HESI COMPASS MODULE EXAM 1 FINAL
PAPER 2026 CLINICAL DECISION MAKING
AND NURSING PROCESS FULL ANSWERS
AND INSIGHT
◉ nagele's rule
Answer: -3/+7
◉ alleviate prolapsed umbilical cord
Answer: trendelenburg - supine with foot elevated
- alleviates gravitational pressure by fetus on cord
◉ letdown reflex
Answer: when infant suckles at breast -> oxytocin released posterior
pituatary - causes release of colostrum and contracts uterus
◉ PKU testing
Answer: Guthrie inhibition assay blood test
mandatory in most states
, requires ingestion of 2-3 days of milk proteins to detect metabolism
errors - abnormal phenylalanine in newborn's blood - predisposing
to mental retardation
◉ triple marker screen
Answer: measures maternal serum levels for alphafetoprotein
(AFP), human chorionic gonadotropin (HCG), and estriol
- screen for defects
- elevated result - may be false indicator - more testing needed (US
or amnio)
◉ addisonian crisis clinical manifestation
Answer: signs of shock! (hypotension, rapid weak pulse, rapid
respiratory rate)
- at risk for circulatory collapse and shock
◉ cushing's syndrome clinical manifestations
Answer: thin, fragile skin, ecchymosis, weakness
◉ pheochromocytoma signs
Answer: tumor of adrenal medulla
headache, diaphoresis, palpitations
PAPER 2026 CLINICAL DECISION MAKING
AND NURSING PROCESS FULL ANSWERS
AND INSIGHT
◉ nagele's rule
Answer: -3/+7
◉ alleviate prolapsed umbilical cord
Answer: trendelenburg - supine with foot elevated
- alleviates gravitational pressure by fetus on cord
◉ letdown reflex
Answer: when infant suckles at breast -> oxytocin released posterior
pituatary - causes release of colostrum and contracts uterus
◉ PKU testing
Answer: Guthrie inhibition assay blood test
mandatory in most states
, requires ingestion of 2-3 days of milk proteins to detect metabolism
errors - abnormal phenylalanine in newborn's blood - predisposing
to mental retardation
◉ triple marker screen
Answer: measures maternal serum levels for alphafetoprotein
(AFP), human chorionic gonadotropin (HCG), and estriol
- screen for defects
- elevated result - may be false indicator - more testing needed (US
or amnio)
◉ addisonian crisis clinical manifestation
Answer: signs of shock! (hypotension, rapid weak pulse, rapid
respiratory rate)
- at risk for circulatory collapse and shock
◉ cushing's syndrome clinical manifestations
Answer: thin, fragile skin, ecchymosis, weakness
◉ pheochromocytoma signs
Answer: tumor of adrenal medulla
headache, diaphoresis, palpitations
