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
What instructionshouldthenurseprovidetheparentsof a 3-year-old boy with a BMI-for-ageat the 97th
percentile?
Your child is tall forhis age, so besurehe gets plentyto eat to stay
healthy.
Your child is overweightfor his ageand size,so help him selectmorehealthyfoods.Your
child's weight is in the high range, but is probably normal for his body build.
Your child has verystrongbones, socontinueto maintain thesamediet.
Your child is overweightfor his ageand size,so helphim selectmorehealthyfoods.
Rationale:
Children with a BMI-for-age at or above the 95th percentile are considered overweight, andfor
at risk
obesityand all theassociatedhealthproblems.The nurseshouldofferrecommendations for healthy
eating and exercise.
When should the nurse conduct an Allen's test?
When pulmonary artery pressures are obtained.
Prior to attemptinga cardiacoutputcalculation.
To assessfor presenceof a deepvein thrombusin the leg. Just
before arterial blood gasses are drawn peripherally.
Just beforearterialbloodgassesaredrawnperipherally.
Rationale:
The Allen's testshouldbe performedprior to puncturingtheradial arteryto obtaina bloodgas
specimen to determine patency of the ulnar 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.blood
If perfusion through the radial artery
is adequate, the hand
should flush and resume its normal pinkish coloration.
In earlysepticshock states,whatis theprimarycauseof hypotension? Peripheral
vasoconstriction.
Peripheralvasodilation.
Cardiac failure.
,A vagal response.
Peripheralvasodilation.
,Rationale:
Toxins releasedby bacteriain septicshock createmassiveperipheralvasodilationand increase
microvascular permeability at the site of the bacterial invasion.
A clientwith bleedingesophagealvaricesreceivesvasopressinIV. Which shouldthenurse monitor for
during the IV infusion of this medication?
Chest pain and dysrhythmia. Vasodilation
of the extremities. Hypotension and
tachycardia. DecreasingGI crampingand
nausea.
Chest pain and dysrhythmia.
Rationale:
In largedoses,vasopressinmayproduceincreasedbloodpressure,coronaryinsufficiency, myocardial
ischemia or infarction, and dysrhythmia.
The wifeof a clientdiagnosedwith Parkinson'sdiseasetellsthenursethather husbandis having trouble
swallowing and she is afraid he is going to choke. Which intervention should theimplement?
nurse
Offer the wife assurance that difficulty with swallowing is usually temporary. Encourage
thecoupleto considerinsertionof a nasogastrictubefor tubefeedings.Teach the wife to
thicken all liquids and serve primarily semi
-solid foods.
Instruct wife to give carbidopa
-levodopa 30 - minutes before each meal. Teach
the
wifeto thickenall liquids and serveprimarilysemi- solid foods.Rationale:
Dysphagiais usuallya chronic problemfor theclientwith Parkinson'sdisease.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 situationshouldthenurseexplorefurtherbeforewitnessingtheclient'ssignature on the consent
form?
A 15-year-old primigravidawho has beenself-supportingfor thepast6 months.The
obstetrician explained a procedure that a neurologist will perform.
The clientwasmedicated forpain with anarcotic analgesic IM6 hours ago.
The clientis illiteratebut verbalizesunderstandingand consentfor theprocedure. 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 informedconsent,so whenan obstetricianexplainstheprocedurescheduledto be
, performedby a neurologistthis shouldbe exploredfurtherby thenurse beforewitnessingthe client's
signature.
A clientwith gestationaldiabetesis beinginducedfor labor.Which assessmentis mostimportant for the
nurse to perform prior to increasing the oxytocin rate?
Vaginal exam.
Blood pressure.
Contractionpattern.
Fingerstickglucose.
Contractionpattern.
Rationale:
Beforeincreasingtherateof theoxytocininfusion,it is mostimportantfor thenurseto determine the
frequency and pattern of uterine contractions.
A middle-agedmaleclient,admittedto a critical careunit severalweeksago becauseof serious injuries
sustained in a motor vehicle accident, is currently in stable condition. Based on this age
client's
and
recentlife-threateningcrisis, which interventionis shouldthenurseimplement? Provide a routine
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
periodsof uninterruptedrestin orderto reducefatigue.
Encouragetheclient to reflecton personal goalsand priorities.
Rationale:
Critical illness often prompts a -examination
re of one's life priorities. The individual faces mortality,
perhaps for the first time. Based on Erikson's developmental theory, middle
-aged individualsareat the
stageof Generativityvs. Stagnation.Generativityinvolvesreflectionon one's accomplishments and a
personal evaluation of success in meeting life goals.
The schoolnurseis preparinga teachingpamphletin responseto requestsfrom parentsregarding 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
childrenwith perianalitching shouldtakethemedication. Insert the
medication as a rectal suppository.
It is safefor childrenof all agesto takethis medication.
A seconddoseof medication shouldbe given in twoweeks.
