HESI COMPASS COMPREHENSIVE EXIT EXAM 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
1. Why is a recent stroke considered a contraindication for electroconvulsive
therapy (ECT)?
A recent stroke increases the risk of complications during ECT.
Hypothyroidism can affect the efficacy of ECT.
Peripheral vascular disease impacts the patient's recovery time post-
ECT.
History of glaucoma may lead to increased intraocular pressure during
ECT.
2. Describe the significance of identifying early manifestations of rheumatoid
arthritis in nursing assessments.
Fatigue is unrelated to rheumatoid arthritis.
Identifying early manifestations like fatigue and low-grade fever
helps in timely diagnosis and management of rheumatoid arthritis.
Only joint deformities are important for diagnosis.
Early manifestations are not significant for nursing assessments.
3. The nurse recognizes that the risk of osteoporosis is higher in an individual
with which risk factor?
African-American race taking calcium supplement
Male diagnosed with obesity, but has an active lifestyle
, Female patient with history of participation in active sports
White or Asian race, slender body build, smoking, and sedentary
lifestyle
4. What is the primary assessment a nurse should perform before administering
Enalapril maleate?
Checking the client's intake-and-output record for the last 24 hours
Checking the client's peripheral pulses
Checking the most recent potassium level
Checking the client's blood pressure
5. A client receiving therapy with carbidopa/levodopa (Sinemet) is upset and
tells the nurse that his urine has turned a darker color since he began to take
the medication. The client wants to discontinue its use. In formulating a
response to the client's concerns, the nurse interprets that this change is:
A harmless side effect of the medication
A sign of interaction with another medication
A result of taking the medication with milk
Indicative of developing toxicity
6. Which of the following is a recommended action for promoting primary
prevention of skin cancer?
Wear a hat, opaque clothing, and sunglasses when out in the sun.
Examine the body every 6 months for possibly cancerous or
precancerous lesions.
Avoid sun exposure before 10 a.m. and after 4 p.m.
Use sunscreen with a low sun protection factor (SPF).
7. The nurse is examining a client's breasts and notes the presence of
, pronounced dimpling. How should the nurse best respond to this assessment
finding?
Promptly refer the client for further medical assessment.
Ask the client about any history of mastitis (breast infection).
Explain to the client that this is a normal, age-related change.
Confirm whether the client has breast implants in place.
8. What is the concentration of morphine sulfate solution for injection as
indicated on the vial label?
1 mg/mL
2.5 mg/mL
5 mg/mL
4 mg/mL
9. What is the nurse's priority action after noting yellow amniotic fluid with a
strong odor in a laboring client?
Documenting the findings
Contacting the physician
Checking the fluid for protein
Continuing to monitor the client and the FHR
10. If a patient experiences complications post-suprapubic prostatectomy,
which area would likely be assessed for potential issues related to the
incision?
The lower abdominal area
The upper abdominal area
The perineal area
, The urethra
11. You are caring for a client who has strict and output ordered during the day
shift. The client has 240ml of coffee at breakfast, 120 ml of tea at lunch, 300
ml of IV fluids during the shift, 500 ml of urine in foley catheter drainage bag,
and 30 ml of drainage in JP drain. What is the 8 hour total intake for this
client?
530 ml
1190 ml
660 ml
360 ml
12. A nurse, assisting with data collection for a client being seen in the clinic for
symptoms of a sinus infection, asks the client about medications that he is
taking. The client tells the nurse that he is taking fluoxetine. On the basis of
this information, the nurse determines that the client most likely has a history
of which disorder?
Coronary artery disease
Depression
Diabetes mellitus
Hyperthyroidism
13. If a client on Risperidone experiences a significant drop in blood pressure
after starting an antihypertensive, what should the nurse's immediate action
be?
Notify the prescribing physician about the adverse reaction.
Administer a dose of antihypertensive medication.
Increase the dosage of Risperidone.
