Nightingale College BSN 266
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
3.5 (4 reviews)
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C
Terms in this set (132)
1-Enalapril maleate (Vasotec) is prescribed A. Checking the client's blood pressure
for a hospitalized client. Which assessment
does the nurse perform as a priority before Checking the client's blood pressure
administering the medication? Enalapril maleate is an angiotensin-converting enzyme (ACE)
inhibitor used to treat hypertension. One common side effect
A. Checking the client's blood pressure is postural hypotension. Therefore the nurse would check the
B.Checking the client's peripheral pulses client's blood pressure immediately before administering
C. Checking the most recent potassium level each dose. Checking the client's peripheral pulses, the results
D.Checking the client's intake-and-output of the most recent potassium level, and the intake and output
record for the last 24 hours for the previous 24 hours are not specifically associated
with this
mediation.
,2-A client is scheduled to undergo an upper C. "I need to drink citrate of magnesia the night before the test
gastrointestinal (GI) series, and the nurse and give myself a Fleet enema on the morning of the test."
provides instructions to the client about
the test. Which statement by the client An upper GI series involves visualization of the esophagus,
indicates a need for further instruction? duodenum, and upper jejunum by means of the use of a
contrast medium. It involves swallowing a contrast medium
A. "The test will take about 30 minutes." (usually barium), which is administered in a flavored milkshake.
B. "I need to fast for 8 hours before the test." Films are taken at intervals during the test, which takes about
C. "I need to drink citrate of magnesia the 30 minutes. No special preparation is necessary before a GI
night before the test and give myself a Fleet series, except that NPO status must be maintained for 8 hours
enema on the morning of the test." before the test. After an upper GI series, the client is
D. "I need to take a laxative after the test prescribed a laxative to hasten elimination of the
is completed, because the liquid that I'll barium. Barium that remains in the colon may become
have to drink for the test can be hard and difficult to expel, leading to fecal
constipating." impaction.
3-A nurse on the evening shift checks a B. Ask the answering service to contact the on-call physician
physician's prescriptions and notes that the
dose of a prescribed medication is
higher than the normal dose. The nurse
calls the physician's answering service and
is told that the physician is off for the
night and will be available in the morning.
The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact
the on-call physician
C. Withhold the medication until the
physician can be reached in the morning
D. Administer the medication but consult the
physician when he becomes available
4. An emergency department (ED) B. Asking the ED physician to check the client
nurse is monitoring a client with
suspected acute myocardial infarction
(MI) who is awaiting transfer to the
coronary intensive care unit.
The nurse notes the sudden onset of
premature ventricular contractions (PVCs)
on the monitor, checks the client's carotid
pulse, and determines that the PVCs are not
resulting in perfusion. The appropriate
action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to
check the client
C. Continuing to monitor the client's
cardiac status
D.Informing the client that PVCs
are expected after an MI
,5. NPO status is imposed 8 hours A. Administer the antihypertensive with a small sip of water
before the procedure on a client
scheduled to undergo electroconvulsive
therapy (ECT) at 1 p.m. On the morning of
the procedure, the nurse checks the
client's record and notes that the client
routinely takes an oral
antihypertensive medication each
morning. The nurse should:
A. Administer the antihypertensive with a
small sip of water
B.Withhold the antihypertensive
and administer it at bedtime
C. Administer the medication by way of
the intravenous (IV) route
D.Hold the antihypertensive and resume
its administration on the day after the
ECT
6 A client who recently underwent coronary A. "Tell me more about what you're feeling."
artery bypass graft surgery comes to the
physician's office for a follow-up visit. On
assessment, the client tells the nurse that he
is feeling depressed. Which response by
the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B."That's a normal response after this
type of surgery."
C. "It will take time, but, I promise you, you
will get over this depression."
D."Every client who has this surgery
feels the same way for about a
month."
7 A client in labor experiences spontaneous A. Contacting the physician Correct
rupture of the membranes. The nurse
immediately counts the fetal heart rate
(FHR) for 1 full minute and then checks the
amniotic fluid. The nurse notes that the fluid
is yellow and has a strong odor. Which
of the following actions should be the
nurse's priority?
A. Contacting the physician
B.Documenting the findings
C. Checking the fluid for protein
D.Continuing to monitor the client and
the FHR
, 8 A nurse has assisted a physician in A. Call the radiography department to obtain a chest x-ray
inserting a central venous access device into
a client with a diagnosis of severe
malnutrition who will be receiving
parenteral nutrition (PN). After insertion of
the catheter, the nurse immediately plans to:
A. Call the radiography department to
obtain a chest x-ray
B.Check the client's blood glucose level
to serve as a baseline measurement
C. Hang the prescribed bag of PN and
start the infusion at the prescribed rate
D.Infuse normal saline solution through
the catheter at a rate of 100 mL/hr to
maintain patency
9 A rape victim being treated in the D. "Let's talk about the information that you need to determine
emergency department says to the nurse, your risk of contracting HIV."
"I'm really worried that I've got HIV now."
What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B."Every rape victim is concerned
about HIV."
C. "You're more likely to get pregnant than
to contract HIV."
D."Let's talk about the information that you
need to determine your risk of contracting
HIV."
