HESI RN
Reproductive Health Exam
1. Which of the following is included in a gynecological examination?
- A. Abdominal examination
- B. General and systemic examination
- C. Obstetric exam
- D. Pelvic examination
Correct answer: A
Rationale: Correct! A gynecological examination typically includes an abdominal examination to assess the overall health of the patient. This includes checking for any abnormalities, tenderness, or masses. General and systemic examinations are also important as they provide valuable information about the patient's overall health status. Pelvic examination is another essential component of a gynecological exam to assess the reproductive organs. Obstetric exams, focusing on pregnant women, are not part of routine gynecological examinations.
2. A client is experiencing angina at rest. Which statement indicates a good understanding of the care required?
- A. I will notify the nurse if my chest pain is not relieved in 30 minutes.
- B. I will use nitroglycerin as needed, every 5 minutes, up to 3 doses.
- C. I will avoid physical activity until the pain subsides completely.
- D. I will take nitroglycerin 30 minutes before any physical activity.
Correct answer: B
Rationale: The correct answer is B. Using nitroglycerin as needed, every 5 minutes, up to 3 doses, is the appropriate management for angina at rest. This helps dilate blood vessels, improving blood flow to the heart. Choice A is incorrect because chest pain that persists at rest should be addressed immediately, not waiting for 30 minutes. Choice C is incorrect as avoiding physical activity is not a recommended approach during an angina episode. Choice D is incorrect because nitroglycerin should be used during chest pain episodes, not as a preventive measure before physical activity.
3. Which of the following is NOT a strategy for family planning?
- A. Integrating family planning services with other Reproductive Health programs
- B. Expanding access to family planning through non-public delivery systems
- C. Targeting family planning services to priority groups
- D. Expanding programs of immunization
Correct answer: D
Rationale: The correct answer is D. Expanded programs of immunization are not considered a strategy for family planning. Immunization programs focus on preventing diseases through vaccines and are distinct from family planning strategies, which aim to help individuals and couples plan their desired family size and spacing of children. Choices A, B, and C are all valid strategies for family planning. Integrating family planning services with other reproductive health programs, expanding access to family planning through non-public delivery systems, and targeting family planning services to priority groups are common approaches to improve the availability and effectiveness of family planning services.
4. The nurse is assessing a client with left-sided heart failure. Which finding is most concerning?
- A. Jugular venous distention
- B. Crackles in the lungs
- C. Shortness of breath
- D. Peripheral edema
Correct answer: C
Rationale: Shortness of breath is most concerning in a client with left-sided heart failure as it indicates pulmonary congestion, requiring immediate intervention. Jugular venous distention (Choice A) is a sign of increased central venous pressure but is not as concerning as pulmonary congestion. Crackles in the lungs (Choice B) are common in heart failure due to fluid accumulation but are not as immediately concerning as severe shortness of breath. Peripheral edema (Choice D) is a manifestation of fluid retention in the body but is less indicative of acute pulmonary distress compared to shortness of breath.
5. A client who received multiple antihypertensive medications experiences syncope due to a drop in blood pressure to 70/40. What is the rationale for the nurse's decision to hold the client's scheduled antihypertensive medication?
- A. Increased urinary clearance of the multiple medications has produced diuresis and lowered the blood pressure
- B. The antagonistic interaction among the various blood pressure medications has reduced their effectiveness
- C. The additive effect of multiple medications has caused the blood pressure to drop too low.
- D. The synergistic effect of the multiple medications has resulted in drug toxicity and resulting hypotension.
Correct answer: C
Rationale: When medications with a similar action are administered, an additive effect occurs that is the sum of the effects of each medication. In this case, several medications that all lower blood pressure, when administered together, resulted in hypotension.