26
Which of the following values are within normal limits?
A. pH 7.36.B. Partial pressure of oxygen (PaO2) 82 mm Hg.C. Partial pressure of carbon dioxide (PaCO2) 38 mm HD. Bicarbonate (HCO3-) 24 mEq/L (24 mmol/L).
Hesi rn compass exit proctored examHesi rn compass exit proctored exam
60 questions · Page 2 of 3
Hesi rn compass exit proctored exam is a nursing-school practice exam with 60 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
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Start Practice ExamQuestions 26–50 of 60
27
While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement?
A. Ask the mother what she usually uses on the child'B. Use a topical lidocaine analgesic for cracked lipsC. Apply a petroleum jelly to the child's nose and liD. Use a water-soluble lubricant on affected oral and
Hesi rn compass exit proctored exam28
A client expresses concern about receiving proper care in accordance with the client's religion. Which action is best for the nurse to take?
A. Explain that every client will receive the same hiB. Ask the client about individual care preferences.C. Consult with a nurse who shares the same religiousD. Research the religion on different social media pl
Hesi rn compass exit proctored exam29
A client presents to the emergency department (ED) reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is
A. Get the most difficult tasks over with first.B. Begin with tasks that are less sensitive in natureC. Ask Questions in a vague, non-specific format.D. Share personal values to put the client at ease.
Hesi rn compass exit proctored exam30
Temperature: 96.9 F (36.1 C) measured via internal probe via urinary catheter. Heart rate: 128 beats/minute, sinus tachycardia (ST). Respirations: 14 breaths/minute. Blood pressure: 90/79 mm Hg, pulse
A. Increase the rate of IV fluids.B. Administer pain medication.C. Monitor the client’s urine output.D. Consult with the healthcare provider.
Hesi rn compass exit proctored exam31
A client with hemorrhoids asks for information about a high fiber diet. Which breakfast menu item(s) should the nurse suggest? Select all that apply.
A. Cup of raspberries.B. Bowl of oatmeal.C. Scrambled eggs.D. Bacon slices.
Hesi rn compass exit proctored exam32
A female client is taking alendronate, a bisphosphonate, for postmenopausal osteoporosis. The client tells the nurse that she is experiencing jaw pain. How should the nurse respond?
A. Report the client’s jaw pain to the healthcare proB. Determine how the client is administering the mediC. Advise the client to gargle with warm salt water tD. Confirm that this is a common symptom of osteoporo
Hesi rn compass exit proctored exam33
The nurse recognizes that findings consistent with elder mistreatment.
A. Short term memory loss.B. Malnutrition.C. Bilateral leg edema.D. Diminished breath sound.
Hesi rn compass exit proctored exam34
An older adult client who cares for her husband at home has just learned that she needs to have knee replacement surgery. She tells the nurse she is concerned about her inability to provide care to he
A. Recommend that the client's family return to the aB. Tell her to consider hiring a private nurse duringC. Suggest contacting social services to help find a D. Advise to have a case management evaluation of the
Hesi rn compass exit proctored exam35
Which client is best to assign to the practical nurse (PN) who is assisting the registered nurse (RN) with the care of a group of clients?
A. An older client who is one day postoperative with B. An older adult who is scheduled for foot amputatioC. An adult with alcoholism, cirrhosis, and hepatic eD. An adult who is one day postoperative for a laparo
Hesi rn compass exit proctored exam36
The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?
A. Disagree with the statement and set clear limits oB. Present a personal perception of reality in a noncC. Attempt to comfort the client by agreeing with theD. Immediately inform the healthcare provider that th
Hesi rn compass exit proctored exam37
Page the admitting anesthesiologist STAT. Following a bowel resection, a client's tympanic temperature was 97.6°F (36.4°C) on admission to the postanesthesia care unit (PACU). Thirty minutes l
A. Recheck all vital signs including core temperatureB. Apply oxygen via nasal prongs at 4 L/minute.C. Continue to monitor vital signs every hour.D. Expose client's extremities and apply ice packs to
Hesi rn compass exit proctored exam38
A client with metastatic bone cancer is requesting pain medication. Which approach should the nurse use to assess the quality of the client's pain?