Rationale:
Teaching about mebendazole, the
drug of choice for pinworm infestation, should include a reminder
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
What instructionshouldthenurseprovidetheparentsof a 3-year-old boy with a BMI-for-ageat the 97th
percentile?
Your child is tall forhis age, so besurehe gets plentyto eat to stay
healthy.
Your child is overweightfor his ageand size,so help him selectmorehealthyfoods.Your
child's weight is in the high range, but is probably normal for his body build.
Your child has verystrongbones, socontinueto maintain thesamediet.
Your child is overweightfor his ageand size,so helphim selectmorehealthyfoods.
Rationale:
Children with a BMI-for-age at or above the 95th percentile are considered overweight, andfor
at risk
obesityand all theassociatedhealthproblems.The nurseshouldofferrecommendations for healthy
eating and exercise.
When should the nurse conduct an Allen's test?
When pulmonary artery pressures are obtained.
Prior to attemptinga cardiacoutputcalculation.
To assessfor presenceof a deepvein thrombusin the leg. Just
before arterial blood gasses are drawn peripherally.
Just beforearterialbloodgassesaredrawnperipherally.
Rationale:
The Allen's testshouldbe performedprior to puncturingtheradial arteryto obtaina bloodgas
specimen to determine patency of the ulnar 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.blood
If perfusion through the radial artery
is adequate, the hand
should flush and resume its normal pinkish coloration.
In earlysepticshock states,whatis theprimarycauseof hypotension? Peripheral
vasoconstriction.
Peripheralvasodilation.
Cardiac failure.
,A vagal response.
Peripheralvasodilation.
,Rationale:
Toxins releasedby bacteriain septicshock createmassiveperipheralvasodilationand increase
microvascular permeability at the site of the bacterial invasion.
A clientwith bleedingesophagealvaricesreceivesvasopressinIV. Which shouldthenurse monitor for
during the IV infusion of this medication?
Chest pain and dysrhythmia. Vasodilation
of the extremities. Hypotension and
tachycardia. DecreasingGI crampingand
nausea.
Chest pain and dysrhythmia.
Rationale:
In largedoses,vasopressinmayproduceincreasedbloodpressure,coronaryinsufficiency, myocardial
ischemia or infarction, and dysrhythmia.
The wifeof a clientdiagnosedwith Parkinson'sdiseasetellsthenursethather husbandis having trouble
swallowing and she is afraid he is going to choke. Which intervention should theimplement?
nurse
Offer the wife assurance that difficulty with swallowing is usually temporary. Encourage
thecoupleto considerinsertionof a nasogastrictubefor tubefeedings.Teach the wife to
thicken all liquids and serve primarily semi
-solid foods.
Instruct wife to give carbidopa
-levodopa 30 - minutes before each meal. Teach
the
wifeto thickenall liquids and serveprimarilysemi- solid foods.Rationale:
Dysphagiais usuallya chronic problemfor theclientwith Parkinson'sdisease.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 situationshouldthenurseexplorefurtherbeforewitnessingtheclient'ssignature on the consent
form?
A 15-year-old primigravidawho has beenself-supportingfor thepast6 months.The
obstetrician explained a procedure that a neurologist will perform.
The clientwasmedicated forpain with anarcotic analgesic IM6 hours ago.
The clientis illiteratebut verbalizesunderstandingand consentfor theprocedure. 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 informedconsent,so whenan obstetricianexplainstheprocedurescheduledto be
, performedby a neurologistthis shouldbe exploredfurtherby thenurse beforewitnessingthe client's
signature.
A clientwith gestationaldiabetesis beinginducedfor labor.Which assessmentis mostimportant for the
nurse to perform prior to increasing the oxytocin rate?
Vaginal exam.
Blood pressure.
Contractionpattern.
Fingerstickglucose.
Contractionpattern.
Rationale:
Beforeincreasingtherateof theoxytocininfusion,it is mostimportantfor thenurseto determine the
frequency and pattern of uterine contractions.
A middle-agedmaleclient,admittedto a critical careunit severalweeksago becauseof serious injuries
sustained in a motor vehicle accident, is currently in stable condition. Based on this age
client's
and
recentlife-threateningcrisis, which interventionis shouldthenurseimplement? Provide a routine
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
periodsof uninterruptedrestin orderto reducefatigue.
Encouragetheclient to reflecton personal goalsand priorities.
Rationale:
Critical illness often prompts a -examination
re of one's life priorities. The individual faces mortality,
perhaps for the first time. Based on Erikson's developmental theory, middle
-aged individualsareat the
stageof Generativityvs. Stagnation.Generativityinvolvesreflectionon one's accomplishments and a
personal evaluation of success in meeting life goals.
The schoolnurseis preparinga teachingpamphletin responseto requestsfrom parentsregarding 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
childrenwith perianalitching shouldtakethemedication. Insert the
medication as a rectal suppository.
It is safefor childrenof all agesto takethis medication.
A seconddoseof medication shouldbe given in twoweeks.
Rationale:
Teaching about mebendazole, the
drug of choice for pinworm infestation, should include a reminder
