HESI COMPASS COMPREHENSIVE EXIT EXAM 2024 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

HESI COMPASS COMPREHENSIVE EXIT EXAM 2024 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 UPDAT E What instruction should the nurse provide the parents of a 3 -year-old boy with a BMI -for-age at the 97th percentile? Your child is tall for his age, so be sure he gets plenty to eat to stay healthy. Your c hild is overweight for his age and size, so help him select more healthy foods. Your child's weight is in the high range, but is probably normal for his body build. Your child has very strong bones, so continue to maintain the same diet. Your child is over weight for his age and size, so help him select more healthy foods. Rationale: Children with a BMI -for-age at or above the 95th percentile are considered overweight, and at risk for obesity and all the associated health problems. The nurse should offer rec ommendations for healthy eating and exercise. When should the nurse conduct an Allen's test? When pulmonary artery pressures are obtained. Prior to attempting a cardiac output calculation. To assess for presence of a deep vein thrombus in the leg. Just bef ore arterial blood gasses are drawn peripherally. Just before arterial blood gasses are drawn peripherally. Rationale: The Allen's test should be performed prior to puncturing the radial artery to obtain a blood gas specimen to determine patency of the uln ar artery in the selected extremity. To perform an Allen's test the client's hand is formed into a fist while the nurse compresses the ulnar artery. Compression continues while the fist is opened. If blood perfusion through the radial artery is adequate, t he hand should flush and resume its normal pinkish coloration. In early septic shock states, what is the primary cause of hypotension? Peripheral vasoconstriction. Peripheral vasodilation. Cardiac failure. A vagal response. Peripheral vasodilation. Rationa le: Toxins released by bacteria in septic shock create massive peripheral vasodilation and increase microvascular permeability at the site of the bacterial invasion. A client with bleeding esophageal varices receives vasopressin IV. Which should the nurse monitor for during the IV infusion of this medication? Chest pain and dysrhythmia. Vasodilation of the extremities. Hypotension and tachycardia. Decreasing GI cramping and nausea. Chest pain and dysrhythmia. Rationale: In large doses, vasopressin may produ ce increased blood pressure, coronary insufficiency, myocardial ischemia or infarction, and dysrhythmia. The wife of a client diagnosed with Parkinson's disease tells the nurse that her husband is having trouble swallowing and she is afraid he is going to choke. Which intervention should the nurse implement? Offer the wife assurance that difficulty with swallowing is usually temporary. Encourage the couple to consider insertion of a nasogastric tube for tube feedings. Teach the wife to thicken all liquids a nd serve primarily semi -solid foods. Instruct wife to give carbidopa -levodopa 30 -minutes before each meal. Teach the wife to thicken all liquids and serve primarily semi -solid foods. Rationale: Dysphagia is usually a chronic problem for the client with Parkinson's disease. A semi -solid diet with thick liquids is easier to swallow than solid foods. Several clients on a busy antepartum unit are scheduled for procedures that require informed consent . Which situation should the nurse explore further before witnessing the client's signature on the consent form? A 15 -year-old primigravida who has been self -supporting for the past 6 months. The obstetrician explained a procedure that a neurologist will p erform. The client was medicated for pain with a narcotic analgesic IM 6 hours ago. The client is illiterate but verbalizes understanding and consent for the procedure. The obstetrician explained a procedure that a neurologist will perform. Rationale: The individual who is ultimately responsible for the procedure should provide the information necessary for informed consent, so when an obstetrician explains the procedure scheduled to be performed by a neurologist this should be explored further by the nurse before witnessing the client's signature. A client with gestational diabetes is being induced for labor. Which assessment is most important for the nurse to perform prior to increasing the oxytocin rate? Vaginal exam. Blood pressure. Contraction pattern. Fingerstick glucose. Contraction pattern. Rationale: Before increasing the rate of the oxytocin infusion, it is most important for the nurse to determine the frequency and pattern of uterine contractions. A middle -aged male client, admitted to a critical c are unit several weeks ago because of serious injuries sustained in a motor vehicle accident, is currently in stable condition. Based on this client's age and recent life -threatening crisis, which intervention is should the nurse implement? Provide a routi ne schedule of activities to facilitate trust. Encourage the client to reflect on personal goals and priorities. Discuss the cause of the accident with the client and his family. Allow long periods of uninterrupted rest in order to reduce fatigue. Encourag e the client to reflect on personal goals and priorities. Rationale: Critical illness often prompts a re -examination of one's life priorities. The individual faces mortality, perhaps for the first time. Based on Erikson's developmental theory, middle -aged individuals are at the stage of Generativity vs. Stagnation. Generativity involves reflection on one's accomplishments and a personal evaluation of success in meeting life goals. The school nurse is preparing a teaching pamphlet in response to requests fro m parents regarding an outbreak of pinworms at the local preschool. Which information about the most commonly prescribed medication, mebendazole, should be included? A second dose of medication should be given in two weeks. Only children with perianal itch ing should take the medication. Insert the medication as a rectal suppository. It is safe for children of all ages to take this medication. A second dose of medication should be given in two weeks. Rationale: Teaching about mebendazole, the drug of choice for pinworm infestation, should include a reminder that a second dose should be given in two weeks in order to prevent reinfestation. The nurse is preparing a 50 mL dose of 50% Dextrose IV for a client with insulin shock. How should the nurse administer th e medication? Dilute the Dextrose in one liter of 0.9% Normal Saline solution. Mix the Dextrose in a 50 mL piggyback for a total volume of 100 mL. Push the undiluted Dextrose slowly through the currently infusing IV. Ask the pharmacist to add the Dextrose to a TPN solution. Push the undiluted Dextrose slowly through the currently infusing IV. Rationale: To reverse life -threatening insulin shock, the nurse should administer the 50% Dextrose as a slow IV bolus through the currently infusing IV. After receivin g IV fluids in the emergency department, an elderly client is admitted to the acute care unit with a medical diagnosis of dehydration. The client is receiving 0.9% normal saline at 125 mL/hour via a saline lock and has a bounding pulse, tachycardia, and pe dal edema. When contacting the healthcare provider, the nurse anticipates a prescription for what intervention? Decrease the rate of the normal saline infusion. Remove the saline lock from the client's arm. Increase the rate of the normal saline infusion. Change the IV solution to 0.45% saline solution. Decrease the rate of the normal saline infusion. Rationale: For a client diagnosed with dehydration who is receiving IV fluids at 125mL/hour, a bounding pulse, tachycardia, and pedal edema are signs of fluid volume overload, so when contacting the healthcare provider, the nurse should anticipate a prescription for decreasing the rate of IV fluid administration. While removing staples from a client's postoperative wound site, the nurse observes that the client's eyes are closed and the client's face and hands are clenched. The client states, "I just hate having staples removed." After acknowledging the client's an xiety, which action should the nurse implement? Encourage the client to continue to verbalize the anxiety. Attempt to distract the client with general conversation. Explain the procedure in detail while removing the staples. Reassure the client that this i s a simple nursing procedure. Attempt to distract the client with general conversation. Rationale: Distraction is an effective strategy when a client experiences anxiety during an uncomfortable procedure such as staple removal from a postoperative site.