A. Ask the client to describe the pain.B. Identify effective pain relief measures.C. Observe body language and movement.D. Provide a numeric pain scale.
Hesi rn compass exit proctored exam39
When changing the client's dressing for a vacuum-assisted closure (VAC) wound therapy system, the nurse observes foul, purulent drainage. Which intervention(s) should the nurse implement? Select all t
A. Document the wound measurements with tunneling.B. Cleanse the wound and discontinue the VAC system.C. Increase the wound VAC suction to eliminate the drD. Consult the wound care specialist to evaluate the
Hesi rn compass exit proctored exam40
A nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin. Which approach is best for the nurse to use to evaluate the effectiveness of t
A. Observe him as he demonstrates the self-injection B. Ask the adolescent to describe his level of comforC. Review his glycosylated hemoglobin level 3 months D. Have the adolescent list the procedural steps for
Hesi rn compass exit proctored exam41
A client with multiple sclerosis (MS) is receiving Interferon beta-1b 0.1875 mg SUBQ every other day. The nurse reconstitutes the vial by slowly injecting 1.2 mL of diluent into the Interferon vial fo
Hesi rn compass exit proctored exam42
A peripheral IV (PIV) is started in the left hand with a 20-gauge catheter. Lab specimens are drawn. IV fluids of lactated Ringer's started infusing at 75 mL/hour. Contractions are now every 4 minutes
A. Contractions are now every 3 to 4 minutes apart anB. Client is prepped for immediate cesarean section dC. Client is instructed to start pushing as the baby D. Epidural is administered, and client experiences i
Hesi rn compass exit proctored exam43
Scenario: A nurse is caring for a 26-year-old gravida 2 para 1 female client in the labor and delivery unit. Exhibits The client receiving epidural anesthesia would be at risk for developing dropdown
A. B.
Hesi rn compass exit proctored exam44
Scenario A nurse is caring for a 26-year-old gravida 2 para 1 female client in the labor and delivery unit. The client delivered vaginally three years ago under epidural anesthesia. She is now in acti
A. Active labor with moderate contractionsB. Pain reported as 7/10 on a numeric pain scaleC. Membranes are intactD. Fetal heart rate is reactive with moderate variabi
Hesi rn compass exit proctored exam45
Scenario: A nurse is caring for a 26-year-old gravida 2 para 1 female client in the labor and delivery unit. The client previously delivered vaginally three years ago under epidural anesthesia. Her cu
A. B.
Hesi rn compass exit proctored exam46
Scenario A nurse is conducting an initial home health assessment for an 84-year-old female client in her daughter’s home. The client was recently discharged after hospitalization for an exacerbation o
A. B.
Hesi rn compass exit proctored exam47
A nurse is caring for a female client, 84 years old, in the home environment. The client was recently hospitalized for an exacerbation of heart failure (HF) and moved in with her daughter after the ho
A. Encourage the client to increase physical activityB. Suggest the client remain in bed to avoid unnecessC. Teach the caregiver how to monitor for signs of inD. Assist the client in using the restroom to avoid i
Hesi rn compass exit proctored exam48
A nurse is caring for a 24-year-old female client who fell while horseback riding in the accident emergency unit. Exhibits A nurse is preparing the client for surgery. Based on the provided data, whic
A. Hemoglobin of 9.3 g/dLB. Prothrombin time of 11.5 secondsC. Blood pressure of 90/48 mm HgD. Heart rate of 110 beats/minute
Hesi rn compass exit proctored exam49
Exhibits The nurse is reviewing the client's data. Which of the following findings should the nurse report to the primary health care provider immediately? Select all that apply.
A. Blood pressure of 90/79 mm Hg with a pulse pressurB. Oxygen saturation of 100% on 40% FiO₂C. Heart rate of 128 beats/minute, sinus tachycardiaD. CT scan findings of liver and spleen lacerations w
Hesi rn compass exit proctored exam50
A nurse is caring for a 24-year-old female client who was admitted to the emergency unit following a horseback riding accident. Exhibits The client has started to wake up more, opening her eyes withou
A. Increase the propofol infusionB. Assess the client's painC. Notify the social worker the client is awakeD. Have the client sign consent forms for procedures
Hesi rn compass exit proctored exam