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-
EnalaprilA2maleateA2(Vasotec)A2isA2prescribedA2forA2aA2hospitalizedA2client.A2WhichA2asse
ssmentA2doesA2theA2nurseA2performA2asA2aA2priorityA2beforeA2administeringA2theA2medicat
ion?
A.A2CheckingA2theA2client'sA2bloodA2pressure
B.A2CheckingA2theA2client'sA2peripheralA2pulses
C.A2CheckingA2theA2mostA2recentA2potassiumA2level
D.A2CheckingA2theA2client'sA2intake-and-outputA2recordA2forA2theA2lastA224A2hoursA2-
A2Ans--A.A2CheckingA2theA2client'sA2bloodA2pressure
CheckingA2theA2client'sA2bloodA2pressureA2
EnalaprilA2maleateA2isA2anA2angiotensin-
convertingA2enzymeA2(ACE)A2inhibitorA2usedA2toA2treatA2hypertension.A2OneA2commonA2si
deA2effectA2isA2posturalA2hypotension.A2ThereforeA2theA2nurseA2wouldA2checkA2theA2client'
sA2bloodA2pressureA2immediatelyA2beforeA2administeringA2eachA2dose.A2CheckingA2theA2cl
ient'sA2peripheralA2pulses,A2theA2resultsA2ofA2theA2mostA2recentA2potassiumA2level,A2andA2t
heA2intakeA2andA2outputA2forA2theA2previousA224A2hoursA2areA2notA2specificallyA2associate
dA2withA2thisA2mediation.
2-
AA2clientA2isA2scheduledA2toA2undergoA2anA2upperA2gastrointestinalA2(GI)A2series,A2andA2th
eA2nurseA2providesA2instructionsA2toA2theA2clientA2aboutA2theA2test.A2WhichA2statementA2b
yA2theA2clientA2indicatesA2aA2needA2forA2furtherA2instruction?
A.A2"TheA2testA2willA2takeA2aboutA230A2minutes."
B.A2"IA2needA2toA2fastA2forA28A2hoursA2beforeA2theA2test."
C.A2"IA2needA2toA2drinkA2citrateA2ofA2magnesiaA2theA2nightA2beforeA2theA2testA2andA2giveA2
myselfA2aA2FleetA2enemaA2onA2theA2morningA2ofA2theA2test."A2
D.A2"IA2needA2toA2takeA2aA2laxativeA2afterA2theA2testA2isA2completed,A2becauseA2theA2liquid
A2thatA2I'llA2haveA2toA2drinkA2forA2theA2testA2canA2beA2constipating."A2-A2Ans--
C.A2"IA2needA2toA2drinkA2citrateA2ofA2magnesiaA2theA2nightA2beforeA2theA2testA2andA2giveA2
myselfA2aA2FleetA2enemaA2onA2theA2morningA2ofA2theA2test."
,AnA2upperA2GIA2seriesA2involvesA2visualizationA2ofA2theA2esophagus,A2duodenum,A2andA2
upperA2jejunumA2byA2meansA2ofA2theA2useA2ofA2aA2contrastA2medium.A2ItA2involvesA2swallo
wingA2aA2contrastA2mediumA2(usuallyA2barium),A2whichA2isA2administeredA2inA2aA2flavoredA
2milkshake.A2FilmsA2areA2takenA2atA2intervalsA2duringA2theA2test,A2whichA2takesA2aboutA23
0A2minutes.A2NoA2specialA2preparationA2isA2necessaryA2beforeA2aA2GIA2series,A2exceptA2th
atA2NPOA2statusA2mustA2beA2maintainedA2forA28A2hoursA2beforeA2theA2test.A2AfterA2anA2up
perA2GIA2series,A2theA2clientA2isA2prescribedA2aA2laxativeA2toA2hastenA2eliminationA2ofA2the
A2barium.A2BariumA2thatA2remainsA2inA2theA2colonA2mayA2becomeA2hardA2andA2difficultA2to
A2expel,A2leadingA2toA2fecalA2impaction.
