HESI RN COMPASS EXIT EXAM REAL EXAM QUESTIONS AND
ANSWERS (EXPERT VERIFIED ANSWERS WITH RATIONALES)
LATEST UPDATED 2025-2026
At |10-weeks |gestation, |a |high-risk |multiparous |client |with |a |family |history |of |Down |syndrome |is
|admitted |for |observation |following |a |chorionic |villi |sampling |(CVS) |procedure. |What |assessment
|finding |requires |immediate |intervention?
-uterine |cramping
-abdominal |tenderness
-systolic |bp |<100 |mmHg
-intermittent |nausea
A. |Uterine |cramping
A |client |states, |"During |the |three |months |I've |been |pregnant, |it |seems |like |I |have |had |to |go |to |the
|bathroom |every |five |minutes." |Which |explanation |should |the |nurse |provide |to |this |client?
-the |client |may |have |a |bladder |or |kidney |infection
-bladder |capacity |increases |during |pregnancy
-during |pregnancy |a |woman |is |especially |sensitive |to |body |functions
-the |growing |uterus |is |putting |pressure |on |the |bladder
D. |The |growing |uterus |is |putting |pressure |on |the |bladder.
The |nurse |assesses |a |male |newborn |and |determines |that |he |has |the |following |vital |signs: |axillary
|temperature |95.1 |F, |heart |rate |136 |beats/minute, |and |a |respiratory |rate |48 |breaths/minute. |Based
|on |these |findings, |which |action |should |the |nurse |take |first?
-check |the |infant's |ABGs
-notify |the |pediatrician |of |the |infants |VS
-assess |the |infant's |blood |glucose |level
-encourage |the |infant |to |take |the |breast |or |sugar |water
C. |Assess |the |infant's |blood |glucose |level
An |infant |in |respiratory |distress |is |placed |on |pulse |ox. |The |O2 |sat |is |85%. |What |is |the |priority
|nursing |intervention?
-evaluate |the |blood |pH
,-begin |humidified |oxygen |via |hood
-stimulate |infant |crying
-place |the |infant |under |a |radiant |warmer
B. |Begin |humidified |oxygen |via |hood
When |assessing |a |newborn |infant's |heart |rate, |which |technique |is |most |important |for |the |nurse |to
|use?
-quiet |the |infant |before |counting |the |HR
-listen |at |the |apex |of |the |heart
-count |the |HR |for |at |least |one |full |minute
-palpate |the |umbilical |cord
C. |Count |the |heart |rate |for |at |least |one |full |minute
The |nurse |prepares |to |administer |an |injection |of |vitamin |K |to |a |newborn |infant. |The |mother |tells |the
|nurse, |"Wait! |I |don't |want |my |baby |to |have |a |shot." |Which |response |would |be |best |for |the |nurse |to
|make?
-inform |the |mother |that |the |injection |was |prescribed |by |the |HCP
-explore |the |mother's |concerns |about |the |infant |receiving |an |injection |of |vitamin |K
-explain |that |vitamin |K |is |required |by |state |law |and |compliance |is |mandatory
-remind |the |mother |that |all |babies |receive |this |shot |and |it |is |relatively |painless
B. |Explore |the |mother's |concerns |about |the |infant |receiving |an |injection |of |vitamin |K
The |nurse |is |teaching |a |new |mother |about |diet |and |breastfeeding. |Which |instruction |is |most
|important |to |include |in |the |teaching |plan?
-avoid |alcohol |bc |it |is |excreted |in |breast |milk
-avoid |spicy |foods |to |prevent |infant |colic
-increase |caloric |intake |by |approx. |500 |calories/day
-double |prenatal |milk |intake |to |improve |vitamin |D |transfer |to |the |infant
A. |Avoid |alcohol |because |it |is |excreted |in |breast |milk
Which |nursing |intervention |best |enhances |maternal-infant |bonding |during |the |fourth |stage |of |labor?
