HESI COMPASS COMPREHENSIVE EXIT EXAM
2025/2026 AND PRACTICE EXAM TEST BANK
WITH A STUDY GUIDE | ALL VERSIONS OF THE
EXAM WITH ALL MODULES COVERED |
ACCURATE AND VERIFIED QUESTIONS AND
ANSWERS FOR GUARANTEED PASS | LATEST
UPDATE
A mother brings her 4-month-old son to the clinic with a
quarter taped over his umbilicus, and tells the nurse the
quarter is supposed to fix her child's hernia. Which
explanation should the nurse provide?
This hernia is a normal variation that resolves without
treatment.
Restrictive clothing will be adequate to help the hernia go
away.
An abdominal binder can be worn daily to reduce the
protrusion.
The quarter should be secured with an elastic bandage
wrap.
This hernia is a normal variation that resolves without
treatment.
,Rationale:
An umbilical hernia is a normal variation in infants that
occurs due to an incomplete fusion of the abdominal
musculature through the umbilical ring that usually
resolves spontaneously as the child learns to walk.
A young adult female presents at the emergency center
with acute lower abdominal pain. Which assessment
finding is most important for the nurse to report to the
healthcare provider?
Pain scale rating of a "9" on a 0 to10 scale.
Last menstrual period was 7 weeks ago.
Reports white, curdy vaginal discharge.
History of irritable bowel syndrome (IBS).
Last menstrual period was 7 weeks ago.
Rationale:
Acute lower abdominal pain in a young adult female can
be indicative of an ectopic pregnancy, which can be life-
threatening. Since the client's last menstrual period was 7
weeks ago, a pregnancy test should be obtained to rule out
ectopic pregnancy, which can result in intra-abdominal
hemorrhage caused by a ruptured fallopian tube.
,A client is admitted to the hospital after experiencing a
stroke or cerebral vascular accident (CVA). The nurse
should request a referral for speech therapy if the client
exhibits which finding?
Abnormal responses for cranial nerves I and II.
Unilateral facial drooping.
Persistent coughing while drinking.
Inappropriate or exaggerated mood swings.
Persistent coughing while drinking.
Rationale:
After a stroke, clients may experience dysphagia and an
impaired gag reflex that is evaluated by a speech
pathology team. Coughing while drinking results from
impaired swallowing and gag reflex, so a referral to a
speech therapist is indicated to evaluate the coordination
of oral movements associated with speech and deglutition
(swallowing).
A male client who is participating in an anger
management assignment asks if he can make a leather belt
in occupational therapy. The client begins pounding the
leather vigorously with a mallet to imprint designs on the
belt. Which defense mechanism is the client using?
Sublimation.
Regression.
, Compensation.
Suppression.
Sublimation.
Rationale:
The client is channeling his socially unacceptable feelings
of anger and impulsivity into socially acceptable activities
(pounding leatherwork), which is called sublimation.
The healthcare provider changes a client's medication
prescription from IV to PO administration and doubles
the dose. The nurse notes in the drug guide that the
prescribed medication, when given orally, has a high first-
pass effect and reduced bioavailability. What action
should the nurse implement?
Continue to administer the medication via the IV route.
Give half the prescribed oral dose until the provider is
consulted.
Administer the medication via the oral route as prescribed.
Consult with the pharmacist regarding the error in
prescription.
Administer the medication via the oral route as prescribed.
Rationale:
Bioavailability refers to the percentage of drug available
in the systemic circulation. An increase in dosage is
2025/2026 AND PRACTICE EXAM TEST BANK
WITH A STUDY GUIDE | ALL VERSIONS OF THE
EXAM WITH ALL MODULES COVERED |
ACCURATE AND VERIFIED QUESTIONS AND
ANSWERS FOR GUARANTEED PASS | LATEST
UPDATE
A mother brings her 4-month-old son to the clinic with a
quarter taped over his umbilicus, and tells the nurse the
quarter is supposed to fix her child's hernia. Which
explanation should the nurse provide?
This hernia is a normal variation that resolves without
treatment.
Restrictive clothing will be adequate to help the hernia go
away.
An abdominal binder can be worn daily to reduce the
protrusion.
The quarter should be secured with an elastic bandage
wrap.
This hernia is a normal variation that resolves without
treatment.
,Rationale:
An umbilical hernia is a normal variation in infants that
occurs due to an incomplete fusion of the abdominal
musculature through the umbilical ring that usually
resolves spontaneously as the child learns to walk.
A young adult female presents at the emergency center
with acute lower abdominal pain. Which assessment
finding is most important for the nurse to report to the
healthcare provider?
Pain scale rating of a "9" on a 0 to10 scale.
Last menstrual period was 7 weeks ago.
Reports white, curdy vaginal discharge.
History of irritable bowel syndrome (IBS).
Last menstrual period was 7 weeks ago.
Rationale:
Acute lower abdominal pain in a young adult female can
be indicative of an ectopic pregnancy, which can be life-
threatening. Since the client's last menstrual period was 7
weeks ago, a pregnancy test should be obtained to rule out
ectopic pregnancy, which can result in intra-abdominal
hemorrhage caused by a ruptured fallopian tube.
,A client is admitted to the hospital after experiencing a
stroke or cerebral vascular accident (CVA). The nurse
should request a referral for speech therapy if the client
exhibits which finding?
Abnormal responses for cranial nerves I and II.
Unilateral facial drooping.
Persistent coughing while drinking.
Inappropriate or exaggerated mood swings.
Persistent coughing while drinking.
Rationale:
After a stroke, clients may experience dysphagia and an
impaired gag reflex that is evaluated by a speech
pathology team. Coughing while drinking results from
impaired swallowing and gag reflex, so a referral to a
speech therapist is indicated to evaluate the coordination
of oral movements associated with speech and deglutition
(swallowing).
A male client who is participating in an anger
management assignment asks if he can make a leather belt
in occupational therapy. The client begins pounding the
leather vigorously with a mallet to imprint designs on the
belt. Which defense mechanism is the client using?
Sublimation.
Regression.
, Compensation.
Suppression.
Sublimation.
Rationale:
The client is channeling his socially unacceptable feelings
of anger and impulsivity into socially acceptable activities
(pounding leatherwork), which is called sublimation.
The healthcare provider changes a client's medication
prescription from IV to PO administration and doubles
the dose. The nurse notes in the drug guide that the
prescribed medication, when given orally, has a high first-
pass effect and reduced bioavailability. What action
should the nurse implement?
Continue to administer the medication via the IV route.
Give half the prescribed oral dose until the provider is
consulted.
Administer the medication via the oral route as prescribed.
Consult with the pharmacist regarding the error in
prescription.
Administer the medication via the oral route as prescribed.
Rationale:
Bioavailability refers to the percentage of drug available
in the systemic circulation. An increase in dosage is
