HESI COMPASS COMPREHENSIVE EXIT EXAM 2026 assured excel!!.pdf

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
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1-
Enalaprilnmaleaten(Vasotec)nisnprescribednfornanhospitalizednclient.nWhichnassessmentndoesnthennu
rsenperformnasnanprioritynbeforenadministeringnthenmedication?



A.nCheckingnthenclient'snbloodnpressure

B.nCheckingnthenclient'snperipheralnpulses

C.nCheckingnthenmostnrecentnpotassiumnlevel

D.nCheckingnthenclient'snintake-and-outputnrecordnfornthenlastn24nhoursn-
nnCORRECTnANSWERSA.nCheckingnthenclient'snbloodnpressure




Checkingnthenclient'snbloodnpressuren

Enalaprilnmaleatenisnannangiotensin-
convertingnenzymen(ACE)ninhibitornusedntontreatnhypertension.nOnencommonnsideneffectnisnpostur
alnhypotension.nThereforenthennursenwouldnchecknthenclient'snbloodnpressurenimmediatelynbefore
nadministeringneachndose.nCheckingnthenclient'snperipheralnpulses,nthenresultsnofnthenmostnrecentn


potassiumnlevel,nandnthenintakenandnoutputnfornthenpreviousn24nhoursnarennotnspecificallynassociat
ednwithnthisnmediation.

,2-
Anclientnisnscheduledntonundergonannupperngastrointestinaln(GI)nseries,nandnthennursenprovidesninst
ructionsntonthenclientnaboutnthentest.nWhichnstatementnbynthenclientnindicatesnanneednfornfurtherni
nstruction?



A.n"Thentestnwillntakenaboutn30nminutes."

B.n"Inneedntonfastnforn8nhoursnbeforenthentest."

C.n"InneedntondrinkncitratenofnmagnesianthennightnbeforenthentestnandngivenmyselfnanFleetnenemano
nnthenmorningnofnthentest."n

D.n"Inneedntontakenanlaxativenafternthentestnisncompleted,nbecausenthenliquidnthatnI'llnhaventondrinknf
ornthentestncannbenconstipating."n-
nnCORRECTnANSWERSC.n"Inneedntondrinkncitratenofnmagnesianthennightnbeforenthentestnandngivenmy


selfnanFleetnenemanonnthenmorningnofnthentest."



AnnuppernGInseriesninvolvesnvisualizationnofnthenesophagus,nduodenum,nandnuppernjejunumnbynm
eansnofnthenusenofnancontrastnmedium.nItninvolvesnswallowingnancontrastnmediumn(usuallynbarium)
,nwhichnisnadministeredninnanflavorednmilkshake.nFilmsnarentakennatnintervalsnduringnthentest,nwhic
hntakesnaboutn30nminutes.nNonspecialnpreparationnisnnecessarynbeforenanGInseries,nexceptnthatnNP
Onstatusnmustnbenmaintainednforn8nhoursnbeforenthentest.nAfternannuppernGInseries,nthenclientnisnpr
escribednanlaxativentonhastenneliminationnofnthenbarium.nBariumnthatnremainsninnthencolonnmaynbe
comenhardnandndifficultntonexpel,nleadingntonfecalnimpaction.



3-
Annursenonntheneveningnshiftnchecksnanphysician'snprescriptionsnandnnotesnthatnthendosenofnanpresc
ribednmedicationnisnhighernthannthennormalndose.nThennursencallsnthenphysician'snansweringnservi
cenandnisntoldnthatnthenphysiciannisnoffnfornthennightnandnwillnbenavailableninnthenmorning.nThennurs
enshould:



A.nCallnthennursingnsupervisor

B.nAsknthenansweringnservicentoncontactnthenon-callnphysician

,C.nWithholdnthenmedicationnuntilnthenphysicianncannbenreachedninnthenmorning

D.nAdministernthenmedicationnbutnconsultnthenphysiciannwhennhenbecomesnavailablen-
nnCORRECTnANSWERSB.nAsknthenansweringnservicentoncontactnthenon-callnphysician




