BSN 395 Summer 2026 HESI Compass Exit B Proctored Exam

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Sample questions from BSN 395 Summer 2026 HESI Compass Exit B Proctored Exam

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

1. 1.At change of shift on a medical unit, four clients need attention. Which client should the nurse assess first?

   • A.A 30-year-old whose discharge prescription needs clarification before leaving
   • B.A 72-year-old with heart failure who has new confusion and an oxygen saturation of 88% on room air
   • C.A 45-year-old with pancreatitis reporting pain of 8/10 after requesting analgesia
   • D.A 60-year-old with diabetes whose premeal glucose is 214 mg/dL

   Rationale: New confusion with hypoxemia may indicate acute respiratory compromise and requires immediate assessment and intervention. Severe pain needs timely treatment, but it does not take priority over impaired oxygenation. A discharge clarification and moderately elevated glucose can be addressed after the unstable client.

2. 2.On a medical-surgical unit, a 68-year-old client with pneumonia has a new prescription for IV antibiotics. Which actions should the nurse take before administering the first dose? Select all that apply.

   • A.Wait for the culture results before starting the prescribed antibiotic
   • B.Confirm the IV site is patent and assess it during the infusion
   • C.Obtain ordered cultures before the first dose if this will not delay urgent treatment
   • D.Check that the medication, dose, route, and infusion rate match the prescription
   • E.Verify the client's allergy history and the specific reaction

   Rationale: Checking allergies, obtaining ordered cultures promptly, verifying the medication prescription, and assessing IV patency reduce preventable harm. Antibiotics should not routinely be delayed until culture results return; cultures are collected first when feasible, then treatment begins. The key is to obtain useful specimens without compromising timely therapy.

3. 3.During an outpatient visit, a 58-year-old client with limited English proficiency nods while receiving new medication instructions. Which action best verifies understanding?

   • A.Ask the client to explain the instructions in their own words using a qualified interpreter
   • B.Ask the client's adult child to translate the directions
   • C.Give the client a printed English handout and ask for a signature
   • D.Repeat the instructions more slowly in English

   Rationale: Teach-back through a qualified interpreter checks the client's actual understanding and supports informed care. A family member may omit or alter important information and should not replace a qualified interpreter. Repeating English instructions or providing an English handout does not establish comprehension.

4. 4.A provider prescribes an opioid analgesic for a 40-year-old client after surgery. The client is difficult to arouse, with respirations of 8/min and oxygen saturation of 89%. What should the nurse do first?

   • A.Document the sedation and reassess in 1 hour
   • B.Administer the prescribed opioid with food
   • C.Ask the client to rate the pain before taking further action
   • D.Hold the opioid and stimulate the client while assessing airway and breathing

   Answer and rationale are in the full material.

5. 5.In a rehabilitation facility, an RN is assigning tasks to a nursing assistant. Which task is appropriate to delegate?

   • A.Evaluate whether pain medication relieved a client's pain
   • B.Teach a client how to use a new walker
   • C.Obtain routine vital signs for a stable client awaiting discharge
   • D.Assess a client who reports sudden dizziness

   Answer and rationale are in the full material.