HESI Compass Practice Exam

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• In assessing a child with suspected Down syndrome, which finding would be a priority for the nurse?
• Which adverse effect should a client using acetazolamide (Diamox) daily report to their physician?
• What is a primary concern for the nurse when monitoring a pregnant client experiencing vaginal bleeding with suspected partial placenta previa?
• What is the most appropriate nursing intervention for a client with acute chest pain?
• What adverse reaction should a nurse monitor for in a client receiving levofloxacin (Levaquin) for community-acquired pneumonia?
• Upon noting yellow, foul-smelling amniotic fluid after a client's membranes rupture, what should the nurse prioritize?
• What is the best action for a nurse to take when monitoring a client receiving terbutaline with increased heart rates?
• A client arrives at the clinic for her first prenatal assessment. According to Nagele's rule, what is the estimated date of delivery if the first day of her last menstrual period was September 25, 2012?
• Which of the following is not a common concern related to wearing a TLSO brace for scoliosis?
• A nurse observes a client discussing their fear of social situations. This may indicate which anxiety-related disorder?
• A client prescribed cascara sagrada for diminished colonic motor response should be advised to do which of the following?
• Which of these is NOT a risk factor for osteoporosis?
• What is the recommended dietary change for a client prescribed cascara sagrada?
• Which symptoms of hypoglycemia should a nurse instruct a client about?
• When monitoring a patient using cascara sagrada, the nurse should watch for which of the following side effects?
• What should the nurse do when noting a higher than normal medication dose prescribed?
• What nursing action should be taken for a hyperactive client with mania on the evening shift?
• What should a nurse do if a client with smoke inhalation has an ABG indicating low arterial oxygenation?
• What is the priority assessment for a nurse administering Enalapril maleate?
• While assessing a client on gentamicin sulfate, what is a crucial question for the nurse to ask?
• Which psychological barrier might a client in chronic renal failure face regarding diet adherence?
• Which symptom should a client taking Ergotamine (Cafergot) report to their physician?
• Which statement best addresses the need for exercise in an adolescent with type 1 diabetes?
• In caring for a client experiencing a myocardial infarction, what is a critical assessment tool the nurse should have readily available?
• How long should Lorazepam (Ativan) 1 mg be administered intravenously for anxiety management?
• After the delivery of a newborn, which immediate intervention should the nurse prepare for if uterine inversion is suspected?
• What finding should the nurse expect for a client with a stage II pressure ulcer?
• Which of the following accurately describes the effects of magnesium sulfate when used in pre-eclampsia?
• When teaching a crutch gait, which client assessment should the nurse consider?
• What is the most appropriate initial response by the nurse to a client with PTSD who stopped taking prescribed medication?
• Which question should a nurse ask to gather data related to the cause of suspected silicosis?
• A nurse knows that oxygen therapy in a myocardial infarction client primarily aims to:
• Which complication is a nurse likely to monitor for in a patient with placenta previa?
• What should the mother of an adolescent with type 1 diabetes do before her child participates in soccer games?
• Which food should a client taking tranylcypromine sulfate avoid?
• What should a nurse instruct a patient to expect regarding urine color after undergoing fluorescein angiography?
• What home care instruction should a nurse provide to a client with mild preeclampsia regarding urine output?
• What should a nurse promote as a safety measure when administering anticoagulant therapy?
• Which nursing intervention is most appropriate for a client after a myocardial infarction?
• What should the nurse advise a client experiencing nausea and indigestion from ibuprofen?
• A male client presents with sudden inability to move his arms after witnessing a traumatic accident. What should the nurse prioritize in his assessment?
• Which action should a nurse take to assist a client with depression who is anorexic in meeting their nutritional needs?
• With what should a client take ferrous sulfate for best absorption?
• Which food should a client taking lovastatin (Mevacor) limit?
• When assessing a client with Bell's palsy, which finding may the nurse expect?
• What is the total liquid intake of a client during a 24-hour period, including oral intake and intravenous fluids?
• Which symptom is NOT expected in a client with acute closed-angle glaucoma?
• What finding should a nurse monitor in a client who experienced a missed abortion during the second trimester?