4.Annemergencyndepartmentn(ED)nnursenisnmonitoringnanclientnwithnsuspectednacutenmyocardialni
nfarctionn(MI)nwhonisnawaitingntransferntonthencoronarynintensivencarenunit.nThennursennotesnthens
uddennonsetnofnprematurenventricularncontractionsn(PVCs)nonnthenmonitor,nchecksnthenclient'sncar
otidnpulse,nandndeterminesnthatnthenPVCsnarennotnresultingninnperfusion.nThenappropriatenactionnb
ynthennursenis:



A.nDocumentingnthenfindings

B.nAskingnthenEDnphysicianntonchecknthenclient

C.nContinuingntonmonitornthenclient'sncardiacnstatus

D.nInformingnthenclientnthatnPVCsnarenexpectednafternannMIn-
nnCORRECTnANSWERSB.nAskingnthenEDnphysicianntonchecknthenclient




5.NPOnstatusnisnimposedn8nhoursnbeforenthenprocedurenonnanclientnscheduledntonundergonelectroc
onvulsiventherapyn(ECT)natn1np.m.nOnnthenmorningnofnthenprocedure,nthennursenchecksnthenclient's
nrecordnandnnotesnthatnthenclientnroutinelyntakesnannoralnantihypertensivenmedicationneachnmorni


ng.nThennursenshould:



A.nAdministernthenantihypertensivenwithnansmallnsipnofnwater

B.nWithholdnthenantihypertensivenandnadministernitnatnbedtime

C.nAdministernthenmedicationnbynwaynofnthenintravenousn(IV)nroute

D.nHoldnthenantihypertensivenandnresumenitsnadministrationnonnthendaynafternthenECTn-
nnCORRECTnANSWERSA.nAdministernthenantihypertensivenwithnansmallnsipnofnwater




6nAnclientnwhonrecentlynunderwentncoronarynarterynbypassngraftnsurgeryncomesntonthenphysician's
nofficenfornanfollow-

, upnvisit.nOnnassessment,nthenclientntellsnthennursenthatnhenisnfeelingndepressed.nWhichnresponsenb
ynthennursenisntherapeutic?



A.n"Tellnmenmorenaboutnwhatnyou'renfeeling."n

B.n"That'snannormalnresponsenafternthisntypenofnsurgery."

C.n"Itnwillntakentime,nbut,nInpromisenyou,nyounwillngetnovernthisndepression."

D.n"Everynclientnwhonhasnthisnsurgerynfeelsnthensamenwaynfornaboutnanmonth."n-
nnCORRECTnANSWERSA.n"Tellnmenmorenaboutnwhatnyou'renfeeling."




7nAnclientninnlabornexperiencesnspontaneousnrupturenofnthenmembranes.nThennursenimmediatelync
ountsnthenfetalnheartnraten(FHR)nforn1nfullnminutenandnthennchecksnthenamnioticnfluid.nThennursenn
otesnthatnthenfluidnisnyellownandnhasnanstrongnodor.nWhichnofnthenfollowingnactionsnshouldnbenthen
nurse'snpriority?



A.nContactingnthenphysician

B.nDocumentingnthenfindings

C.nCheckingnthenfluidnfornprotein

D.nContinuingntonmonitornthenclientnandnthenFHRn-
nnCORRECTnANSWERSA.nContactingnthenphysiciannCorrect




8nAnnursenhasnassistednanphysicianninninsertingnancentralnvenousnaccessndevicenintonanclientnwithnan
diagnosisnofnseverenmalnutritionnwhonwillnbenreceivingnparenteralnnutritionn(PN).nAfterninsertionn
ofnthencatheter,nthennursenimmediatelynplansnto:



A.nCallnthenradiographyndepartmentntonobtainnanchestnx-ray

B.nChecknthenclient'snbloodnglucosenlevelntonservenasnanbaselinenmeasurement

C.nHangnthenprescribednbagnofnPNnandnstartntheninfusionnatnthenprescribednrate

D.nInfusennormalnsalinensolutionnthroughnthencatheternatnanratenofn100nmL/hrntonmaintainnpatencyn
-nnCORRECTnANSWERSA.nCallnthenradiographyndepartmentntonobtainnanchestnx-ray