3-
AA2nurseA2onA2theA2eveningA2shiftA2checksA2aA2physician'sA2prescriptionsA2andA2notesA2th
atA2theA2doseA2ofA2aA2prescribedA2medicationA2isA2higherA2thanA2theA2normalA2dose.A2The
A2nurseA2callsA2theA2physician'sA2answeringA2serviceA2andA2isA2toldA2thatA2theA2physicianA2
isA2offA2forA2theA2nightA2andA2willA2beA2availableA2inA2theA2morning.A2TheA2nurseA2should:
A.A2CallA2theA2nursingA2supervisor
B.A2AskA2theA2answeringA2serviceA2toA2contactA2theA2on-callA2physician
C.A2WithholdA2theA2medicationA2untilA2theA2physicianA2canA2beA2reachedA2inA2theA2mornin
g
D.A2AdministerA2theA2medicationA2butA2consultA2theA2physicianA2whenA2heA2becomesA2av
ailableA2-A2Ans--B.A2AskA2theA2answeringA2serviceA2toA2contactA2theA2on-callA2physician
4.AnA2emergencyA2departmentA2(ED)A2nurseA2isA2monitoringA2aA2clientA2withA2suspectedA
2acuteA2myocardialA2infarctionA2(MI)A2whoA2isA2awaitingA2transferA2toA2theA2coronaryA2inte
nsiveA2careA2unit.A2TheA2nurseA2notesA2theA2suddenA2onsetA2ofA2prematureA2ventricularA2
contractionsA2(PVCs)A2onA2theA2monitor,A2checksA2theA2client'sA2carotidA2pulse,A2andA2det
erminesA2thatA2theA2PVCsA2areA2notA2resultingA2inA2perfusion.A2TheA2appropriateA2actionA2
byA2theA2nurseA2is:
A.A2DocumentingA2theA2findings
B.A2AskingA2theA2EDA2physicianA2toA2checkA2theA2client
C.A2ContinuingA2toA2monitorA2theA2client'sA2cardiacA2status
D.A2InformingA2theA2clientA2thatA2PVCsA2areA2expectedA2afterA2anA2MIA2-A2Ans--
B.A2AskingA2theA2EDA2physicianA2toA2checkA2theA2client
5.NPOA2statusA2isA2imposedA28A2hoursA2beforeA2theA2procedureA2onA2aA2clientA2schedule
dA2toA2undergoA2electroconvulsiveA2therapyA2(ECT)A2atA21A2p.m.A2OnA2theA2morningA2ofA2t
heA2procedure,A2theA2nurseA2checksA2theA2client'sA2recordA2andA2notesA2thatA2theA2clientA2
routinelyA2takesA2anA2oralA2antihypertensiveA2medicationA2eachA2morning.A2TheA2nurseA2s
hould:
A.A2AdministerA2theA2antihypertensiveA2withA2aA2smallA2sipA2ofA2water
B.A2WithholdA2theA2antihypertensiveA2andA2administerA2itA2atA2bedtime
C.A2AdministerA2theA2medicationA2byA2wayA2ofA2theA2intravenousA2(IV)A2route
,D.A2HoldA2theA2antihypertensiveA2andA2resumeA2itsA2administrationA2onA2theA2dayA2afterA2t
heA2ECTA2-A2Ans--A.A2AdministerA2theA2antihypertensiveA2withA2aA2smallA2sipA2ofA2water
6A2AA2clientA2whoA2recentlyA2underwentA2coronaryA2arteryA2bypassA2graftA2surgeryA2come
sA2toA2theA2physician'sA2officeA2forA2aA2follow-
upA2visit.A2OnA2assessment,A2theA2clientA2tellsA2theA2nurseA2thatA2heA2isA2feelingA2depress
ed.A2WhichA2responseA2byA2theA2nurseA2isA2therapeutic?
A.A2"TellA2meA2moreA2aboutA2whatA2you'reA2feeling."A2
B.A2"That'sA2aA2normalA2responseA2afterA2thisA2typeA2ofA2surgery."
C.A2"ItA2willA2takeA2time,A2but,A2IA2promiseA2you,A2youA2willA2getA2overA2thisA2depression."
D.A2"EveryA2clientA2whoA2hasA2thisA2surgeryA2feelsA2theA2sameA2wayA2forA2aboutA2aA2mont
h."A2-A2Ans--A.A2"TellA2meA2moreA2aboutA2whatA2you'reA2feeling."
