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Hesi compass B exit exam
Total Questions : 68
Showing 20 questions, Sign in for moreAn adult is admitted to the cardiac care unit for observation. Telemetry indicates that premature ventricular contractions (PVCS) are occurring sporadically. Which activity associated with the T wave makes PVCs particularly dangerous when they coincide with this waveform?
An adolescent is admitted to the hospital because of a suicide attempt with an overdose of acetaminophen. Which blood values are most important for the nurse to monitor during the first 72 hours following ingestion of this overdose?
An obese female client with a high serum cholesterol level comes to the clinic for a follow-up evaluation. She tells the nurse that she is now walking 30 minutes three times per week and is eating a carbohydrate-free, high-protein diet to lose weight. What response would be best for the nurse to provide?
The nurse makes a supervisory home visit to observe an unlicensed assistive personnel (UAP) who is providing personal care for a client with Alzheimer's Disease. The nurse observes that whenever the client gets upset, the UAP changes the subject. What action should the nurse take in response to this observation?
A child is admitted to the hospital with diarrhea and vomiting. Potassium chloride is prescribed for inclusion with rehydration IV fluids. Prior to administering the potassium, the nurse should ensure that which condition exists?
A multigravida, full-term, laboring client complains of "back labor." Vaginal examination reveals that the client's cervix is dilated 3 cm with 50% effacement, and the fetal head is at -1 station. Which action should the nurse implement?
Which assessment technique should the nurse use to monitor a client for a common untoward effect of phenytoin?
A client at the healthcare clinic reports a new onset of pyrosis and dyspepsia to the nurse. Which nursing action has the highest priority?
The unlicensed assistive personnel (UAP) who is caring for a postoperative client reports to the charge nurse that the client is not using the incentive spirometer effectively. Which action should the charge nurse implement?
The healthcare provider prescribes oxytocin synthetic 10 units/L via IV drip to augment a client's labor because she is experiencing a prolonged active phase. Because the client is receiving oxytocin, the nurse should closely monitor for which complication?
The charge nurse observes an unlicensed assistive personnel (UAP) preparing to use a standard sized blood pressure cuff to measure the blood pressure of an adult client with thrombocytopenia. Which action should the charge nurse take?
A client who had a left above knee amputation (AKA) two days ago has a soft stump dressing in place. To prevent the development of a contracture on the left leg, which intervention should the nurse implement?
A client who has a serum potassium level of 5.9 mEq/L (5.9 mmol/L) tells the nurse of deciding to leave the hospital, even though the healthcare provider has not discharged the client. The client states, "I do not care if I am not discharged, I do not want any more treatment." It is most important for the nurse to ensure that the client understands which fact prior to leaving the facility?
Reference range
During discharge teaching, a parent asks why the premature infant should get monthly injections of palivizumab. Which information should the nurse provide?
A client who is 4-days postpartum calls the clinic and reports to the nurse that her nipples are so sore that she does not know if she can continue to breastfeed her infant. Which instruction is best for the nurse to provide?
A client receives a prescription for permethrin to treat an infestation of scabies. The nurse instructs the client to massage the cream into the skin from the head to the soles of the feet, avoiding the eyes. Which additional instruction should the nurse provide?
A primigravida at 36-weeks gestation, who is Rh negative, experienced abdominal trauma in a motor vehicle collision. Which assessment finding is most important for the nurse to report to the healthcare provider?
The nurse notices a reddened area on the coccyx of a client who is wheelchair bound. Which intervention should the nurse implement?
The nurse is receiving report for a laboring client who arrived in the emergency center with ruptured membranes that the client did not recognize. Which is the priority nursing action to implement when the client is admitted to the labor and delivery suite?
The nurse is evaluating discharge teaching of an adolescent who had a long leg plaster cast applied in the emergency department. Which statement by the adolescent indicates an understanding of cast care?
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