.8 mEq/L
Page 3
Exit Exam Test Bank Complete Study
Guide with Actual Exam Questions,
Verified Correct Answers & Detailed
HESI RN Compass Comprehensive Exit Exam Test |
Comprehensive Examination
HESI RN Compass Comprehensive Exit Exam Test Bank
Complete Study Guide with Actual Exam Questions, Verified
Correct Answers & Detailed Rationales Latest Update
INTRODUCTION
This document is an important and very helpful preparation
resource for HESI RN Compass Comprehensive Exit Exam Test
Bank Complete Study Guide with Actual Exam Questions,
Verified Correct Answers & Detailed Rationales Latest Update
2026/2027 - Already Graded A+. Every item uses a focused
exam stem, four response options, a keyed response, and a clear
rationale, making it easier to understand the subject, spot
distractors, and build real exam confidence.
Page 1
, Question 1
A patient is prescribed vancomycin IV for MRSA bacteremia. The trough level
is drawn 30 minutes before the fourth dose and is reported as 22 mcg/mL. The
patient's serum creatinine has increased from 0.9 to 1.6 mg/dL over 48 hours.
Which action should the nurse take first?
A. Administer the next dose as scheduled because the trough is within
therapeutic range for bacteremia.
B. Hold the dose and notify the provider of the elevated trough and
worsening renal function.
C. Request an order for a peak vancomycin level to confirm toxicity.
D. Encourage increased oral fluid intake to enhance renal clearance of
vancomycin.
Correct Answer: B - Hold the dose and notify the provider of the
elevated trough and worsening renal function.
RATIONALE
A vancomycin trough >20 mcg/mL combined with a rising creatinine
indicates increased risk of nephrotoxicity; the nurse should hold the
dose and notify the provider. Administering the dose could worsen
renal injury. Peak levels are not routinely used for vancomycin
monitoring. Oral fluids do not significantly enhance clearance of IV
vancomycin.
Question 2
A patient with a new colostomy is being taught about dietary management.
Which statement by the patient indicates a need for further teaching?
A. I should avoid gas-forming foods like broccoli and beans.
B. I can eat foods like bananas and applesauce to help thicken my stool.
C. I need to drink at least 2 liters of fluid each day.
D. I should limit high-fiber foods to prevent blockage.
Correct Answer: D - I should limit high-fiber foods to prevent
Page 2
, blockage.
RATIONALE
Patients with a colostomy are generally encouraged to include
high-fiber foods to promote regular stool consistency, unless a
blockage is present. Avoiding gas-forming foods and using
bananas/applesauce to thicken stool are appropriate. Adequate fluid
intake is essential. Limiting fiber is not routinely recommended.
Question 3
A nurse is caring for a patient receiving a continuous infusion of heparin for a
pulmonary embolism. The aPTT is 95 seconds (therapeutic range 60-80
seconds). Which action should the nurse take?
A. Continue the infusion and recheck aPTT in 6 hours.
B. Stop the infusion and prepare to administer protamine sulfate.
C. Decrease the infusion rate by 2 units/kg/hr and recheck aPTT in 6
hours.
D. Administer vitamin K 10 mg IV push.
Correct Answer: B - Stop the infusion and prepare to administer
protamine sulfate.
RATIONALE
An aPTT of 95 seconds is above the therapeutic range and indicates a
risk of bleeding; the infusion should be stopped and protamine sulfate
administered if clinically indicated. Continuing or decreasing the rate
without stopping is unsafe. Vitamin K is the antidote for warfarin, not
heparin.
Question 4
A patient with bipolar I disorder is prescribed lithium carbonate. Which
assessment finding requires immediate intervention?
A. Serum lithium level of 0.8 mEq/L
Page 3