7A2AA2clientA2inA2laborA2experiencesA2spontaneousA2ruptureA2ofA2theA2membranes.A2TheA2
nurseA2immediatelyA2countsA2theA2fetalA2heartA2rateA2(FHR)A2forA21A2fullA2minuteA2andA2th
enA2checksA2theA2amnioticA2fluid.A2TheA2nurseA2notesA2thatA2theA2fluidA2isA2yellowA2andA2h
asA2aA2strongA2odor.A2WhichA2ofA2theA2followingA2actionsA2shouldA2beA2theA2nurse'sA2priori
ty?
A.A2ContactingA2theA2physician
B.A2DocumentingA2theA2findings
C.A2CheckingA2theA2fluidA2forA2protein
D.A2ContinuingA2toA2monitorA2theA2clientA2andA2theA2FHRA2-A2Ans--
A.A2ContactingA2theA2physicianA2Correct
8A2AA2nurseA2hasA2assistedA2aA2physicianA2inA2insertingA2aA2centralA2venousA2accessA2de
viceA2intoA2aA2clientA2withA2aA2diagnosisA2ofA2severeA2malnutritionA2whoA2willA2beA2receivin
gA2parenteralA2nutritionA2(PN).A2AfterA2insertionA2ofA2theA2catheter,A2theA2nurseA2immediat
elyA2plansA2to:
A.A2CallA2theA2radiographyA2departmentA2toA2obtainA2aA2chestA2x-ray
B.A2CheckA2theA2client'sA2bloodA2glucoseA2levelA2toA2serveA2asA2aA2baselineA2measureme
nt
C.A2HangA2theA2prescribedA2bagA2ofA2PNA2andA2startA2theA2infusionA2atA2theA2prescribedA2
rate
D.A2InfuseA2normalA2salineA2solutionA2throughA2theA2catheterA2atA2aA2rateA2ofA2100A2mL/
hrA2toA2maintainA2patencyA2-A2Ans--
A.A2CallA2theA2radiographyA2departmentA2toA2obtainA2aA2chestA2x-ray
9A2AA2rapeA2victimA2beingA2treatedA2inA2theA2emergencyA2departmentA2saysA2toA2theA2nur
se,A2"I'mA2reallyA2worriedA2thatA2I'veA2gotA2HIVA2now."A2WhatA2isA2theA2appropriateA2respo
nseA2byA2theA2nurse?
A.A2"HIVA2isA2rarelyA2anA2issueA2inA2rapeA2victims."
B.A2"EveryA2rapeA2victimA2isA2concernedA2aboutA2HIV."
, C.A2"You'reA2moreA2likelyA2toA2getA2pregnantA2thanA2toA2contractA2HIV."
D.A2"Let'sA2talkA2aboutA2theA2informationA2thatA2youA2needA2toA2determineA2yourA2riskA2ofA2
contractingA2HIV."A2-A2Ans--
D.A2"Let'sA2talkA2aboutA2theA2informationA2thatA2youA2needA2toA2determineA2yourA2riskA2ofA2
contractingA2HIV."
10A2AA2clientA2isA2takingA2prescribedA2ibuprofenA2(Motrin),A2300A2mgA2orallyA2fourA2timesA2
daily,A2toA2relieveA2jointA2painA2resultingA2fromA2rheumatoidA2arthritis.A2TheA2clientA2tellsA2t
heA2nurseA2thatA2theA2medicationA2isA2causingA2nauseaA2andA2indigestion.A2TheA2nurseA2s
houldA2tellA2theA2clientA2to:
A.A2ContactA2theA2physician
B.A2StopA2takingA2theA2medication
C.A2TakeA2theA2medicationA2withA2food
D.A2TakeA2theA2medicationA2twiceA2aA2dayA2insteadA2ofA2fourA2timesA2-A2Ans--
C.A2TakeA2theA2medicationA2withA2food
11A2AA2client'sA2oralA2intakeA2ofA2liquidsA2includesA2120A2mLA2onA2theA2nightA2shift,A2800A2
mLA2onA2theA2dayA2shift,A2andA2650A2mLA2onA2theA2eveningA2shift.A2TheA2clientA2isA2receivi
ngA2anA2intravenousA2(IV)A2antibioticA2everyA212A2hours,A2dilutedA2inA250A2mLA2ofA2normal
A2salineA2solution.A2TheA2nurseA2emptiesA2700A2mLA2ofA2urineA2fromA2theA2client'sA2FoleyA
2catheterA2atA2theA2endA2ofA2theA2dayA2shift.A2Thereafter,A2500A2mLA2ofA2urineA2isA2emptie
dA2atA2theA2endA2ofA2theA2eveningA2shiftA2andA2325A2mLA2atA2theA2endA2ofA2theA2nightA2shift
.A2NasogastricA2tubeA2drainageA2totalsA2155A2mLA2forA2theA224-
hourA2period,A2andA2theA2totalA2drainageA2fromA2theA2Jackson-
PrattA2deviceA2isA2175A2mL.A2WhatA2isA2theA2client'sA2totalA2intakeA2duringA2theA224-
hourA2period?A2TypeA2yourA2answerA2inA2theA2spaceA2provided.
