HESI Compass Module Exam 1 2024/2025 Real Questions and Answers Latest Guide 100%Correct!!
1. .
A nurse is providing information to a group of
... [Show More] pregnant clients and their partners about the
psychosocial development of an infant. Using Erikson's theory of psychosocial development, the
nurse tells the group that infants:
A. Rely on the fact that their needs will be met Correct
B. Need to tolerate a great deal of frustration and discomfort to develop a healthy
personality
C. Must have needs ignored for short periods to develop a healthy personality
D. Need to experience frustration, so it is best to allow an infant to cry for a while
before meeting his or her needs
Rationale: According to Erikson’s theory of psychosocial development, infants struggle to establish a
sense of basic trust rather than a sense of basic mistrust in their world, their caregivers, and
themselves. If provided with consistent satisfying experiences that are delivered in a timely manner,
infants come to rely on the fact that their needs are met and that, in turn, they will be able to tolerate
some degree of frustration and discomfort until those needs are met. This sense of confidence is an
early form of trust and provides the foundation for a healthy personality. Therefore the other options
are incorrect.
TestTaking Strategy: Use the process of elimination. Eliminate the option that contains the closed
ended word "must." Eliminate the options that are comparable or alike and indicate that experiencing
frustration is necessary. Review Erikson’s theory of psychosocial development as it relates to the
infant if you had difficulty with this question.
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternalchild
nursing (3rd ed., pp. 56, 58). St. Louis: Elsevier.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Developmental Stages
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 327499033
A nurse is weighing a breastfed 6monthold infant who has been brought to the pediatrician's office
for a scheduled visit. The infant's weight at birth was 6 lb 8 oz. The nurse notes that the infant now
weighs 13 lb. The nurse should:
HESI Compass Module Exam 1 2024/2025 Real Questions
and Answers Latest Guide 100%Correct!!
A. Tell the mother that the infant's weight is increasing as expected Correct
B. Tell the mother to decrease the daily number of feedings because the weight
gain is excessive
C. Tell the mother that semisolid foods should not be introduced until the infant's
weight stabilizes
D. Tell the mother that the infant should be switched from breast milk to formula
because the weight gain is inadequate
Rationale: Infants usually double their birth weight by 6 months and triple it by 1 year of age. If the
infant is 6 lb 8 oz, at birth, a weight of 13 lb at 6 months of age is to be expected. Semisolid foods
are usually introduced between 4 and 6 months of age.
TestTaking Strategy: Use the process of elimination and focus on the data in the question.
Recalling that infants double their weight by 6 months of age will direct you to the correct option.
Review the growth rate of an infant if you had difficulty with this question.
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternalchild
nursing (3rd ed., pp. 5152). St. Louis: Elsevier.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 327514379
A licensed practical nurse (LPN) is assisting a registered nurse (RN) perform a physical assessment
of a 12 month old infant. The RN comments that the infant’s head circumference is the same as the
chest circumference. On the basis of this finding, the LPN anticipates that the RN will take which
action?
A. Report the presence of hydrocephalus to the healthcare provider
B. Suggest to the healthcare provider that a skull xray be performed
C. Tell the mother that the infant is growing faster than expected
D. Document these measurements in the infant's healthcare record Correct
Rationale: The head circumference growth rate during the first year is approximately 0.4 inch (1 cm)
per month. By 10 to 12 months of age, the infant’s head and chest circumferences are equal.
Therefore, suspecting the presence of hydrocephalus, telling the mother that the infant is growing
faster than expected, and suggesting that a skull xray be performed are incorrect.
TestTaking Strategy: Use the process of elimination. Eliminate the options that are comparable or
alike and indicate that the infant has a physiological problem. Review the expected growth rate of an
infant if you had difficulty with this question.
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternalchild
nursing (3rd ed., p. 52). St. Louis: Elsevier.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 327499444
A new mother asks the nurse, "I was told that my infant received my antibodies during pregnancy.
Does that mean that my infant is protected against infections?" Which statement should the nurse
make in response to the mother?
A. "Yes, your infant is protected from all infections."
B. "If you breastfeed, your infant is protected from infection."
C. "The transfer of your antibodies protects your infant until the infant is 12 months
old."
D. "The immune system of an infant is immature, and the infant is at risk for
infection." Correct
Rationale: Transplacental transfer of maternal antibodies supplements the infant’s weak response to
infection until approximately 3 to 4 months of age. Although the infant begins to produce
immunoglobulin (Ig) soon after birth, by 1 year of age the infant has only approximately 60% of the
adult IgG level, 75% of the adult IgM level, and 20% of the adult IgA level. Breast milk transmits
additional IgA protection. The activity of Tlymphocytes also increases after birth. Even though the
immune system matures during infancy, maximal protection against infection is not achieved until
early childhood. This immaturity places the infant at risk for infection.
TestTaking Strategy: Use the process of elimination. Eliminate the option containing the closed
ended word "all." Recalling that breastfeeding alone does not protect the infant from infection will
assist you in eliminating the option that suggests breastfeeding protects the infant. From the
remaining options, use the strategy of selecting the umbrella option to answer correctly. Review the
physiological concepts related to the maturity of body systems in an infant if you had difficulty with
this question.
References: Lowdermilk, D., Perry, S., & Cashion. K. (2010). Maternity nursing (8th ed., pp. 446
447). St. Louis: Mosby.
McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternalchild nursing (3rd ed., p. 245).
St. Louis: Elsevier.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Awarded 1.0 points out of 1.0 possible points. [Show Less]