HESI COMPASS COMPREHENSIVE EXIT
EXAM 20252 026 PRACTICE QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
RATIONALES COMPLETE NURSING STUDY
GUIDE
82 -A nurse is reviewing the laboratory results of a client with ovarian
cancer who is undergoing chemotherapy. Which finding indicates to the
nurse that the client is experiencing an adverse effect of the chemotherapy?
A. Sodium 140 mEq/L
B. Hemoglobin 12.5 g/dL
C. Blood urea nitrogen (BUN) 20 mg/dL
D. White blood cell count of 2500 cells/mm3 - CORRECT ANSWER-D.
White blood cell count of 2500 cells/mm3
83 -Which finding in a client's history indicates the greatest risk of cervical
cancer to the nurse?
A. Nulliparity
B. Early menarche
C. Multiple sexual partners Correct
D. Hormone-replacement therapy - CORRECT ANSWER-C. Multiple
sexual partners
,84 -A nurse caring for a woman in labor is reading the fetal monitor tracing
(see figure). How does the nurse interpret this finding?
A. Umbilical cord compression
B. Pressure on the fetal head during a contraction
C. Uteroplacental insufficiency during a contraction Correct
D. Inadequate pacemaker activity of the fetal heart - CORRECT ANSWER-
C. Uteroplacental insufficiency during a contraction
85- A client who has undergone abdominal hysterectomy asks the nurse
when she will be able to resume sexual intercourse. The nurse tells the
client that sexual intercourse may be resumed:
A. At any time after the surgery
B. When menstruation resumes
C. When pelvic sensation and response to stimuli return
D. In about 6 weeks, when the vaginal vault is satisfactorily healed -
CORRECT ANSWER-D. In about 6 weeks, when the vaginal vault is
satisfactorily healed
86 -A nurse is preparing to care for a client who has undergone abdominal
hysterectomy for the treatment of endometrial cancer. The nurse
determines that the priority in the 24 hours after surgery is:
A. Monitoring the client for signs of returning peristalsis
,B. Instructing the client in dietary changes to prevent constipation
C. Encouraging the client to deep-breathe, cough, and use an incentive
spirometer Correct
D. Encouraging the client to talk about the effects of the surgery on her
femininity and sexual - CORRECT ANSWER-C. Encouraging the client to
deep-breathe, cough, and use an incentive spirometer
87- A nurse is caring for a client with community-acquired pneumonia who
is being treated with levofloxacin (Levaquin). For which of the following
findings, indicating an adverse reaction to the medication, does the nurse
monitor the client?
A. Fever
B. Dizziness
C. Flatulence
D. Drowsiness - CORRECT ANSWER-A. Fever
88 -A nurse is providing instructions to a client with glaucoma who will be
using acetazolamide (Diamox) daily. Which of the following findings, an
adverse effect, does the nurse instruct the client to report to the physician?
A. Nausea
B. Dark urine
C. Urinary frequency
D. Decreased appetite - CORRECT ANSWER-B. Dark urine
, 89 -A nurse is caring for a client with a cuffed endotracheal tube who is
undergoing mechanical ventilation. Which intervention to prevent a
tracheoesophageal fistula, a complication of this type of tube, does the
nurse implement?
A. Frequent suctioning
B. Maintaining cuff pressure
C. Maintaining mechanical ventilation settings
D. Alternating the use of a cuffed tube with a cuffless tube on a daily basis -
CORRECT ANSWER-B. Maintaining cuff pressure
90 - A nurse is preparing to insert a nasogastric tube into a client. In which
position does the nurse place the client before inserting the tube?
SEE PIC
A.
B.
C.
D. - CORRECT ANSWER-D.
91 -Aneurysm precautions are prescribed for a client with a cerebral
aneurysm. Which interventions does the nurse implement? Select all that
apply
A. Keeping the room slightly darkened
EXAM 20252 026 PRACTICE QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
RATIONALES COMPLETE NURSING STUDY
GUIDE
82 -A nurse is reviewing the laboratory results of a client with ovarian
cancer who is undergoing chemotherapy. Which finding indicates to the
nurse that the client is experiencing an adverse effect of the chemotherapy?
A. Sodium 140 mEq/L
B. Hemoglobin 12.5 g/dL
C. Blood urea nitrogen (BUN) 20 mg/dL
D. White blood cell count of 2500 cells/mm3 - CORRECT ANSWER-D.
White blood cell count of 2500 cells/mm3
83 -Which finding in a client's history indicates the greatest risk of cervical
cancer to the nurse?
A. Nulliparity
B. Early menarche
C. Multiple sexual partners Correct
D. Hormone-replacement therapy - CORRECT ANSWER-C. Multiple
sexual partners
,84 -A nurse caring for a woman in labor is reading the fetal monitor tracing
(see figure). How does the nurse interpret this finding?
A. Umbilical cord compression
B. Pressure on the fetal head during a contraction
C. Uteroplacental insufficiency during a contraction Correct
D. Inadequate pacemaker activity of the fetal heart - CORRECT ANSWER-
C. Uteroplacental insufficiency during a contraction
85- A client who has undergone abdominal hysterectomy asks the nurse
when she will be able to resume sexual intercourse. The nurse tells the
client that sexual intercourse may be resumed:
A. At any time after the surgery
B. When menstruation resumes
C. When pelvic sensation and response to stimuli return
D. In about 6 weeks, when the vaginal vault is satisfactorily healed -
CORRECT ANSWER-D. In about 6 weeks, when the vaginal vault is
satisfactorily healed
86 -A nurse is preparing to care for a client who has undergone abdominal
hysterectomy for the treatment of endometrial cancer. The nurse
determines that the priority in the 24 hours after surgery is:
A. Monitoring the client for signs of returning peristalsis
,B. Instructing the client in dietary changes to prevent constipation
C. Encouraging the client to deep-breathe, cough, and use an incentive
spirometer Correct
D. Encouraging the client to talk about the effects of the surgery on her
femininity and sexual - CORRECT ANSWER-C. Encouraging the client to
deep-breathe, cough, and use an incentive spirometer
87- A nurse is caring for a client with community-acquired pneumonia who
is being treated with levofloxacin (Levaquin). For which of the following
findings, indicating an adverse reaction to the medication, does the nurse
monitor the client?
A. Fever
B. Dizziness
C. Flatulence
D. Drowsiness - CORRECT ANSWER-A. Fever
88 -A nurse is providing instructions to a client with glaucoma who will be
using acetazolamide (Diamox) daily. Which of the following findings, an
adverse effect, does the nurse instruct the client to report to the physician?
A. Nausea
B. Dark urine
C. Urinary frequency
D. Decreased appetite - CORRECT ANSWER-B. Dark urine
, 89 -A nurse is caring for a client with a cuffed endotracheal tube who is
undergoing mechanical ventilation. Which intervention to prevent a
tracheoesophageal fistula, a complication of this type of tube, does the
nurse implement?
A. Frequent suctioning
B. Maintaining cuff pressure
C. Maintaining mechanical ventilation settings
D. Alternating the use of a cuffed tube with a cuffless tube on a daily basis -
CORRECT ANSWER-B. Maintaining cuff pressure
90 - A nurse is preparing to insert a nasogastric tube into a client. In which
position does the nurse place the client before inserting the tube?
SEE PIC
A.
B.
C.
D. - CORRECT ANSWER-D.
91 -Aneurysm precautions are prescribed for a client with a cerebral
aneurysm. Which interventions does the nurse implement? Select all that
apply
A. Keeping the room slightly darkened
