HESI Compass Module 5 Exam

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Sample questions from HESI Compass Module 5 Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, the nurse receives report on four clients. Which client should the nurse assess first?

   • A.A 54-year-old 2 hours after thyroidectomy who reports tingling around the mouth and has a respiratory rate of 24/min
   • B.A 37-year-old with cellulitis whose temperature is 38.1 C (100.6 F) after the first dose of an antibiotic
   • C.A 68-year-old with chronic heart failure who has unchanged 2+ ankle edema and an SpO2 of 94% on room air
   • D.A 72-year-old awaiting discharge who needs clarification about a new low-sodium diet

   Rationale: Perioral tingling after thyroidectomy can signal hypocalcemia from parathyroid injury, which may progress to laryngospasm and airway compromise. The nurse should assess this client promptly and be prepared to intervene. The heart failure findings are described as unchanged, the low-grade fever requires follow-up but is not the most urgent cue, and discharge teaching can wait.

2. 2.During a home-health visit, a registered nurse is planning care for a 7-year-old with asthma who is stable and uses a daily peak-flow log. Which task is appropriate to delegate to an unlicensed assistive personnel (UAP)?

   • A.Assess the child's lung sounds before and after a prescribed bronchodilator
   • B.Record the child's peak-flow reading and report it to the nurse
   • C.Teach the parent how to use the written asthma action plan
   • D.Determine whether the child's current symptoms require a call to the provider

   Rationale: A UAP may collect and report routine, objective data such as a peak-flow reading when the child is stable and the nurse has established the plan. Assessing lung sounds, providing initial or changed teaching, and determining the need to notify the provider require nursing judgment. The RN remains responsible for interpreting the reported measurement and acting on it.

3. 3.In a pediatric clinic, the parent of a 5-year-old with a new prescription for an oral antibiotic asks how to help prevent medication errors at home. Which instructions should the nurse include? Select all that apply.

   • A.Stop the antibiotic once the child's fever resolves.
   • B.Use the same household teaspoon each time for consistency.
   • C.Use an oral syringe to measure each dose.
   • D.Contact the prescriber or pharmacist if a dose is vomited rather than repeating it automatically.
   • E.Keep the medication in its original, child-resistant container.
   • F.Check the child's name and the medication label before each dose.

   Rationale: An oral syringe provides accurate measurement, and checking the child's identity and label reduces wrong-medication errors. Keeping the drug in its original child-resistant container supports safe storage and preserves labeling; caregivers should seek professional guidance after a vomited dose rather than automatically repeating it. Household spoons are inaccurate, and stopping early without prescriber direction can lead to incomplete treatment.

4. 4.A client states, 'I do not want the blood transfusion,' after reviewing the consent form in the emergency department. The client is alert, oriented, and has a hemoglobin of 6.8 g/dL. What should the nurse do first?

   • A.Ask the provider to explain the risks and benefits again while the client signs the form
   • B.Ask the client's family to persuade the client to accept the transfusion
   • C.Respect the refusal, assess the client's understanding, and notify the provider
   • D.Document that the client is noncompliant and prepare the blood for administration

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which actions should the nurse take now for the 16-year-old in the emergency department? Select all that apply.

   • A.Maintain continuous observation and promptly report any change in mental status.
   • B.Ask the adolescent to walk to determine whether dizziness worsens.
   • C.Immediately notify the provider of the falling blood pressure and increasing heart rate.
   • D.Offer oral fluids while waiting for the next set of vital signs.
   • E.Initiate the prescribed isotonic fluid bolus and reassess the response.

   Answer and rationale are in the full material.