-brighten |the |lighting |so |the |mother |can |view |the |infant
, -complete |the |newborn |assessment |as |quickly |as |possible
-provide |positive |reinforcement |for |maternal |care |of |infant
-encourage |early |initiation |of |breast |or |formula |feeding
D. |Encourage |early |initiation |of |breast |of |formula |feeding
A |client |at |8-weeks |gestation |asks |the |nurse |about |the |risk |fora |congenital |heart |defect |(CHD) |in |her
|baby. |Which |response |best |explains |when |a |CHD |may |occur?
-it |depends |on |what |the |causative |factors |are |for |a |CHD
-we |don't |really |know |what |or |when |CHDs |occur
-they |usually |occur |in |the |first |trimester |of |pregnancy
-the |heart |develops |in |the |third |to |fifth |weeks |after |conception
D. |The |heart |develops |in |the |third |to |fifth |weeks |after |conception
A |client |at |8-months |gestation |tells |the |nurse |that |she |knows |her |baby |listens |to |her, |but |her |husband
|thinks |she |is |imagining |things. |What |information |should |the |nurse |provide?
-many |women |imagine |what |their |baby |is |like |by |interpreting |fetal |movements
-the |fetus |in |utero |is |capable |of |hearing |and |does |respond |to |the |mothers |voice
-the |HCP |should |address |her |concerns |about |her |baby |hearing |function
-the |interaction |b/w |the |mothers |voice |and |the |fetus's |response |ensures |bonding
B. |The |fetus |in |utero |is |capable |of |hearing |and |does |respond |to |the |mother's |voice
A |client |at |25-weeks |gestation |tells |the |nurse |that |she |dropped |a |cooking |utensil |last |week |and |her
|baby |jumped |in |response |to |the |noise. |What |information |should |the |nurse |provide?
-this |is |a |demonstration |of |the |fetus |acoustical |reflux
-the |fetus |can |respond |to |sound |by |24 |weeks
-it |is |a |coincidence |the |fetus |responded |at |the |same |time
-report |behavior |to |HCP
B. |The |fetus |can |respond |to |sound |by |24-weeks |gestation
A |woman |whose |pregnancy |is |confirmed |asks |the |nurse |what |the |function |of |the |placenta |is |in |early
|pregnancy. |What |information |supports |the |explanation |that |the |nurse |should |provide?
-excretes |prolactin |and |insulin
ANSWERS (EXPERT VERIFIED ANSWERS WITH RATIONALES)
LATEST UPDATED 2025-2026
At |10-weeks |gestation, |a |high-risk |multiparous |client |with |a |family |history |of |Down |syndrome |is
|admitted |for |observation |following |a |chorionic |villi |sampling |(CVS) |procedure. |What |assessment
|finding |requires |immediate |intervention?
-uterine |cramping
-abdominal |tenderness
-systolic |bp |<100 |mmHg
-intermittent |nausea
A. |Uterine |cramping
A |client |states, |"During |the |three |months |I've |been |pregnant, |it |seems |like |I |have |had |to |go |to |the
|bathroom |every |five |minutes." |Which |explanation |should |the |nurse |provide |to |this |client?
-the |client |may |have |a |bladder |or |kidney |infection
-bladder |capacity |increases |during |pregnancy
-during |pregnancy |a |woman |is |especially |sensitive |to |body |functions
-the |growing |uterus |is |putting |pressure |on |the |bladder
D. |The |growing |uterus |is |putting |pressure |on |the |bladder.
The |nurse |assesses |a |male |newborn |and |determines |that |he |has |the |following |vital |signs: |axillary
|temperature |95.1 |F, |heart |rate |136 |beats/minute, |and |a |respiratory |rate |48 |breaths/minute. |Based
|on |these |findings, |which |action |should |the |nurse |take |first?
-check |the |infant's |ABGs
-notify |the |pediatrician |of |the |infants |VS
-assess |the |infant's |blood |glucose |level
-encourage |the |infant |to |take |the |breast |or |sugar |water
C. |Assess |the |infant's |blood |glucose |level
An |infant |in |respiratory |distress |is |placed |on |pulse |ox. |The |O2 |sat |is |85%. |What |is |the |priority
|nursing |intervention?
-evaluate |the |blood |pH
,-begin |humidified |oxygen |via |hood
-stimulate |infant |crying
-place |the |infant |under |a |radiant |warmer
B. |Begin |humidified |oxygen |via |hood
When |assessing |a |newborn |infant's |heart |rate, |which |technique |is |most |important |for |the |nurse |to
|use?
-quiet |the |infant |before |counting |the |HR
-listen |at |the |apex |of |the |heart
-count |the |HR |for |at |least |one |full |minute
-palpate |the |umbilical |cord
C. |Count |the |heart |rate |for |at |least |one |full |minute
The |nurse |prepares |to |administer |an |injection |of |vitamin |K |to |a |newborn |infant. |The |mother |tells |the
|nurse, |"Wait! |I |don't |want |my |baby |to |have |a |shot." |Which |response |would |be |best |for |the |nurse |to
|make?
-inform |the |mother |that |the |injection |was |prescribed |by |the |HCP
-explore |the |mother's |concerns |about |the |infant |receiving |an |injection |of |vitamin |K
-explain |that |vitamin |K |is |required |by |state |law |and |compliance |is |mandatory
-remind |the |mother |that |all |babies |receive |this |shot |and |it |is |relatively |painless
B. |Explore |the |mother's |concerns |about |the |infant |receiving |an |injection |of |vitamin |K
The |nurse |is |teaching |a |new |mother |about |diet |and |breastfeeding. |Which |instruction |is |most
|important |to |include |in |the |teaching |plan?
-avoid |alcohol |bc |it |is |excreted |in |breast |milk
-avoid |spicy |foods |to |prevent |infant |colic
-increase |caloric |intake |by |approx. |500 |calories/day
-double |prenatal |milk |intake |to |improve |vitamin |D |transfer |to |the |infant
A. |Avoid |alcohol |because |it |is |excreted |in |breast |milk
Which |nursing |intervention |best |enhances |maternal-infant |bonding |during |the |fourth |stage |of |labor?
-brighten |the |lighting |so |the |mother |can |view |the |infant
, -complete |the |newborn |assessment |as |quickly |as |possible
-provide |positive |reinforcement |for |maternal |care |of |infant
-encourage |early |initiation |of |breast |or |formula |feeding
D. |Encourage |early |initiation |of |breast |of |formula |feeding
A |client |at |8-weeks |gestation |asks |the |nurse |about |the |risk |fora |congenital |heart |defect |(CHD) |in |her
|baby. |Which |response |best |explains |when |a |CHD |may |occur?
-it |depends |on |what |the |causative |factors |are |for |a |CHD
-we |don't |really |know |what |or |when |CHDs |occur
-they |usually |occur |in |the |first |trimester |of |pregnancy
-the |heart |develops |in |the |third |to |fifth |weeks |after |conception
D. |The |heart |develops |in |the |third |to |fifth |weeks |after |conception
A |client |at |8-months |gestation |tells |the |nurse |that |she |knows |her |baby |listens |to |her, |but |her |husband
|thinks |she |is |imagining |things. |What |information |should |the |nurse |provide?
-many |women |imagine |what |their |baby |is |like |by |interpreting |fetal |movements
-the |fetus |in |utero |is |capable |of |hearing |and |does |respond |to |the |mothers |voice
-the |HCP |should |address |her |concerns |about |her |baby |hearing |function
-the |interaction |b/w |the |mothers |voice |and |the |fetus's |response |ensures |bonding
B. |The |fetus |in |utero |is |capable |of |hearing |and |does |respond |to |the |mother's |voice
A |client |at |25-weeks |gestation |tells |the |nurse |that |she |dropped |a |cooking |utensil |last |week |and |her
|baby |jumped |in |response |to |the |noise. |What |information |should |the |nurse |provide?
-this |is |a |demonstration |of |the |fetus |acoustical |reflux
-the |fetus |can |respond |to |sound |by |24 |weeks
-it |is |a |coincidence |the |fetus |responded |at |the |same |time
-report |behavior |to |HCP
B. |The |fetus |can |respond |to |sound |by |24-weeks |gestation
A |woman |whose |pregnancy |is |confirmed |asks |the |nurse |what |the |function |of |the |placenta |is |in |early
|pregnancy. |What |information |supports |the |explanation |that |the |nurse |should |provide?
-excretes |prolactin |and |insulin
