HESI COMPASS COMPREHENSIVE EXIT EXAM AND
PRACTICE EXAM TEST BANK WITH A STUDY |A
COMPLETE SOLUTION WITH VERIFIED QUESTIONS
AND ANSWERS |GET IT 100% CORRECT |GRADED
A+
1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client.
Which assessment does the nurse perform as a priority before
administering the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours
A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor
used to treat hypertension. One common side effect is postural
hypotension. Therefore the nurse would check the client's blood pressure
immediately before administering each dose. Checking the client's
peripheral pulses, the results of the most recent potassium level, and the
intake and output for the previous 24 hours are not specifically associated
with this mediation.
2-A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
,C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the
liquid that I'll have to drink for the test can be constipating."
C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
An upper GI series involves visualization of the esophagus, duodenum,
and upper jejunum by means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium), which is administered in
a flavored milkshake. Films are taken at intervals during the test, which
takes about 30 minutes. No special preparation is necessary before a GI
series, except that NPO status must be maintained for 8 hours before the
test. After an upper GI series, the client is prescribed a laxative to hasten
elimination of the barium. Barium that remains in the colon may become
hard and difficult to expel, leading to fecal impaction.
3-A nurse on the evening shift checks a 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
B. Ask the answering service to contact the on-call physician
4.An emergency department (ED) 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
B. Asking the ED physician to check the client
5.NPO status is imposed 8 hours 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
A. Administer the antihypertensive with a small sip of water
6 A client who recently underwent coronary 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."
, A. "Tell me more about what you're feeling."
7 A client in labor experiences spontaneous 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
A. Contacting the physician Correct
8 A nurse has assisted a physician in 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
A. Call the radiography department to obtain a chest x-ray
9 A rape victim being treated in the emergency department says to the
nurse, "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."
PRACTICE EXAM TEST BANK WITH A STUDY |A
COMPLETE SOLUTION WITH VERIFIED QUESTIONS
AND ANSWERS |GET IT 100% CORRECT |GRADED
A+
1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client.
Which assessment does the nurse perform as a priority before
administering the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours
A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor
used to treat hypertension. One common side effect is postural
hypotension. Therefore the nurse would check the client's blood pressure
immediately before administering each dose. Checking the client's
peripheral pulses, the results of the most recent potassium level, and the
intake and output for the previous 24 hours are not specifically associated
with this mediation.
2-A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
,C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the
liquid that I'll have to drink for the test can be constipating."
C. "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
An upper GI series involves visualization of the esophagus, duodenum,
and upper jejunum by means of the use of a contrast medium. It involves
swallowing a contrast medium (usually barium), which is administered in
a flavored milkshake. Films are taken at intervals during the test, which
takes about 30 minutes. No special preparation is necessary before a GI
series, except that NPO status must be maintained for 8 hours before the
test. After an upper GI series, the client is prescribed a laxative to hasten
elimination of the barium. Barium that remains in the colon may become
hard and difficult to expel, leading to fecal impaction.
3-A nurse on the evening shift checks a 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
B. Ask the answering service to contact the on-call physician
4.An emergency department (ED) 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
B. Asking the ED physician to check the client
5.NPO status is imposed 8 hours 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
A. Administer the antihypertensive with a small sip of water
6 A client who recently underwent coronary 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."
, A. "Tell me more about what you're feeling."
7 A client in labor experiences spontaneous 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
A. Contacting the physician Correct
8 A nurse has assisted a physician in 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
A. Call the radiography department to obtain a chest x-ray
9 A rape victim being treated in the emergency department says to the
nurse, "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."
