HESI RN COMPASS EXIT EXAM V2 (NGN) 2025 QUESTIONS &
100% CORRECT ANSWERS LATEST UPDATE/A+GRADE
1. A primipara with a breech presentation is in the transition phase pf labor. The nurse
visualizes the perineum and sees the umbilical cord extruding from the introitus. In which
position should the nurse place the client?
Supine with the foot of the bed raised
2. The nurse is developing a series of childbirth preparation classes for primigravida women
and their significant others. what is the priority expected outcome for these classes?
Participants can identify at least three coping strategies to use during labor
3. Clinical portfolios are being introduced into the performance apprasial process for the
nurses employed at the hospital. What should the nurse-manager request that each staff
nurse include in the portfolio?
A self evaluation that identifies how the nurse has met professional objectives and goals.
4. a work group is to be formed to determine a care map for a new surgical intervention that
is being conducted at the hospital. Which group is likely to besot effective in developing the
new care map? Multisicipilinary group
A+ Page 1
,5. An older client who has been bedridden for a month is admitted with a pressure ulcer on
the left trochanter area. The nurse determines that the ulcer extends into the subcutaneous
tissue. At which stage should the nurse document this finding?
Stage 3
6. When meeting with the client and the family, which nursing intervention demonstrates the
nurses role as collaborator of care?
Coordinating and educating about multidisciplinary services
7. A low potassium diet is prescribed for a client what foods should the nurse try to
avoid? Dried prunes
8. A client is admitted with a medical diagnosis of addisonian crisis. When completing the
admission assessment, the nurse expects this client to exhibit which clinical
manifestations?
Hypotension, rapid weak pulse, and rapid respiratory rate
9. The nurse plans to suction a male client. Who has just undergone right pneumonectomy for
cancer of the lung. Secretions can be seen around the endotracheal tube and the nurse
osculates rattling in the lungs. What safety factors should the nurse consider when suctioning
this client?
A+ Page 2
,Use a sof t tip rubber suction catheter and avoid deep vigorous suctioning.
10. The nurse is conducting a drug education class for junior high school students. Which
statement, provided by one of the student participants, best describes the primary
characteristic of addiction?
The nurse is caring for critically ill clients. Which should be monitored for the development of
neutogenic shock? A client with?
Spinal cord injury
11. Which statement by the community health nurse is most helpful to an adult who is
in a crisis situation?
You seem to be more tense these days. Would you like to talk about the problem and how you
are dealing with it?
12. The nurse is teaching staff in a long term - facility home the principles of caring for
clients with essential
hypertension. Which comment should the nurse include in the inservice presentation about the
care of clients with hypertension?
Frequent blood pressure checks, including readings taken automated machines are
recommended
A+ Page 3
, 13. A client is admitted to the hospital for alcohol dependency. What is the priority nursing
intervention during the first 48 hours following admission?
Monitor for increased blood pressure and pulse
14. A male client diagnosed with antisocial personality disorder is morbidly obese and is placed
on a low fat diet, low calorie diet. At dinner the nurse notes that he is trying to get other
clients on the unit to give him part of their meals. what intervention should the nurse
implement?
Confront the client about the consequences of the behavior.
15. A child with tetrology of ballot suffers a hyper cyanotic episode. Which immediate
action by the nurse can lessen the symptoms of this " TET" spell?
Place child in knee-chest positionThis pressure reduces the rush of blood flow through the
septal hole and improves blood circulation.
16. A client with metastatic cancer is preparing to make a decisions about end-of-life issues.
When the nurse explains a durable power of attorney for health care, which description is
accurate?
It will identify someone that can make the decisions for you health care if you are ever in a
coma or vegetative state.
A+ Page 4
100% CORRECT ANSWERS LATEST UPDATE/A+GRADE
1. A primipara with a breech presentation is in the transition phase pf labor. The nurse
visualizes the perineum and sees the umbilical cord extruding from the introitus. In which
position should the nurse place the client?
Supine with the foot of the bed raised
2. The nurse is developing a series of childbirth preparation classes for primigravida women
and their significant others. what is the priority expected outcome for these classes?
Participants can identify at least three coping strategies to use during labor
3. Clinical portfolios are being introduced into the performance apprasial process for the
nurses employed at the hospital. What should the nurse-manager request that each staff
nurse include in the portfolio?
A self evaluation that identifies how the nurse has met professional objectives and goals.
4. a work group is to be formed to determine a care map for a new surgical intervention that
is being conducted at the hospital. Which group is likely to besot effective in developing the
new care map? Multisicipilinary group
A+ Page 1
,5. An older client who has been bedridden for a month is admitted with a pressure ulcer on
the left trochanter area. The nurse determines that the ulcer extends into the subcutaneous
tissue. At which stage should the nurse document this finding?
Stage 3
6. When meeting with the client and the family, which nursing intervention demonstrates the
nurses role as collaborator of care?
Coordinating and educating about multidisciplinary services
7. A low potassium diet is prescribed for a client what foods should the nurse try to
avoid? Dried prunes
8. A client is admitted with a medical diagnosis of addisonian crisis. When completing the
admission assessment, the nurse expects this client to exhibit which clinical
manifestations?
Hypotension, rapid weak pulse, and rapid respiratory rate
9. The nurse plans to suction a male client. Who has just undergone right pneumonectomy for
cancer of the lung. Secretions can be seen around the endotracheal tube and the nurse
osculates rattling in the lungs. What safety factors should the nurse consider when suctioning
this client?
A+ Page 2
,Use a sof t tip rubber suction catheter and avoid deep vigorous suctioning.
10. The nurse is conducting a drug education class for junior high school students. Which
statement, provided by one of the student participants, best describes the primary
characteristic of addiction?
The nurse is caring for critically ill clients. Which should be monitored for the development of
neutogenic shock? A client with?
Spinal cord injury
11. Which statement by the community health nurse is most helpful to an adult who is
in a crisis situation?
You seem to be more tense these days. Would you like to talk about the problem and how you
are dealing with it?
12. The nurse is teaching staff in a long term - facility home the principles of caring for
clients with essential
hypertension. Which comment should the nurse include in the inservice presentation about the
care of clients with hypertension?
Frequent blood pressure checks, including readings taken automated machines are
recommended
A+ Page 3
, 13. A client is admitted to the hospital for alcohol dependency. What is the priority nursing
intervention during the first 48 hours following admission?
Monitor for increased blood pressure and pulse
14. A male client diagnosed with antisocial personality disorder is morbidly obese and is placed
on a low fat diet, low calorie diet. At dinner the nurse notes that he is trying to get other
clients on the unit to give him part of their meals. what intervention should the nurse
implement?
Confront the client about the consequences of the behavior.
15. A child with tetrology of ballot suffers a hyper cyanotic episode. Which immediate
action by the nurse can lessen the symptoms of this " TET" spell?
Place child in knee-chest positionThis pressure reduces the rush of blood flow through the
septal hole and improves blood circulation.
16. A client with metastatic cancer is preparing to make a decisions about end-of-life issues.
When the nurse explains a durable power of attorney for health care, which description is
accurate?
It will identify someone that can make the decisions for you health care if you are ever in a
coma or vegetative state.
A+ Page 4