Answer:A2________mLA2-A2Ans--CorrectA2Responses:A2"1670"
12A2LorazepamA2(Ativan)A21A2mgA2byA2wayA2ofA2intravenousA2(IV)A2injectionA2(IVA2push)A2i
sA2prescribedA2forA2aA2clientA2forA2theA2managementA2ofA2anxiety.A2TheA2nurseA2prepares
A2theA2medicationA2asA2prescribedA2andA2administersA2theA2medicationA2overA2aA2periodA2
of:
A.A23A2minutes
B.A210A2seconds
C.A215A2seconds
D.A230A2minutesA2-A2Ans--A.A23A2minutesA2Correct
13A2AA2nurse,A2conductingA2anA2assessmentA2ofA2aA2clientA2beingA2seenA2inA2theA2clinicA2f
orA2symptomsA2ofA2aA2sinusA2infection,A2asksA2theA2clientA2aboutA2medicationsA2thatA2heA2
isA2taking.A2TheA2clientA2tellsA2theA2nurseA2thatA2heA2isA2takingA2nefazodoneA2hydrochlorid
eA2(Serzone).A2OnA2theA2basisA2ofA2thisA2information,A2theA2nurseA2determinesA2thatA2theA
2clientA2mostA2likelyA2hasA2aA2historyA2of:
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-
EnalaprilA2maleateA2(Vasotec)A2isA2prescribedA2forA2aA2hospitalizedA2client.A2WhichA2asse
ssmentA2doesA2theA2nurseA2performA2asA2aA2priorityA2beforeA2administeringA2theA2medicat
ion?
A.A2CheckingA2theA2client'sA2bloodA2pressure
B.A2CheckingA2theA2client'sA2peripheralA2pulses
C.A2CheckingA2theA2mostA2recentA2potassiumA2level
D.A2CheckingA2theA2client'sA2intake-and-outputA2recordA2forA2theA2lastA224A2hoursA2-
A2Ans--A.A2CheckingA2theA2client'sA2bloodA2pressure
CheckingA2theA2client'sA2bloodA2pressureA2
EnalaprilA2maleateA2isA2anA2angiotensin-
convertingA2enzymeA2(ACE)A2inhibitorA2usedA2toA2treatA2hypertension.A2OneA2commonA2si
deA2effectA2isA2posturalA2hypotension.A2ThereforeA2theA2nurseA2wouldA2checkA2theA2client'
sA2bloodA2pressureA2immediatelyA2beforeA2administeringA2eachA2dose.A2CheckingA2theA2cl
ient'sA2peripheralA2pulses,A2theA2resultsA2ofA2theA2mostA2recentA2potassiumA2level,A2andA2t
heA2intakeA2andA2outputA2forA2theA2previousA224A2hoursA2areA2notA2specificallyA2associate
dA2withA2thisA2mediation.
2-
AA2clientA2isA2scheduledA2toA2undergoA2anA2upperA2gastrointestinalA2(GI)A2series,A2andA2th
eA2nurseA2providesA2instructionsA2toA2theA2clientA2aboutA2theA2test.A2WhichA2statementA2b
yA2theA2clientA2indicatesA2aA2needA2forA2furtherA2instruction?
A.A2"TheA2testA2willA2takeA2aboutA230A2minutes."
B.A2"IA2needA2toA2fastA2forA28A2hoursA2beforeA2theA2test."
