HESI COMPASS Exam Basic Care and Comfort
1. A nurse is providing information to a mother of a 1-year-old who has asked about bladder-training her child. The nurse should provide which information to the mother?
A. That a child cannot begin to control urination until approximately the age...
urinary tract infection has been started on nitrofura
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HESI COMPASS Exam Basic Care and Comfort
1. A nurse is providing information to a mother of a 1-year-old who has asked
about bladder-training her child. The nurse should provide which information to the
mother?
A. That a child cannot begin to control
urination until approximately the age of 24
months Correct
B. That her child is too young and that she should
not yet be worrying about it
C. That bowel training should be started immediately
and then begin bladder training in about 1 month
D. That she may start bladder training at any time
2. A client with renal calculi is instructed to follow an alkaline ash diet. Which
menu choice by the client indicates to the nurse that the client understands the
prescribed regimen?
E. Linguini with shrimp, tossed salad, and a plum
F. Chicken, potatoes, and cranberries
G. Spinach salad, milk, and a banana Correct
H. Peanut butter sandwich, milk, and prunes
3. The nurse is assigned to care for four clients. Which client does the nurse expect
is likely to experience chronic pain?
I. A client with a leg fracture who is in skeletal traction
J. A client who has undergone appendectomy
K. A client with osteoarthritis Correct
L. A client with angina pectoris
4. A client arrives at the emergency department after sustaining an ankle injury,
and the health care provider (HCP) prescribes the application of a cold compress to
the ankle. The nurse, preparing to apply the compress, assesses the ankle and notes
that it is extremely edematous. The nurse should take which action?
M. Apply the cold compress for 20 minutes, and then apply
a hot compress for 20 minutes
N. Elevate the ankle and place cold compresses under and on
top of the ankle
O. Apply the cold compress to the ankle
P. Consult with the HCP before applying the
cold compress Correct
5. A client has been told to apply cold packs to a knee injury, and the client asks
the nurse how this will help the injury. The nurse hould provide the clent with which
information about a cold pack?
Q. Reduces muscle tension
,R. Dilates the blood vessels
S. Promotes muscle relaxation
T. Reduces blood flow to the extremity Correct
,6. A client has been found to have a bladder infection. When planning care, which
area of dysfunction would cause the nurse to monitor the client most closely for signs
of a kidney infection?
U. Glomerulus
V. Urethra
W. Nephron
X. Ureterovesical junction Correct
7.
A nurse has administered a dose of furosemide to a client with
diminished urine output. How does the nurse BEST determine
effectiveness?
Y. The client reports less thirst as compared with
yesterday
Z. The client reports socks which seem less tight on
the ankle area
AA. The client’s weight remains stable, over the past two
to three days
BB. The client’s urine output is 1500 ml more than
the fluid intake Correct
Rationale: Furosemide works by inducing excretion of sodium,
potassium and chloride. Body fluid is also excreted. The best way to
determine if the medication is effective is if the urine output is more
than the fluid intake. Thirst is subjective, and not the best
determinate of fluid status. Many clients can detect a change in the
tightness of their socks over the ankle area, but this is subjective, not
objective data. The client should lose some weight when furosemide
causes fluid and sodium excretion.
Test Taking Strategy: Note the strategic words “best determine
effectiveness”. Use data in the question (diminished urine output) and
search the options for related information regarding an increasing
urine output.
Eliminate the comparable or alike options that depict non-objective
ways of determining effectiveness.
Review: effects of furosemide
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Evaluation
Content Area: Pharmacology
Giddens Concepts: Elimination,Fluids and
Electrolytes HESI Concepts: Elimination, Fluid &
Electrolyte Awarded 100.0 points out of 100.0
possible points.
2.
A nurse develops a plan of care for a postoperative client who is
receiving intravenous morphine sulfate every 4 hours as needed for
, pain.
Which priority intervention does the nurse include in the plan?
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