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 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
Correct answer :
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.
1
,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."
Correct answer :
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
2
,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
Correct answer :
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
Correct answer :
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
3
, 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
Correct answer :
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."
Correct answer :
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
Correct answer :
A. Contacting the physician Correct
4
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 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
Correct answer :
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.
1
,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."
Correct answer :
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
2
,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
Correct answer :
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
Correct answer :
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
3
, 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
Correct answer :
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."
Correct answer :
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
Correct answer :
A. Contacting the physician Correct
4