C.A2"IA2needA2toA2drinkA2citrateA2ofA2magnesiaA2theA2nightA2beforeA2theA2testA2andA2giveA2
myselfA2aA2FleetA2enemaA2onA2theA2morningA2ofA2theA2test."A2
D.A2"IA2needA2toA2takeA2aA2laxativeA2afterA2theA2testA2isA2completed,A2becauseA2theA2liquid
A2thatA2I'llA2haveA2toA2drinkA2forA2theA2testA2canA2beA2constipating."A2-A2Ans--
C.A2"IA2needA2toA2drinkA2citrateA2ofA2magnesiaA2theA2nightA2beforeA2theA2testA2andA2giveA2
myselfA2aA2FleetA2enemaA2onA2theA2morningA2ofA2theA2test."
,AnA2upperA2GIA2seriesA2involvesA2visualizationA2ofA2theA2esophagus,A2duodenum,A2andA2
upperA2jejunumA2byA2meansA2ofA2theA2useA2ofA2aA2contrastA2medium.A2ItA2involvesA2swallo
wingA2aA2contrastA2mediumA2(usuallyA2barium),A2whichA2isA2administeredA2inA2aA2flavoredA
2milkshake.A2FilmsA2areA2takenA2atA2intervalsA2duringA2theA2test,A2whichA2takesA2aboutA23
0A2minutes.A2NoA2specialA2preparationA2isA2necessaryA2beforeA2aA2GIA2series,A2exceptA2th
atA2NPOA2statusA2mustA2beA2maintainedA2forA28A2hoursA2beforeA2theA2test.A2AfterA2anA2up
perA2GIA2series,A2theA2clientA2isA2prescribedA2aA2laxativeA2toA2hastenA2eliminationA2ofA2the
A2barium.A2BariumA2thatA2remainsA2inA2theA2colonA2mayA2becomeA2hardA2andA2difficultA2to
A2expel,A2leadingA2toA2fecalA2impaction.
3-
AA2nurseA2onA2theA2eveningA2shiftA2checksA2aA2physician'sA2prescriptionsA2andA2notesA2th
atA2theA2doseA2ofA2aA2prescribedA2medicationA2isA2higherA2thanA2theA2normalA2dose.A2The
A2nurseA2callsA2theA2physician'sA2answeringA2serviceA2andA2isA2toldA2thatA2theA2physicianA2
isA2offA2forA2theA2nightA2andA2willA2beA2availableA2inA2theA2morning.A2TheA2nurseA2should:
A.A2CallA2theA2nursingA2supervisor
B.A2AskA2theA2answeringA2serviceA2toA2contactA2theA2on-callA2physician
C.A2WithholdA2theA2medicationA2untilA2theA2physicianA2canA2beA2reachedA2inA2theA2mornin
g
D.A2AdministerA2theA2medicationA2butA2consultA2theA2physicianA2whenA2heA2becomesA2av
ailableA2-A2Ans--B.A2AskA2theA2answeringA2serviceA2toA2contactA2theA2on-callA2physician
4.AnA2emergencyA2departmentA2(ED)A2nurseA2isA2monitoringA2aA2clientA2withA2suspectedA
2acuteA2myocardialA2infarctionA2(MI)A2whoA2isA2awaitingA2transferA2toA2theA2coronaryA2inte
nsiveA2careA2unit.A2TheA2nurseA2notesA2theA2suddenA2onsetA2ofA2prematureA2ventricularA2
contractionsA2(PVCs)A2onA2theA2monitor,A2checksA2theA2client'sA2carotidA2pulse,A2andA2det
erminesA2thatA2theA2PVCsA2areA2notA2resultingA2inA2perfusion.A2TheA2appropriateA2actionA2
byA2theA2nurseA2is:
A.A2DocumentingA2theA2findings
B.A2AskingA2theA2EDA2physicianA2toA2checkA2theA2client
C.A2ContinuingA2toA2monitorA2theA2client'sA2cardiacA2status
D.A2InformingA2theA2clientA2thatA2PVCsA2areA2expectedA2afterA2anA2MIA2-A2Ans--
B.A2AskingA2theA2EDA2physicianA2toA2checkA2theA2client
5.NPOA2statusA2isA2imposedA28A2hoursA2beforeA2theA2procedureA2onA2aA2clientA2schedule