• If a pregnant woman shows persistent depression after pressure is applied on her foot, what does this indicate?
• Which is the most therapeutic response to a client feeling depressed post-surgery?
• What laboratory finding indicates that a client undergoing chemotherapy for ovarian cancer may be experiencing an adverse effect?
• A nurse is monitoring a client with abruptio placentae. Which early sign should the nurse closely observe for as an indicator of hypovolemic shock?
• What is a common side effect of carbidopa/levodopa therapy that patients need to be informed about?
• How is the prostate typically removed during a suprapubic prostatectomy?
• In managing pain for a child with vaso-occlusive crisis, a nurse should:
• What is a characteristic symptom that could indicate Bell’s palsy?
• What intraocular pressure reading would most likely indicate open-angle glaucoma?
• If a patient becomes increasingly agitated and anxious, what should the nurse assess first?
• Which statement indicates the need for further instruction for a client on lithium carbonate?
• A client insists that everything is contaminated and scrubs her hands constantly. This compulsive behavior is primarily meant to:
• What should a nurse prioritize placing at the bedside of a client diagnosed with myocardial infarction?
• What should be done if the blood serum level of imipramine is reported as 250 ng/mL?
• What is the main reason for using an oxygen cannula with a client experiencing a myocardial infarction?
• Which symptom could indicate an adverse effect of antipsychotic medications that requires immediate evaluation?
• During the admission assessment of a client with isotonic dehydration, which finding should the nurse expect to observe?
• In assessing a breastfeeding mother, why is it important to check wet diapers?
• What is the primary reason a nurse would monitor a client for epistaxis while administering reteplase?
• What instruction should a nurse provide to a client prescribed Disulfiram (Antabuse) related to alcohol consumption?
• In caring for a client with a cuffed endotracheal tube, what action should the nurse take to prevent a tracheoesophageal fistula?
• Which diagnosis would indicate the need to contact the physician before a client undergoes electroconvulsive therapy (ECT)?
• Which substance must a nurse ensure is available at the bedside when administering magnesium sulfate to a client with pre-eclampsia?
• What is the immediate action a nurse should take if uterine hypertonicity is noted during an oxytocin infusion?
• Which statement indicates a need for further instruction regarding an upper GI series?
• What is the priority intervention for a nurse upon the arrival of a client with carbon monoxide poisoning?
• Which symptoms would be expected in a client with systemic lupus erythematosus (SLE)?
• What condition would lead a nurse to recommend a client with myasthenia gravis to use a specific medication for symptom management?
• In educating a patient on medication for constipation, the nurse should emphasize which of the following?
• Which menu selection indicates that a client with COPD understands dietary instructions provided by the nurse?
• What is the purpose of amniocentesis when performed in the third trimester?
• Which finding may indicate an adverse effect of amantadine hydrochloride in a client with Parkinson's disease?
• Which measure does a nurse recommend to a client with peripheral vascular disease to limit disease progression?
• In promoting primary prevention of skin cancer, which recommendation is appropriate to include in a health fair booth?
• If a client has sudden onset PVCs and lacks perfusion, what is the nurse's priority action?
• Which statement indicates a client understands the information about Colchicine prescribed for gout?
• Which dietary recommendation is important for a pregnant woman to prevent folic acid deficiency?
• Which laboratory finding would indicate development of disseminated intravascular coagulopathy (DIC) in a pregnant client diagnosed with sepsis?
• In monitoring a client receiving reteplase after an acute myocardial infarction, which adverse effect should the nurse be watchful for?
• A client with viral hepatitis states, "I need to eat three meals a day high in protein, fat, and carbs." What does this indicate?
• Which method is most appropriate for assessing pain in a preschool-age child with sickle cell anemia?
• When can a client who has undergone an abdominal hysterectomy resume sexual intercourse?
• Which medication side effect might lead a nurse to suspect a need to reassess a patient taking ibuprofen?
• What is the recommended frequency for self-examination of the skin to check for potentially cancerous lesions?
• What does a client's reaction of fear signify after being told about a possible pancreatic cancer diagnosis?
• Which adverse effect should a nurse assess for in a client undergoing chemotherapy with cisplatin?
• What should a nurse do upon noting 1+ deep tendon reflexes in a pregnant client?
• For patients with a myocardial infarction, which position might the nurse recommend to promote comfort?
• What is the appropriate response by a nurse to a client with mania who makes inappropriate comments about another client?
• When developing care for a client with paranoid personality disorder, which characteristic is most important for the nurse to consider?
• If a client expresses doubt about administering enteral feedings, what is the best nursing response?
• What is a sign that a nurse should be concerned about in a client with pre-eclampsia?
• What intervention should a nurse implement for a client with a cerebral aneurysm?
• What should the nurse assess for in a patient with diminished colonic response taking cascara sagrada?
• A postpartum nurse is assessing a client for lochia characteristics. Which finding should the nurse advise the client to report immediately?
• If a physician prescribes 2.5 mg of morphine for a client, how many mL should the nurse draw from a vial labeled 4 mg/mL?
• What issue is the client with chronic renal failure experiencing when expressing hopelessness about dietary choices?
• If a client exhibits signs of dehydration, which observation is crucial during an admission assessment?
• What is an appropriate fluid intake for a client with acute gout?
• When monitoring a client for signs that preeclampsia has not resolved, which finding indicates this?
• A client unable to move their fingers reports significant stress at home due to recent relationship issues. What disorder might this indicate?
• What might a nurse assess for in a client receiving gentamicin for pelvic inflammatory disease?
• How should a nurse therapeutically respond to a client with depression who refuses to attend art therapy?
• How should a nurse instruct a client to perform Kegel exercises for stress incontinence?
• How should a nurse document a client shouting at them to "Get out of my room!"?
• What would a nurse assess for to ensure safety in a client receiving antipsychotic medication?
• A nurse providing discharge instructions for a patient after a radical vulvectomy should emphasize which point?
• When assessing a postpartum patient, what would be a normal finding concerning the uterus two days after delivery?
• What should a nurse do for a client scheduled for ECT who normally takes an oral antihypertensive?
• What does the glycosylated hemoglobin assay indicate for clients with diabetes mellitus?
• A client exhibits symptoms including excessive checking of appliances before leaving the house. Which anxiety disorder is associated with these symptoms?
• In which situation should a nurse administer a medication immediately?
• What total volume of fluid may a client with a hemodialysis fluid restriction of 700 mL/day have between 7 a.m. and 3 p.m.?
• During the first trimester of pregnancy, what happens to the insulin needs of a client with type 1 diabetes mellitus?
• Which statement by the nurse is most therapeutic for a client in end-stage renal failure who is reluctant to participate in hygiene care?
• What is the nursing priority in the 24 hours after a client has had an abdominal hysterectomy?
• Before giving a client who just underwent an EGD something to drink, what should the nurse check?
• What should a nurse educate a postpartum client about regarding normal versus abnormal lochia?
• Which of the following is a common side effect of cascara sagrada?
• What statement indicates that a client with chronic renal failure understands sodium and potassium restrictions?
• Which home care measure should be recommended to a client with acute gout?
• What statement made by a client about insulin therapy indicates a need for further teaching?
• What immediate care is indicated following an EGD for patient safety?
• Which food sources should a nurse recommend to a pregnant woman for folic acid intake?
• Which statement indicates a need for further education regarding the purpose of the placenta?
• In caring for a pregnant client with sickle-cell disease, which concern is recognized as the priority?
• When assisting with thoracentesis, what characteristic of the fluid should the nurse expect if empyema is present?
• A client undergoing chemotherapy asks if their hair will fall out. The nurse should respond:
• When a nurse is monitoring for effects of cisplatin chemotherapy, which condition should raise concern for auditory dysfunction?
• What should the nurse tell a client reporting darker urine after starting carbidopa/levodopa therapy?
• When a client in skeletal traction reports severe leg pain, what is the nurse's appropriate next action?
• What is indicated by the presence of peau d'orange skin in a client with infiltrating ductal carcinoma of the breast?
• What symptom should a nurse monitor for a client on long-term antipsychotic medication due to the risk of tardive dyskinesia?
• What behavior is characteristic of a client admitted with avoidant personality disorder?
