HESI COMPASS COMPREHENSIVE EXIT EXAM 2025/2026 AND PRACTICE
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1. 1-Enalapril maleate (Vasotec) is A. Checking the client's blood pressure
prescribed for a hospitalized
client. Which assessment does the Checking the client's blood pressure
nurse perform as a priority before Enalapril maleate is an angiotensin-converting enzyme
administering the medication? (ACE) inhibitor used to treat hypertension. One common
side effect is postural hypotension. Therefore the nurse
A. Checking the client's blood would check the client's blood pressure immediately
pressure before administering each dose. Checking the client's
B. Checking the client's peripheral peripheral pulses, the results of the most recent potas-
pulses sium level, and the intake and output for the previous 24
C. Checking the most recent hours are not specifically associated with this mediation.
potassium level
D. Checking the client's in-
take-and-output record for the
last 24 hours
2. 2-A client is scheduled to under- C. "I need to drink citrate of magnesia the night before
go an upper gastrointestinal (GI) the test and give myself a Fleet enema on the morning
series, and the nurse provides in- of the test."
structions to the client about the
test. Which statement by the client An upper GI series involves visualization of the esoph-
indicates a need for further in- agus, duodenum, and upper jejunum by means of the
struction? use of a contrast medium. It involves swallowing a con-
trast medium (usually barium), which is administered in
A. "The test will take about 30 min- a flavored milkshake. Films are taken at intervals dur-
utes." ing the test, which takes about 30 minutes. No special
B. "I need to fast for 8 hours be- preparation is necessary before a GI series, except that
fore the test." NPO status must be maintained for 8 hours before the
C. "I need to drink citrate of mag- test. After an upper GI series, the client is prescribed a
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HESI COMPASS COMPREHENSIVE EXIT EXAM 2025/2026 AND PRACTICE
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WITH ALL MODULES COVERED | ACCURATE AND VERIFIED QUESTIONS AN
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nesia the night before the test and laxative to hasten elimination of the barium. Barium that
give myself a Fleet enema on the remains in the colon may become hard and difficult to
morning of the test." expel, leading to fecal impaction.
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."
3. 3-A nurse on the evening shift B. Ask the answering service to contact the on-call physi-
checks a physician's prescriptions cian
and notes that the dose of a pre-
scribed 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 be-
comes available
4. B. Asking the ED physician to check the client
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4.An emergency department (ED)
nurse is monitoring a client with
suspected acute myocardial in-
farction (MI) who is awaiting trans-
fer to the coronary intensive care
unit. The nurse notes the sud-
den onset of premature ventric-
ular contractions (PVCs) on the
monitor, checks the client's carotid
pulse, and determines that the
PVCs are not resulting in perfu-
sion. 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
5. 5.NPO status is imposed 8 hours A. Administer the antihypertensive with a small sip of
before the procedure on a client water
scheduled to undergo electrocon-
vulsive therapy (ECT) at 1 p.m.
On the morning of the proce-
dure, the nurse checks the client's
record and notes that the client
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HESI COMPASS COMPREHENSIVE EXIT EXAM 2025/2026 AND PRACTICE
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routinely takes an oral antihyper-
tensive medication each morning.
The nurse should:
A. Administer the antihyperten-
sive 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
6. 6 A client who recently under- A. "Tell me more about what you're feeling."
went 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 depres-