dA2toA2undergoA2electroconvulsiveA2therapyA2(ECT)A2atA21A2p.m.A2OnA2theA2morningA2ofA2t
heA2procedure,A2theA2nurseA2checksA2theA2client'sA2recordA2andA2notesA2thatA2theA2clientA2
routinelyA2takesA2anA2oralA2antihypertensiveA2medicationA2eachA2morning.A2TheA2nurseA2s
hould:
A.A2AdministerA2theA2antihypertensiveA2withA2aA2smallA2sipA2ofA2water
B.A2WithholdA2theA2antihypertensiveA2andA2administerA2itA2atA2bedtime
C.A2AdministerA2theA2medicationA2byA2wayA2ofA2theA2intravenousA2(IV)A2route
,D.A2HoldA2theA2antihypertensiveA2andA2resumeA2itsA2administrationA2onA2theA2dayA2afterA2t
heA2ECTA2-A2Ans--A.A2AdministerA2theA2antihypertensiveA2withA2aA2smallA2sipA2ofA2water
6A2AA2clientA2whoA2recentlyA2underwentA2coronaryA2arteryA2bypassA2graftA2surgeryA2come
sA2toA2theA2physician'sA2officeA2forA2aA2follow-
upA2visit.A2OnA2assessment,A2theA2clientA2tellsA2theA2nurseA2thatA2heA2isA2feelingA2depress
ed.A2WhichA2responseA2byA2theA2nurseA2isA2therapeutic?
A.A2"TellA2meA2moreA2aboutA2whatA2you'reA2feeling."A2
B.A2"That'sA2aA2normalA2responseA2afterA2thisA2typeA2ofA2surgery."
C.A2"ItA2willA2takeA2time,A2but,A2IA2promiseA2you,A2youA2willA2getA2overA2thisA2depression."
D.A2"EveryA2clientA2whoA2hasA2thisA2surgeryA2feelsA2theA2sameA2wayA2forA2aboutA2aA2mont
h."A2-A2Ans--A.A2"TellA2meA2moreA2aboutA2whatA2you'reA2feeling."
7A2AA2clientA2inA2laborA2experiencesA2spontaneousA2ruptureA2ofA2theA2membranes.A2TheA2
nurseA2immediatelyA2countsA2theA2fetalA2heartA2rateA2(FHR)A2forA21A2fullA2minuteA2andA2th
enA2checksA2theA2amnioticA2fluid.A2TheA2nurseA2notesA2thatA2theA2fluidA2isA2yellowA2andA2h
asA2aA2strongA2odor.A2WhichA2ofA2theA2followingA2actionsA2shouldA2beA2theA2nurse'sA2priori
ty?
A.A2ContactingA2theA2physician
B.A2DocumentingA2theA2findings
C.A2CheckingA2theA2fluidA2forA2protein
D.A2ContinuingA2toA2monitorA2theA2clientA2andA2theA2FHRA2-A2Ans--
A.A2ContactingA2theA2physicianA2Correct
8A2AA2nurseA2hasA2assistedA2aA2physicianA2inA2insertingA2aA2centralA2venousA2accessA2de
viceA2intoA2aA2clientA2withA2aA2diagnosisA2ofA2severeA2malnutritionA2whoA2willA2beA2receivin
gA2parenteralA2nutritionA2(PN).A2AfterA2insertionA2ofA2theA2catheter,A2theA2nurseA2immediat
elyA2plansA2to:
A.A2CallA2theA2radiographyA2departmentA2toA2obtainA2aA2chestA2x-ray
B.A2CheckA2theA2client'sA2bloodA2glucoseA2levelA2toA2serveA2asA2aA2baselineA2measureme
nt
C.A2HangA2theA2prescribedA2bagA2ofA2PNA2andA2startA2theA2infusionA2atA2theA2prescribedA2
rate
D.A2InfuseA2normalA2salineA2solutionA2throughA2theA2catheterA2atA2aA2rateA2ofA2100A2mL/
hrA2toA2maintainA2patencyA2-A2Ans--
A.A2CallA2theA2radiographyA2departmentA2toA2obtainA2aA2chestA2x-ray
9A2AA2rapeA2victimA2beingA2treatedA2inA2theA2emergencyA2departmentA2saysA2toA2theA2nur
se,A2"I'mA2reallyA2worriedA2thatA2I'veA2gotA2HIVA2now."A2WhatA2isA2theA2appropriateA2respo
nseA2byA2theA2nurse?