10 A client is taking prescribed C. Take the medication with food
ibuprofen (Motrin), 300 mg orally four
times daily, to relieve joint pain resulting
from rheumatoid arthritis. The client tells
the nurse that the medication is causing
nausea and indigestion. The nurse should
tell the client to:
A. Contact the physician
B.Stop taking the medication
C. Take the medication with food
D.Take the medication twice a day
instead of four times
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
3.5 (4 reviews)
Students also studied
Flashcard sets Study guides
C
Terms in this set (132)
1-Enalapril maleate (Vasotec) is prescribed A. Checking the client's blood pressure
for a hospitalized client. Which assessment
does the nurse perform as a priority before Checking the client's blood pressure
administering the medication? Enalapril maleate is an angiotensin-converting enzyme (ACE)
inhibitor used to treat hypertension. One common side effect
A. Checking the client's blood pressure is postural hypotension. Therefore the nurse would check the
B.Checking the client's peripheral pulses client's blood pressure immediately before administering
C. Checking the most recent potassium level each dose. Checking the client's peripheral pulses, the results
D.Checking the client's intake-and-output of the most recent potassium level, and the intake and output
record for the last 24 hours for the previous 24 hours are not specifically associated
with this
mediation.
,2-A client is scheduled to undergo an upper C. "I need to drink citrate of magnesia the night before the test
gastrointestinal (GI) series, and the nurse and give myself a Fleet enema on the morning of the test."
provides instructions to the client about
the test. Which statement by the client An upper GI series involves visualization of the esophagus,
indicates a need for further instruction? duodenum, and upper jejunum by means of the use of a
contrast medium. It involves swallowing a contrast medium
A. "The test will take about 30 minutes." (usually barium), which is administered in a flavored milkshake.
B. "I need to fast for 8 hours before the test." Films are taken at intervals during the test, which takes about
C. "I need to drink citrate of magnesia the 30 minutes. No special preparation is necessary before a GI
night before the test and give myself a Fleet series, except that NPO status must be maintained for 8 hours
enema on the morning of the test." before the test. After an upper GI series, the client is
D. "I need to take a laxative after the test prescribed a laxative to hasten elimination of the
is completed, because the liquid that I'll barium. Barium that remains in the colon may become
have to drink for the test can be hard and difficult to expel, leading to fecal
constipating." impaction.
3-A nurse on the evening shift checks a B. Ask the answering service to contact the on-call physician
physician's prescriptions and notes that the
dose of a prescribed medication is
higher than the normal dose. The nurse
calls the physician's answering service and
is told that the physician is off for the
night and will be available in the morning.
The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact
the on-call physician
C. Withhold the medication until the
physician can be reached in the morning
D. Administer the medication but consult the
physician when he becomes available
4. An emergency department (ED) B. Asking the ED physician to check the client
nurse is monitoring a client with
suspected acute myocardial infarction
(MI) who is awaiting transfer to the
coronary intensive care unit.
The nurse notes the sudden onset of
premature ventricular contractions (PVCs)
on the monitor, checks the client's carotid
pulse, and determines that the PVCs are not
resulting in perfusion. The appropriate
action by the nurse is:
A. Documenting the findings
B. Asking the ED physician to
check the client
C. Continuing to monitor the client's
cardiac status
D.Informing the client that PVCs
are expected after an MI
,5. NPO status is imposed 8 hours A. Administer the antihypertensive with a small sip of water
before the procedure on a client
scheduled to undergo electroconvulsive
therapy (ECT) at 1 p.m. On the morning of
the procedure, the nurse checks the
client's record and notes that the client
routinely takes an oral
antihypertensive medication each
morning. The nurse should:
A. Administer the antihypertensive with a
small sip of water
B.Withhold the antihypertensive
and administer it at bedtime
C. Administer the medication by way of
the intravenous (IV) route
D.Hold the antihypertensive and resume
its administration on the day after the
ECT
6 A client who recently underwent coronary A. "Tell me more about what you're feeling."
artery bypass graft surgery comes to the
physician's office for a follow-up visit. On
assessment, the client tells the nurse that he
is feeling depressed. Which response by
the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B."That's a normal response after this
type of surgery."
C. "It will take time, but, I promise you, you
will get over this depression."
D."Every client who has this surgery
feels the same way for about a
month."
7 A client in labor experiences spontaneous A. Contacting the physician Correct
rupture of the membranes. The nurse
immediately counts the fetal heart rate
(FHR) for 1 full minute and then checks the
amniotic fluid. The nurse notes that the fluid
is yellow and has a strong odor. Which
of the following actions should be the
nurse's priority?
A. Contacting the physician
B.Documenting the findings
C. Checking the fluid for protein
D.Continuing to monitor the client and
the FHR
, 8 A nurse has assisted a physician in A. Call the radiography department to obtain a chest x-ray
inserting a central venous access device into
a client with a diagnosis of severe
malnutrition who will be receiving
parenteral nutrition (PN). After insertion of
the catheter, the nurse immediately plans to:
A. Call the radiography department to
obtain a chest x-ray
B.Check the client's blood glucose level
to serve as a baseline measurement
C. Hang the prescribed bag of PN and
start the infusion at the prescribed rate
D.Infuse normal saline solution through
the catheter at a rate of 100 mL/hr to
maintain patency
9 A rape victim being treated in the D. "Let's talk about the information that you need to determine
emergency department says to the nurse, your risk of contracting HIV."
"I'm really worried that I've got HIV now."
What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B."Every rape victim is concerned
about HIV."
C. "You're more likely to get pregnant than
to contract HIV."
D."Let's talk about the information that you
need to determine your risk of contracting
HIV."
10 A client is taking prescribed C. Take the medication with food
ibuprofen (Motrin), 300 mg orally four
times daily, to relieve joint pain resulting
from rheumatoid arthritis. The client tells
the nurse that the medication is causing
nausea and indigestion. The nurse should
tell the client to:
A. Contact the physician
B.Stop taking the medication
C. Take the medication with food
D.Take the medication twice a day
instead of four times
