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HESI COMPASS COMPREHENSIVE EXIT EXAM 2025.pdf

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HESI COMPASS COMPREHENSIVE EXIT EXAM

Institution
Advanced Health Assessment & Clinical Diagnosis
Course
Advanced Health Assessment & Clinical Diagnosis











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Written for

Institution
Advanced Health Assessment & Clinical Diagnosis
Course
Advanced Health Assessment & Clinical Diagnosis

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Uploaded on
January 31, 2026
Number of pages
43
Written in
2025/2026
Type
Exam (elaborations)
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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
1-
Enalapril xmaleatex(Vasotec)xisxprescribedxforxaxhospitalizedxclient.xWhichxassessmentxdoesxthe xnursexperfo
rmxasxaxpriorityxbefore xadministeringxthexmedication?



A.xCheckingxthe xclient'sxbloodxpressure

B.xCheckingxthexclient'sxperipheralxpulses

C.xCheckingxthexmostxrecentxpotassiumxlevel

D.xCheckingxthexclient'sxintake-and-outputxrecordxforxthexlastx24xhoursx-xCORRECTxANSWER-
A.xCheckingxthe xclient'sxbloodxpressure



Checkingxthe xclient'sxbloodxpressurex

Enalapril xmaleatexisxanxangiotensin-
convertingxenzymex(ACE)xinhibitorxusedxtoxtreatxhypertension.xOnexcommonxsidexeffectxisxpostural xhypote
nsion.xThereforexthexnursexwouldxcheckxthexclient'sxbloodxpressure ximmediatelyxbeforexadministeringxeac
hxdose.xCheckingxthexclient'sxperipheral xpulses,xthexresultsxofxthexmostxrecentxpotassiumxlevel,xandxthexint
ake xandxoutputxforxthexpreviousx24xhoursxarexnotxspecificallyxassociatedxwithxthisxmediation.



2-
Axclientxisxscheduledxtoxundergoxanxupperxgastrointestinalx(GI)xseries,xandxthexnurse xprovidesxinstructionsx
toxthe xclientxaboutxthextest.xWhichxstatementxbyxthexclientxindicatesxaxneedxforxfurtherxinstruction?

,A.x"The xtestxwillxtakexaboutx30xminutes."

B.x"Ixneedxtoxfastxforx8xhoursxbefore xthextest."

C.x"Ixneedxtoxdrinkxcitrate xof xmagnesiaxthexnightxbeforexthextestxandxgivexmyselfxaxFleetxenemaxonxthexmor
ningxofxthe xtest."x

D.x"Ixneedxtoxtakexaxlaxativexafterxthe xtestxisxcompleted,xbecausexthe xliquidxthatxI'llxhavextoxdrinkxforxthextes
txcanxbe xconstipating."x-xCORRECTxANSWER-
C.x"Ixneedxtoxdrinkxcitrate xof xmagnesiaxthexnightxbeforexthextestxandxgivexmyselfxaxFleetxenemaxonxthexmor
ningxofxthe xtest."



AnxupperxGIxseriesxinvolvesxvisualizationxofxthexesophagus,xduodenum,xandxupperxjejunumxbyxmeansxofxth
e xuse xofxaxcontrastxmedium.xItxinvolvesxswallowingxaxcontrastxmediumx(usuallyxbarium),xwhichxisxadminist
eredxinxaxflavoredxmilkshake.xFilmsxare xtakenxatxintervalsxduringxthe xtest,xwhichxtakesxaboutx30xminutes.xN
oxspecial xpreparationxisxnecessaryxbeforexaxGIxseries,xexceptxthatxNPOxstatusxmustxbe xmaintainedxforx8xho
ursxbefore xthextest.xAfterxanxupperxGIxseries,xthexclientxisxprescribedxaxlaxativextoxhastenxeliminationxof xthe
xbarium. xBariumxthatxremainsxinxthexcolonxmay xbecomexhardxandxdifficultxtoxexpel,xleadingxtoxfecalximpacti

on.



3-
Axnurse xonxthexeveningxshiftxchecksxaxphysician'sxprescriptionsxandxnotesxthatxthe xdosexofxaxprescribedxme
dicationxisxhigherxthanxthexnormal xdose.xThexnursexcallsxthe xphysician'sxansweringxservice xandxisxtoldxthatxt
he xphysicianxisxoff xforxthexnightxandxwillxbexavailablexinxthe xmorning.xThe xnursexshould:



A.xCall xthexnursingxsupervisor

B.xAskxthe xansweringxservicextoxcontactxthexon-call xphysician

C.xWithholdxthexmedicationxuntil xthe xphysicianxcanxbe xreachedxinxthe xmorning

D.xAdministerxthexmedicationxbutxconsultxthexphysicianxwhenxhe xbecomesxavailablex-xCORRECTxANSWER-
B.xAskxthe xansweringxservicextoxcontactxthexon-call xphysician



4.Anxemergencyxdepartmentx(ED) xnursexisxmonitoringxaxclientxwithxsuspectedxacute xmyocardialxinfarctionx
(MI) xwhoxisxawaitingxtransferxtoxthexcoronaryxintensivexcare xunit.xThexnurse xnotesxthexsuddenxonsetxofxpre
mature xventricularxcontractionsx(PVCs) xonxthexmonitor,xchecksxthexclient'sxcarotidxpulse,xandxdeterminesxt
hatxthe xPVCsxarexnotxresultingxinxperfusion.xThexappropriate xactionxbyxthexnursexis:



A.xDocumentingxthexfindings

,B.xAskingxthe xEDxphysicianxtoxcheckxthe xclient

C.xContinuingxtoxmonitorxthexclient'sxcardiacxstatus

D.xInformingxthexclientxthatxPVCsxare xexpectedxafterxanxMIx-xCORRECTxANSWER-
B.xAskingxthexEDxphysicianxtoxcheckxthexclient



5.NPOxstatusxisximposedx8xhoursxbefore xthe xprocedurexonxaxclientxscheduledxtoxundergoxelectroconvulsive
xtherapy x(ECT) xatx1xp.m. xOnxthexmorningxof xthexprocedure, xthe xnursexchecksxthe xclient's xrecordxandxnotesxt

hatxthe xclientxroutinelyxtakesxanxoralxantihypertensive xmedicationxeachxmorning.xThe xnursexshould:



A.xAdministerxthexantihypertensive xwithxaxsmallxsipxofxwater

B.xWithholdxthexantihypertensivexandxadministerxitxatxbedtime

C.xAdministerxthe xmedicationxbyxwayxofxthexintravenousx(IV)xroute

D.xHoldxthe xantihypertensive xandxresumexitsxadministrationxonxthexdayxafterxthexECTx-xCORRECTxANSWER-
A.xAdministerxthexantihypertensive xwithxaxsmallxsipxofxwater



6xAxclientxwhoxrecentlyxunderwentxcoronaryxarteryxbypassxgraftxsurgeryxcomesxtoxthexphysician'sxoffice xfo
rxaxfollow-
upxvisit.xOnxassessment,xthe xclientxtellsxthe xnursexthatxhe xisxfeelingxdepressed.xWhichxresponsexbyxthexnurs
e xisxtherapeutic?



A.x"Tell xmexmore xaboutxwhatxyou'rexfeeling."x

B.x"That'sxaxnormal xresponsexafterxthisxtype xof xsurgery."

C.x"Itxwillxtakextime,xbut,xIxpromisexyou,xyouxwillxgetxoverxthisxdepression."

D.x"Everyxclientxwhoxhasxthisxsurgeryxfeelsxthexsamexwayxforxaboutxaxmonth."x-xCORRECTxANSWER-
A.x"Tell xmexmore xaboutxwhatxyou'rexfeeling."



7xAxclientxinxlaborxexperiencesxspontaneousxrupturexofxthexmembranes.xThexnurseximmediatelyxcountsxth
e xfetal xheartxratex(FHR)xforx1xfullxminutexandxthenxchecksxthexamnioticxfluid.xThe xnursexnotesxthatxthe xfluidx
isxyellowxandxhasxaxstrongxodor.xWhichxofxthexfollowingxactionsxshouldxbe xthe xnurse'sxpriority?



A.xContactingxthexphysician

B.xDocumentingxthe xfindings

, C.xCheckingxthe xfluidxforxprotein

D.xContinuingxtoxmonitorxthexclientxandxthexFHRx-xCORRECTxANSWER-A.xContactingxthexphysicianxCorrect



8xAxnurse xhasxassistedxaxphysicianxinxinsertingxaxcentral xvenousxaccessxdevicexintoxaxclientxwithxaxdiagnosisx
ofxseverexmalnutritionxwhoxwillxbexreceivingxparenteral xnutritionx(PN).xAfterxinsertionxof xthexcatheter,xthex
nurse ximmediatelyxplansxto:



A.xCall xthexradiographyxdepartmentxtoxobtainxaxchestxx-ray

B.xCheckxthe xclient'sxbloodxglucosexlevel xtoxservexasxaxbaselinexmeasurement

C.xHangxthe xprescribedxbagxofxPNxandxstartxthe xinfusionxatxthexprescribedxrate

D.xInfuse xnormal xsalinexsolutionxthroughxthexcatheterxatxaxratexofx100xmL/hrxtoxmaintainxpatencyx-
xCORRECTxANSWER-A. xCallxthexradiographyxdepartmentxtoxobtainxaxchestxx-ray




9xAxrape xvictimxbeingxtreatedxinxthe xemergencyxdepartmentxsaysxtoxthe xnurse,x"I'mxreallyxworriedxthatxI've
xgotxHIV xnow."xWhatxisxthexappropriatexresponsexbyxthexnurse?




A.x"HIV xisxrarelyxanxissuexinxrapexvictims."

B.x"Everyxrape xvictimxisxconcernedxaboutxHIV."

C.x"You're xmore xlikelyxtoxgetxpregnantxthanxtoxcontractxHIV."

D.x"Let'sxtalkxaboutxthe xinformationxthatxyouxneedxtoxdetermine xyourxriskxofxcontractingxHIV."x-
xCORRECTxANSWER-

D.x"Let'sxtalkxaboutxthe xinformationxthatxyouxneedxtoxdetermine xyourxriskxofxcontractingxHIV."



10xAxclientxisxtakingxprescribedxibuprofenx(Motrin),x300xmgxorallyxfourxtimesxdaily,xtoxrelievexjointxpainxres
ultingxfromxrheumatoidxarthritis.xThexclientxtellsxthexnurse xthatxthexmedicationxisxcausingxnauseaxandxindig
estion.xThe xnursexshouldxtell xthe xclientxto:



A.xContactxthe xphysician

B.xStopxtakingxthexmedication

C.xTake xthe xmedicationxwithxfood

D.xTake xthe xmedicationxtwice xaxdayxinsteadxof xfourxtimesx-xCORRECTxANSWER-
C.xTake xthe xmedicationxwithxfood
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