A.A2"HIVA2isA2rarelyA2anA2issueA2inA2rapeA2victims."
B.A2"EveryA2rapeA2victimA2isA2concernedA2aboutA2HIV."
, C.A2"You'reA2moreA2likelyA2toA2getA2pregnantA2thanA2toA2contractA2HIV."
D.A2"Let'sA2talkA2aboutA2theA2informationA2thatA2youA2needA2toA2determineA2yourA2riskA2ofA2
contractingA2HIV."A2-A2Ans--
D.A2"Let'sA2talkA2aboutA2theA2informationA2thatA2youA2needA2toA2determineA2yourA2riskA2ofA2
contractingA2HIV."
10A2AA2clientA2isA2takingA2prescribedA2ibuprofenA2(Motrin),A2300A2mgA2orallyA2fourA2timesA2
daily,A2toA2relieveA2jointA2painA2resultingA2fromA2rheumatoidA2arthritis.A2TheA2clientA2tellsA2t
heA2nurseA2thatA2theA2medicationA2isA2causingA2nauseaA2andA2indigestion.A2TheA2nurseA2s
houldA2tellA2theA2clientA2to:
A.A2ContactA2theA2physician
B.A2StopA2takingA2theA2medication
C.A2TakeA2theA2medicationA2withA2food
D.A2TakeA2theA2medicationA2twiceA2aA2dayA2insteadA2ofA2fourA2timesA2-A2Ans--
C.A2TakeA2theA2medicationA2withA2food
11A2AA2client'sA2oralA2intakeA2ofA2liquidsA2includesA2120A2mLA2onA2theA2nightA2shift,A2800A2
mLA2onA2theA2dayA2shift,A2andA2650A2mLA2onA2theA2eveningA2shift.A2TheA2clientA2isA2receivi
ngA2anA2intravenousA2(IV)A2antibioticA2everyA212A2hours,A2dilutedA2inA250A2mLA2ofA2normal
A2salineA2solution.A2TheA2nurseA2emptiesA2700A2mLA2ofA2urineA2fromA2theA2client'sA2FoleyA
2catheterA2atA2theA2endA2ofA2theA2dayA2shift.A2Thereafter,A2500A2mLA2ofA2urineA2isA2emptie
dA2atA2theA2endA2ofA2theA2eveningA2shiftA2andA2325A2mLA2atA2theA2endA2ofA2theA2nightA2shift
.A2NasogastricA2tubeA2drainageA2totalsA2155A2mLA2forA2theA224-
hourA2period,A2andA2theA2totalA2drainageA2fromA2theA2Jackson-
PrattA2deviceA2isA2175A2mL.A2WhatA2isA2theA2client'sA2totalA2intakeA2duringA2theA224-
hourA2period?A2TypeA2yourA2answerA2inA2theA2spaceA2provided.
Answer:A2________mLA2-A2Ans--CorrectA2Responses:A2"1670"
12A2LorazepamA2(Ativan)A21A2mgA2byA2wayA2ofA2intravenousA2(IV)A2injectionA2(IVA2push)A2i
sA2prescribedA2forA2aA2clientA2forA2theA2managementA2ofA2anxiety.A2TheA2nurseA2prepares
A2theA2medicationA2asA2prescribedA2andA2administersA2theA2medicationA2overA2aA2periodA2
of:
A.A23A2minutes
B.A210A2seconds
C.A215A2seconds
D.A230A2minutesA2-A2Ans--A.A23A2minutesA2Correct
13A2AA2nurse,A2conductingA2anA2assessmentA2ofA2aA2clientA2beingA2seenA2inA2theA2clinicA2f
orA2symptomsA2ofA2aA2sinusA2infection,A2asksA2theA2clientA2aboutA2medicationsA2thatA2heA2
isA2taking.A2TheA2clientA2tellsA2theA2nurseA2thatA2heA2isA2takingA2nefazodoneA2hydrochlorid
eA2(Serzone).A2OnA2theA2basisA2ofA2thisA2information,A2theA2nurseA2determinesA2thatA2theA
2clientA2mostA2likelyA2hasA2aA2historyA2of: