HESI RN COMPASS EXIT EXAM NEWEST 2025 RN

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HESI RN COMPASS EXIT EXAM NEWEST 2025 / RN

COMPASS HESI EXIT EXAM COMPLETE 160

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention?

• Pallor
• Increased temperature
• Dyspnea
• Involuntary muscle spasms - ANSWER-C) Dyspnea

The nurse is performing a physical assessment on a client who just had an endotracheal tube inserted. Which finding would call for immediate action by the nurse?

• Breath sounds can be heard bilaterally
• Mist is visible in the T-Piece
• Pulse oximetry of 88
• Client is unable to speak - ANSWER-C) Pulse oximetry of

88 1 / 4

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A nurse checks a client who is on a volume-cycled ventilator.Which finding indicates that the client may need suctioning?A) Drowsiness

• Complaint of nausea
• Pulse rate of 92
• Restlessness - ANSWER-D) Restlessness

During the evaluation phase for a client, the nurse should focus on

• All finding of physical and psychosocial stressors of the

client and in the family

• The client's status, progress toward goal achievement, and

ongoing re-evaluation

• Setting short and long-term goals to insure continuity of care

from hospital to home

• Select interventions that are measurable and achievable

within selected timeframes - ANSWER-B) The client's status, progress toward goal achievement, and ongoing re-evaluation

The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity Disorder. Prior to referring the child for further evaluation, the nurse should 2 / 4

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• Observe the child's behavior on at least 2 occasions
• Consult with the teacher about how to control impulsivity
• Compile a history of behavior patterns and developmental

accomplishments

• Compare the child's behavior with classic signs and

symptoms - ANSWER-C) Compile a history of behavior patterns and developmental accomplishments

Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to the plan of care?

• Measure head circumference
• Place in airborne isolation
• Provide passive range of motion
• Provide an over-the-crib protective top - ANSWER-A)

Measure head circumference

A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory results, the nurse would expect to find elevation in which of the following values? 3 / 4

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• Blood urea nitrogen
• Acid phosphatase
• Bilirubin
• Sedimentation Rate - ANSWER-C) Bilirubin

The nurse is discussing nutritional requirements with the parents of an 18 month-old child. Which of these statements about milk consumption is correct?

• May drink as much milk as desired
• Can have milk mixed with other foods
• Will benefit from fat-free cow's milk
• Should be limited to 3-4 cups of milk daily - ANSWER-D)

Should be limited to 3-4 cups of milk daily

The nurse is talking with a client. The client abruptly says to the nurse, "The moon is full. Astronauts walk on the moon. Walking is a good health habit." The client's behavior most likely indicates

• Neologisms
• Dissociation
• Flight of ideas
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