HESI RN COMPASS EXIT EXAM V1

HESI RN COMPASS EXIT EXAM V1

2023 LATEST UPDATE QUESTION

&ANSWERS

• The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which

nursing intervention is appropriate for this child?

• Make certain the child is maintained in correct body alignment.
• Be sure the traction weights touch the end of the bed.
• Adjust the head and foot of the bed for the child's comfort
• Release the traction for 15-20 minutes every 6 hours PRN.

The correct answer is A: Make certain the child is maintained in correct body alignment.

• The nurse is assessing a healthy child at the 2 year check up. Which of the following

should the nurse report immediately to the health care provider?

• Height and weight percentiles vary widely
• Growth pattern appears to have slowed
• Recumbent and standing height are different
• Short term weight changes are uneven

The correct answer is A: Height and weight percentiles vary widely

• The parents of a 2 year-old child report that he has been holding his breath whenever

he has temper tantrums. What is the best action by the nurse?

• Teach the parents how to perform cardiopulmonary resuscitation 1 / 4

• Recommend that the parents give in when he holds his breath to prevent anoxia
• Advise the parents to ignore breath holding because breathing will begin as a reflex
• Instruct the parents on how to reason with the child about possible harmful effects

The correct answer is C: Advise the parents to ignore breath holding because breathing will begin as a reflex

• The nurse is assessing a client in the emergency room. Which statement suggests that

the problem is acute angina?

• "My pain is deep in my chest behind my sternum."
• "When I sit up the pain gets worse."
• "As I take a deep breath the pain gets worse."
• "The pain is right here in my stomach area."

The correct answer is A: "My pain is deep in my chest behind my sternum." .

• The nurse is assessing the mental status of a client admitted with possible organic brain

disorder. Which of these questions will best assess the function of the client's recent 2 / 4

memory?

• "Name the year." "What season is this?" (pause for answer after each question)
• "Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now

continue to subtract 7 from the new number."

• "I am going to say the names of three things and I want you to repeat them after me:

blue, ball, pen."

• "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of

it?" The correct answer is C: "I am going to say the names of three things and I want you to

repeat them after me: blue, ball, pen."

• In planning care for a 6 month-old infant, what must the nurse provide to assist in the

development of trust?

• Food
• Warmth
• Security
• Comfort

The correct answer is C: Security

• A nurse has just received a medication order which is not legible. Which statement best

reflects assertive communication?

• "I cannot give this medication as it is written. I have no idea of what you mean."
• "Would you please clarify what you have written so I am sure I am reading it

correctly?"

• "I am having difficulty reading your handwriting. It would save me time if you would

be more careful."

• "Please print in the future so I do not have to spend extra time attempting to read your

writing." The correct answer is B) "Would you please clarify what you have written so I am sure I am reading it correctly?"

• What is the most important consideration when teaching parents how to reduce risks in

the home?

• Age and knowledge level of the parents
• Proximity to emergency services
• Number of children in the home
• Age of children in the home

The correct answer is D: Age of children in the home 3 / 4

• A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the

nurse enters the room to request something for pain. The nurse should

• Administer a placebo
• Encourage increased fluid intake
• Administer the prescribed analgesia
• Recommend relaxation exercises for pain control

The correct answer is C: Administer the prescribed analgesia

• While caring for a toddler with croup, which initial sign of croup requires the nurse's

immediate attention?

• Respiratory rate of 42
• Lethargy for the past hour
• Apical pulse of 54
• Coughing up copious secretions

The correct answer is A: Respiratory rate of 30

• A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial

assessment, the nurse would anticipate which of the following assessment findings?

• Lethargy
• Heat intolerance
• Diarrhea
• Skin eruptions

The correct answer is A: Lethargy

• The emergency room nurse admits a child who experienced a seizure at school. The

father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?

• "Do not worry. Epilepsy can be treated with medications."
• "The seizure may or may not mean your child has epilepsy."
• "Since this was the first convulsion, it may not happen again."
• "Long term treatment will prevent future seizures."

The correct answer is B: "The seizure may or may not mean your child has epilepsy."

• Alcohol and drug abuse impairs judgment and increases risk taking behavior. What

nursing diagnosis best applies?

• Risk for injury
• Risk for knowledge deficit
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