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RN COMPASSEXIT EXAM V1 HESI RN COMPASS EXIT
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EXAM V1 2023 LATEST UPDATE QUESTION
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&ANSWERS WITH ANSWERS
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1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
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nursing intervention is appropriate for this child?
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A) Make certain the child is maintained in correct body alignment.
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2. The nurse is assessing a healthy child at the 2 year check up. Which of the following
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should the nurse report immediately to the health care provider?
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A) Height and weight percentiles vary widely
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3. The parents of a 2 year-old child report that he has been holding his breath whenever
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he has temper tantrums. What is the best action by the nurse?
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C) Advise the parents to ignore breath holding because breathing will begin as a reflex
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4. The nurse is assessing a client in the emergency room. Which statement suggests that
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the problem is acute angina?
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A) "My pain is deep in my chest behind my sternum."
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5. Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the
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nurse perform as a priority before administering the medication?
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A. Checking the client's blood pressure
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6. A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
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instructions to the client about the test. Which statement by the client indicates a need for further
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instruction?
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C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on
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the morning of the test."
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7. 2-A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a
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prescribed medication is higher than the normal dose. The nurse calls the physician's answering
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service and is told that the physician is off for the night and will be available in the morning. The
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nurse should:
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B. Ask the answering service to contact the on-call physician
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8. 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
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sudden onset of premature ventricular contractions (PVCs) on the monitor, checks the client's carotid
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pulse, and determines that the PVCs are not resulting in perfusion. The appropriate action by the
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nurse is:
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B. Asking the ED physician to check the client Correct
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9. NPO status is imposed 8 hours before the procedure on a client scheduled to undergo
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electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the
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client's record and notes that the client routinely takes an oral antihypertensive medication each
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morning. The nurse should:
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A. Administer the antihypertensive with a small sip of water
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Sp
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10. A client who recently underwent coronary artery bypass graft surgery comes to the physician's
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office for a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed.
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Which response by the nurse is therapeutic?
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A. "Tell me more about what you’re feeling."
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11. A client in labor experiences spontaneous rupture of the membranes. The nurse immediately
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counts the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse notes
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that the fluid is yellow and has a strong odor. Which of the following actions should be the nurse’s
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priority?
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A. Contacting the physician
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12. A nurse has assisted a physician in inserting a central venous access device into a client with a
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diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the
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catheter, the nurse immediately plans to:
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A. Call the radiography department to obtain a chest x-ray
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13. The nurse is has just admitted a client with severe depression. From which focus
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should the nurse identify a priority nursing diagnosis?
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D) Safety
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14. While explaining an illness to a 10 year-old, what should the nurse keep in mind about
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the cognitive development at this age?
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B) They are able to think logically in organizing facts
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15. A home health nurse is at the home of a client with diabetes and arthritis. The client
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has difficulty drawing up insulin. It would be most appropriate for the nurse to refer the
client to
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B) An occupational therapist from the community center
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16. A priority goal of involuntary hospitalization of the severely mentally ill client is
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C) Protection from harm to self or others
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Sp
17. The nurse is caring for a client with a long leg cast. During discharge teaching about
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appropriate exercises for the affected extremity, the nurse should recommend
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A) Isometric
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18. The nurse is teaching parents about the treatment plan for a 2 weeks-old infant with
Tetralogy of Fallot. While awaiting future surgery, the nurse instructs the parents to
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Sp
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Sp
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sh
ne
RN COMPASSEXIT EXAM V1 HESI RN COMPASS EXIT
la
tz
EXAM V1 2023 LATEST UPDATE QUESTION
sh
Sp
&ANSWERS WITH ANSWERS
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
la
nursing intervention is appropriate for this child?
tz
sh
A) Make certain the child is maintained in correct body alignment.
Sp
ne
2. The nurse is assessing a healthy child at the 2 year check up. Which of the following
la
tz
should the nurse report immediately to the health care provider?
sh
Sp
A) Height and weight percentiles vary widely
ne
la
3. The parents of a 2 year-old child report that he has been holding his breath whenever
tz
he has temper tantrums. What is the best action by the nurse?
sh
Sp
C) Advise the parents to ignore breath holding because breathing will begin as a reflex
ne
la
4. The nurse is assessing a client in the emergency room. Which statement suggests that
tz
the problem is acute angina?
sh
Sp
ne
A) "My pain is deep in my chest behind my sternum."
la
tz
5. Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the
sh
Sp
nurse perform as a priority before administering the medication?
ne
A. Checking the client's blood pressure
la
tz
6. A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
sh
Sp
instructions to the client about the test. Which statement by the client indicates a need for further
ne
instruction?
la
C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on
tz
sh
the morning of the test."
Sp
ne
la
7. 2-A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a
tz
prescribed medication is higher than the normal dose. The nurse calls the physician's answering
sh
Sp
service and is told that the physician is off for the night and will be available in the morning. The
ne
nurse should:
la
B. Ask the answering service to contact the on-call physician
sh
Sp
8. 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
la
Sp
, ne
tz
sh
ne
sudden onset of premature ventricular contractions (PVCs) on the monitor, checks the client's carotid
la
pulse, and determines that the PVCs are not resulting in perfusion. The appropriate action by the
tz
sh
nurse is:
Sp
ne
B. Asking the ED physician to check the client Correct
la
tz
9. NPO status is imposed 8 hours before the procedure on a client scheduled to undergo
sh
Sp
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
la
tz
sh
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la
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sh
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la
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sh
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, ne
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client's record and notes that the client routinely takes an oral antihypertensive medication each
la
morning. The nurse should:
tz
A. Administer the antihypertensive with a small sip of water
sh
Sp
ne
10. A client who recently underwent coronary artery bypass graft surgery comes to the physician's
la
office for a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed.
tz
sh
Which response by the nurse is therapeutic?
Sp
ne
A. "Tell me more about what you’re feeling."
la
tz
11. A client in labor experiences spontaneous rupture of the membranes. The nurse immediately
sh
Sp
counts the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse notes
ne
that the fluid is yellow and has a strong odor. Which of the following actions should be the nurse’s
la
priority?
tz
A. Contacting the physician
sh
Sp
ne
12. A nurse has assisted a physician in inserting a central venous access device into a client with a
la
diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the
tz
sh
catheter, the nurse immediately plans to:
Sp
ne
A. Call the radiography department to obtain a chest x-ray
la
tz
13. The nurse is has just admitted a client with severe depression. From which focus
sh
Sp
should the nurse identify a priority nursing diagnosis?
ne
D) Safety
la
tz
14. While explaining an illness to a 10 year-old, what should the nurse keep in mind about
sh
Sp
the cognitive development at this age?
ne
B) They are able to think logically in organizing facts
la
tz
sh
15. A home health nurse is at the home of a client with diabetes and arthritis. The client
Sp
ne
has difficulty drawing up insulin. It would be most appropriate for the nurse to refer the
client to
la
tz
B) An occupational therapist from the community center
sh
Sp
ne
16. A priority goal of involuntary hospitalization of the severely mentally ill client is
la
C) Protection from harm to self or others
tz
sh
Sp
17. The nurse is caring for a client with a long leg cast. During discharge teaching about
ne
appropriate exercises for the affected extremity, the nurse should recommend
la
A) Isometric
tz
sh
Sp
ne
18. The nurse is teaching parents about the treatment plan for a 2 weeks-old infant with
Tetralogy of Fallot. While awaiting future surgery, the nurse instructs the parents to
la
sh
Sp
la
Sp
