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HESI_COMPASS_MODULE_EXAM_2_ADVANCED_FUNDAMENTALS_OF_NURSING_ASSESSMENT

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HESI_COMPASS_MODULE_EXAM_2_ADVANCED_FUNDAMENTALS_OF_NURSING_ASSESSMENT

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HESI COMPASS MODULE EXAM 2
ADVANCED FUNDAMENTALS OF NURSING
ASSESSMENT 2026 COMPLEX PATIENT
CARE COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+


◉ A nurse is reviewing the findings of a physical examination that
have been documented in a client's record. Which piece of
information does the nurse recognize as objective data?
A. The client is allergic to strawberries.
B. The last menstrual period was 30 days ago.
C. The client takes acetaminophen for headaches.
D. A 1 × 2-inch (5 cm) scar is present on the lower right portion of
the abdomen.
Answer: D. A 1 × 2-inch (5 cm) scar is present on the lower right
portion of the abdomen.
Rationale: Subjective data, collected during the health history,
consist of information that the client gives about himself or herself.
Objective data are obtained through physical examination and vital
signs measurements, what the nurse observes, and laboratory study
and diagnostic test results. Allergies, the date of the client's last

,menstrual period, and the reported use of medication for headaches
are all subjective data.


◉ A nurse is making an initial home visit to a client with chronic
obstructive pulmonary disease who was recently discharged from
the hospital. Which type of database does the nurse use to obtain
information from the client?
A. Episodic
B. Follow-up
C. Emergency
D. Complete
Answer: D. Complete
Rationale: A complete database includes a complete health history
and a full physical examination. It describes the client's current and
past state of health and forms a baseline against which all future
changes can be measured. The complete database is collected in a
primary care setting such as a pediatric or family practice clinic, an
independent or group private practice, a college health service, a
women's healthcare agency, a visiting nurse agency, or a community
health agency. An episodic database is compiled for a limited or
short-term problem and is focused mainly on one problem or one
body system. A follow-up database is used to evaluate an identified
problem at regular and appropriate intervals. An emergency
database involves the rapid collection of the data that are often
compiled as lifesaving measures are being performed.

,◉ A nurse is examining a 25-year-old client who was seen in the
clinic 2 weeks ago for symptoms of a cold and is now complaining of
chest congestion and cough. The nurse should proceed with the
examination by collecting which?
A. Data related to follow-up care
B. A complete (total health) database
C. Data related to the respiratory system
D. Data related to the treatment for the cold
Answer: C. Data related to the respiratory system
Rationale: An episodic database is compiled for a limited or short-
term problem and is focused mainly on one problem or body system.
The history and examination will be focused primarily on the
respiratory system in this client. A complete database includes a
complete health history and a full physical examination. It describes
the client's current and past state of health and forms a baseline
against which all future changes can be measured. A follow-up
database is used to evaluate an identified problem at regular and
appropriate intervals.


◉ A client is brought to the emergency department after a motor
vehicle accident. The client is alert and cooperative but has
sustained multiple fractures of the legs. How should the nurse
proceed with data collection?
A. Collect health history information first, then perform the physical
examination

, B. Ask health history questions while performing the examination
and initiating emergency measures
C. Collect all information requested on the history form, including
social support, strengths, and coping patterns
D. Perform emergency measures and not ask any health history
questions until the client's fractures have been treated in the
operating room
Answer: B. Ask health history questions while performing the
examination and initiating emergency measures
Rationale: If the client is alert and cooperative and if the situation is
not life-threatening, the nurse should attempt to obtain as much
subjective and objective data as possible while caring for the client.
Collecting health history information and then performing the
physical examination does not address the priority, which is treating
the client. Collecting all data requested on the history does not
specifically address the client's immediate problems. Performing
emergency measures and not asking any health history questions
does not address data collection before treatment.


◉ A client who was given a diagnosis of hypertension 3 months ago
is at the clinic for a checkup. Which type of database does the nurse
use in performing an assessment?
A. Emergency
B. Follow-up
C. Complete (total)
D. Problem-centered

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