HESI COMPASS COMPREHENSIVE EXIT
EXAM QUESTIONS WITH CORRECT
ANSWERS
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.
| | | | |
,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
| | | |
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
| | | | | | | |
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."
| | | | | | | | |
EXAM QUESTIONS WITH CORRECT
ANSWERS
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.
| | | | |
,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
| | | |
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
| | | | | | | |
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."
| | | | | | | | |