• If a child with Down syndrome reports neck pain and loss of bladder control, what should the nurse do first?
• Which patient education topic regarding diabetes management is fundamental for a newly diagnosed adolescent?
• A client expresses they are the only one who can save the world. What is the best response from the nurse?
• During a health assessment, which sign indicates possible dehydration from lithium use?
• A postpartum nurse identifies that a woman's fundus is above expected level and shifted to the right. What should the nurse initially do?
• Which statement about obsessive-compulsive disorder (OCD) is true?
• What vital sign change should alert a nurse to the possibility of hemorrhage in a postpartum client?
• What is an important consideration when administering oxygen to a patient with a myocardial infarction?
• Which factor in a client’s history poses the greatest risk for cervical cancer?
• What common side effect should a nurse warn a client prescribed chlorpromazine for Huntington's disease about?
• What does a nurse interpret if fetal monitoring shows signs of utero-placental insufficiency during a contraction?
• In the case of abnormal fetal-monitor tracing, what should the nurse primarily do?
• What food item is high in calcium and recommended for someone with osteoporosis?
• During a 2-week postpartum assessment, a nurse is unable to palpate the uterine fundus. What is the best course of action?
• A nurse is caring for a client at 34 weeks' gestation who has total placenta previa. What is the priority nursing concern for this client?
• A nurse in the postpartum unit notes that a client's temperature is 100.4° F (38° C) 12 hours after delivery. What should the nurse do first?
• A client with agoraphobia will undergo systematic desensitization. What does this technique involve?
• During chemotherapy, which instructions should a nurse give to a client with adenocarcinoma of the ovary?
• Which finding in a medical record might require contacting the physician before administering Risperidone (Risperdal)?
• After explaining about a TLSO brace to the mother of a child with scoliosis, which statement indicates a need for further information?
• What is the expected outcome for a client being treated with lorazepam for anxiety management?
• What dietary recommendation is beneficial for a patient with rheumatoid arthritis?
• What adverse effect should a client prescribed Phenelzine sulfate (Nardil) report immediately?
• What characteristic finding would the nurse expect when assessing a pregnant client with suspected partial placenta previa?
• Which of the following is a recognized risk factor for osteoporosis?
• Which symptoms would prompt a nurse to alert a physician about a client taking cascara sagrada?
• In the preparation for amniocentesis, what aspect is necessary for the nurse to explain to the client?
• What is the first nursing action to implement in the event of shock for a client with abruptio placentae?
• What instruction is important for a client taking tranylcypromine sulfate?
• What problem is likely affecting a client with sarcoidosis who is worried about their family’s financial situation due to missed work?
• What are early manifestations that a nurse would expect in a client with suspected rheumatoid arthritis (RA)?
• What should a nurse do for a client experiencing irritation from a cast?
• After inserting a central venous access device in a malnourished client, what is the immediate next step?
• What position should the nurse place a client in before inserting a nasogastric tube?
• A client taking nefazodone hydrochloride (Serzone) is likely to have a history of which condition?
• What is an indicator that a client is experiencing adequate insulin management during pregnancy?
• What indicates to a nurse that placental separation has occurred after the delivery of a newborn?
• What response is appropriate when a rape victim expresses concern about HIV?
• During the admission assessment of a client with bipolar disorder, what action should the nurse perform first?
• A client diagnosed with borderline personality disorder often exhibits which behavior?
• When reviewing medication instructions for cascara sagrada, a nurse knows it is important to advise the client to:
• What should a nurse ask a mother to assess if her infant is receiving enough milk while breastfeeding?
• What indicates the therapeutic effect of neostigmine bromide in a client with myasthenia gravis?
• A nurse assesses a client presenting with extreme anxiety before a procedure. What is a crucial intervention?
• For a nurse caring for a client in severe distress due to a chronic illness, what might be the best approach to provide support?
• Which statement by a client after a radical vulvectomy would indicate a need for further instruction?
• What action should the nurse take for a client on lithium carbonate who exhibits mild nausea and thirst?
• A client scheduled for a mastectomy may be at risk for poor sexual adjustment if they report which of the following?
• In planning care for a client with conversion disorder, which intervention would be appropriate?