Document the client's blood pressure and continue monitoring.
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
1. Why is a recent stroke considered a contraindication for electroconvulsive
therapy (ECT)?
A recent stroke increases the risk of complications during ECT.
Hypothyroidism can affect the efficacy of ECT.
Peripheral vascular disease impacts the patient's recovery time post-
ECT.
History of glaucoma may lead to increased intraocular pressure during
ECT.
2. Describe the significance of identifying early manifestations of rheumatoid
arthritis in nursing assessments.
Fatigue is unrelated to rheumatoid arthritis.
Identifying early manifestations like fatigue and low-grade fever
helps in timely diagnosis and management of rheumatoid arthritis.
Only joint deformities are important for diagnosis.
Early manifestations are not significant for nursing assessments.
3. The nurse recognizes that the risk of osteoporosis is higher in an individual
with which risk factor?
African-American race taking calcium supplement
Male diagnosed with obesity, but has an active lifestyle
, Female patient with history of participation in active sports
White or Asian race, slender body build, smoking, and sedentary
lifestyle
4. What is the primary assessment a nurse should perform before administering
Enalapril maleate?
Checking the client's intake-and-output record for the last 24 hours
Checking the client's peripheral pulses
Checking the most recent potassium level
Checking the client's blood pressure
5. A client receiving therapy with carbidopa/levodopa (Sinemet) is upset and
tells the nurse that his urine has turned a darker color since he began to take
the medication. The client wants to discontinue its use. In formulating a
response to the client's concerns, the nurse interprets that this change is:
A harmless side effect of the medication
A sign of interaction with another medication
A result of taking the medication with milk
Indicative of developing toxicity
6. Which of the following is a recommended action for promoting primary
prevention of skin cancer?
Wear a hat, opaque clothing, and sunglasses when out in the sun.
Examine the body every 6 months for possibly cancerous or
precancerous lesions.
Avoid sun exposure before 10 a.m. and after 4 p.m.
Use sunscreen with a low sun protection factor (SPF).
7. The nurse is examining a client's breasts and notes the presence of
, pronounced dimpling. How should the nurse best respond to this assessment
finding?
Promptly refer the client for further medical assessment.
Ask the client about any history of mastitis (breast infection).
Explain to the client that this is a normal, age-related change.
Confirm whether the client has breast implants in place.
8. What is the concentration of morphine sulfate solution for injection as
indicated on the vial label?
1 mg/mL
2.5 mg/mL
5 mg/mL
4 mg/mL
9. What is the nurse's priority action after noting yellow amniotic fluid with a
strong odor in a laboring client?
Documenting the findings
Contacting the physician
Checking the fluid for protein
Continuing to monitor the client and the FHR
10. If a patient experiences complications post-suprapubic prostatectomy,
which area would likely be assessed for potential issues related to the
incision?
The lower abdominal area
The upper abdominal area
The perineal area
, The urethra
11. You are caring for a client who has strict and output ordered during the day
shift. The client has 240ml of coffee at breakfast, 120 ml of tea at lunch, 300
ml of IV fluids during the shift, 500 ml of urine in foley catheter drainage bag,
and 30 ml of drainage in JP drain. What is the 8 hour total intake for this
client?
530 ml
1190 ml
660 ml
360 ml
12. A nurse, assisting with data collection for a client being seen in the clinic for
symptoms of a sinus infection, asks the client about medications that he is
taking. The client tells the nurse that he is taking fluoxetine. On the basis of
this information, the nurse determines that the client most likely has a history
of which disorder?
Coronary artery disease
Depression
Diabetes mellitus
Hyperthyroidism
13. If a client on Risperidone experiences a significant drop in blood pressure
after starting an antihypertensive, what should the nurse's immediate action
be?
Notify the prescribing physician about the adverse reaction.
Administer a dose of antihypertensive medication.
Increase the dosage of Risperidone.
Document the client's blood pressure and continue monitoring.
