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HESI RN COMPASS EXIT EXAM V1 2024 LATEST UPDATE QUESTION &ANSWERS 100% A+ GRADED
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Created By: A SolutionHESI RN COMPASS EXIT EXAM V1 2024 LATESTUPDATE
QUESTION &ANSWERS 100% A+ GRADED
• The nurse is caring for a pre-adolescent client in skeletalDunlop traction. Which nursing
intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN. The correct answer is A:
Make certain the child is maintained incorrect 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?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The correct answer is A: Height and weight percentiles varywidely
• The parents of a 2 year-old child report that he has beenholding his breath whenever he
has temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonaryresuscitation
B) Recommend that the parents give in when he holds his breathto prevent anoxia
C) Advise the parents to ignore breath holding because breathingwill begin as a reflex
D) Instruct the parents on how to reason with the child aboutpossible harmful effects
The correct answer is C: Advise the parents to ignore breathholding because breathing will begin
as a reflex
• A nurse has just received a medication order which is notlegible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea ofwhat you mean."
B) "Would you please clarify what you have written so I am sure Iam reading it correctly?"
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C) "I am having difficulty reading your handwriting. It would saveme time if you would be
more careful."
D) "Please print in the future so I do not have to spend extra timeattempting to read your
writing."
The correct answer is B) "Would you please clarify what you havewritten so I am sure I Am
reading it correctly?"
• The nurse is assessing a client in the emergency room.
Which statement suggests that the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
The correct answer is A: "My pain is deep in my chest behind mysternum."
.
• In evaluating the growth of a 12 month-old child, which ofthese findings would the
nurse expect to be present in the infant?
A) Increased 10% in height
B) 2 deciduous teeth
C) Tripled the birth weight
D) Head > chest circumference
The correct answer is C: Tripled the birth weight
• A Hispanic client in the postpartum period refuses thehospital food because it is
"cold." The best initial action by the nurse is to
A) Have the unlicensed assistive personnel (UAP) reheat the food if the client wishesB) Ask the
client what foods are acceptable or bad
C) Encourage her to eat for healing and strength
D) Schedule the dietitian to meet with the client as soon aspossible
The correct answer is B: Ask the client what foods are acceptable
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• The father of an 8 month-old infant asks the nurse if hisinfant's vocalizations are normal
for his age. Which of the following would the nurse expectat this age?
A) Cooing
B) Imitation of sounds
C) Throaty sounds
D) Laughter
The correct answer is B: Imitation of Sounds
• The nurse is assessing the mental status of a client admittedwith possible organic brain
disorder. Which of these questions will best assess the function ofthe client's recentmemory?
A) "Name the year." "What season is this?" (pause for answerafter each question)
B) "Subtract 7 from 100 and then subtract 7 from that." (pausefor answer) "Now
continue to subtract 7 from the new number."
C) "I am going to say the names of three things and I want you torepeat them after me:
blue, ball, pen."
D) "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 threethings and I want you to
repeat them after me: blue, ball, pen."
• In planning care for a 6 month-old infant, what must the nurseprovide to assist in the
development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
The correct answer is C: Security
• What is the most important consideration when teachingparents how to reduce risks in
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the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
The correct answer is D: Age of children in the home9. 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 nurseshould
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) 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 ofcroup requires the nurse's
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