HESI RN Compass Exit Exam: Authentic Exam Questions and Answers with Expert-Verified Explanations for 2024
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Course
HESI RN EXIT 2024
Institution
HESI RN EXIT 2024
HESI RN Compass Exit Exam:
Authentic Exam Questions and
Answers with Expert-Verified
Explanations for 2024
A male client with a sprained ankle is seen at the clinic and is
given a pair of crutches. When the client stands with the aid of the
crutches the nurse notes a space of ...
HESI RN Compass Exit Exam:
Authentic Exam Questions and
Answers with Expert-Verified
Explanations for 2024
A male client with a sprained ankle is seen at the clinic and is
given a pair of crutches. When the client stands with the aid of the
crutches the nurse notes a space of three finger widths between
the top of the crutch and the clients axilla. What action should the
nurse take? - ANSWER ✔ Proceed with teaching the client how to
walk with crutches
After experiencing symptoms caused by an abnormal heart
rhythm a client is placed on a temporary pacemaker. When the
client expresses concern and fear of the pacemaker how should
the nurse respond? - ANSWER ✔ Encourage discussion about
the concerns and fears
Prior to initiating digital removal of fecal impaction it is important
for the nurse to perform which assessment? - ANSWER ✔ Vital
signs
The mother of a child with tetralogy of Fallot asks the nurse "Why
did this happen to my baby? What did I do wrong?" Which
,response is most helpful? - ANSWER ✔ This must be a very
difficult time for you
The healthcare provider prescribes bladder irrigation to maintain
patency of a clients indwelling catheter. Which intervention should
the nurse implement? - ANSWER ✔ Use sterile syringe to irrigate
the normal saline 20ML
The nurse assesses a client for a pulse deficit and counts an
apical pulse for 72 bpm and a radial pulse of 88 bpm. What action
should the nurse take? - ANSWER ✔ Obtain a second pulse
deficit reading
A female who is 1 day post mastectomy is crying when the nurse
enter the room. What action should the nurse take? - ANSWER ✔
Stay with the client in silence touching her forearm
A 24 hour urine collection is in progress. The client tells the nurse
that the last voiding was accidentally flushed instead of saving in
the container. What intervention should the nurse initiate? -
ANSWER ✔ Discard the urine and start another 24 hour period
A confused elderly male client is having trouble sleeping at night
and is sometimes found wandering the hallway. What nursing
intervention should the nurse implement first? - ANSWER ✔
Provide a backrub at bedtime
A young male client with testicular cancer has a living will that
describes his desire that no extraordinary measures be taken to
save his life. The healthcare provider knows the client has a good
prognosis and refuses to write a do not resuscitate prescription.
What action should the nurse take? - ANSWER ✔ Initiate an
ethics committee review of the case
, The nurse is preparing to feed a newly admitted elderly male
client who is debilitated but is able to respond to most commands.
Before starting to feed the client which information is most
important for the nurse to obtain? - ANSWER ✔ Client's ability to
chew and swallow
The nurse enters the room of a client with C Diff infection to
administer an intravenous antibiotic. The unlicensed assistive
personnel is in the room cleaning the clients buttocks and states
the client has been incontinent with diarrhea. The UAP is wearing
gloves but not a gown. Which action should the nurse implement
first? - ANSWER ✔ Tell the UAP to put a gown on
The computer documentation system shuts down while the nurse
is entering the client's physical assessment data. What should the
nurse do first? - ANSWER ✔ Wait for notification services
department of the situation
In assessing a client who has a nursing diagnosis of spiritual
distress. Which action should the nurse take first? - ANSWER ✔
Assist and support the client in establishing short term goals
A policy requiring the removal of acrylic nails by all nursing
personnel was implemented 6 months ago. Which assessment
measure best determines if the intended outcome of the policy is
being achieved? - ANSWER ✔ Healthcare associated infection
rate
The nurse explains to an older adult male the procedure for
collecting a 24 hour urine specimen for creatine clearance. -
ANSWER ✔ Empty the urinal into the 24 hour collection container
A 54 year old male client and his wife were informed this morning
that he has terminal cancer. Which nursing intervention is likely to
, be most effective - ANSWER ✔ Refer her to support group for
family members dying of cancer
A client who has a BMI of 30 is requesting information on the
initial approach to a weight loss plan. Which action should the
nurse recommend? - ANSWER ✔ Keep a record of food and
drinks consumed daily
The nurse assess a client who has a nasal cannula delivering
oxygen at 2L/Min. To assess for skin damage related to the
cannula which area should the nurse observe - ANSWER ✔ tops
of ears, around the nostrils, and over the cheeks
The nurse observes the unlicensed assistive personnel who is
providing a total bed bath for a confused lethargic client. The UAP
is soaking the clients foot in a basin of warm water placed in the
bed. What action should the nurse take? - ANSWER ✔ Remind
the UAP to dry between the toes completely
The nurse in the Emergency Department observes a colleague
viewing the EMR of a client who holds an elected position in the
community. The client is not part of the colleague's assignment.
Which action should the nurse implement? - ANSWER ✔
Communicate the colleague's actions to the unit charge nurse
At 0100 on a male clients second postoperative night the client
states he is unable to sleep and plans to read to feel sleepy. What
action should the nurse implement - ANSWER ✔ Bring the client
a prescribed PRN sedative-hypnotic
The nursing staff in the Cardiovascular Intensive Care Unit are
creating a continuous quality improvement project on social media
that addresses coronary artery disease. Which action should the
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