HESI RN
Reproductive System Exam Quizlet
1. Laparoscopy uses a small instrument known as a laparoscope to:
- A. Take very detailed photographs
- B. Insert a hysteroscope for D&C
- C. Perform an abortion procedure
- D. Perform a hysterectomy
Correct answer: A
Rationale: Laparoscopy uses a small instrument known as a laparoscope to take very detailed photographs of the pelvic organs. This procedure is commonly used for diagnostic purposes, to visualize internal organs, and to perform minimally invasive surgeries. Choice B, inserting a hysteroscope for D&C, is incorrect as hysteroscopy is a different procedure used to examine the inside of the uterus, not the pelvic organs. Choice C, performing an abortion procedure, is incorrect as laparoscopy is not used for abortion. Choice D, performing a hysterectomy, is incorrect as although laparoscopy can be used in some cases for hysterectomy, its primary purpose is not for this procedure.
2. Which hormone is released from the testes?
- A. Progesterone
- B. Vasopressin
- C. Testosterone
- D. None of the above
Correct answer: C
Rationale: The correct answer is testosterone. Testosterone is the primary male sex hormone produced in the testes. Progesterone is a female sex hormone primarily produced in the ovaries, not in the testes. Vasopressin is a hormone released by the pituitary gland to regulate water balance in the body, not produced by the testes. Therefore, choices A, B, and D are incorrect.
3. The charge nurse observes a new nurse preparing to insert an intravenous (IV) catheter. The new nurse has gathered supplies, including intravenous catheters, an intravenous insertion kit, and a 4x4 sterile gauze dressing to cover and secure the insertion site. What action should the charge nurse take?
- A. Instruct the nurse to use a transparent dressing over the site
- B. Allow the new nurse to proceed with the procedure
- C. Assist the new nurse with the insertion
- D. Replace the 4x4 gauze with a larger dressing
Correct answer: A
Rationale: The correct answer is to instruct the nurse to use a transparent dressing over the site. Transparent dressings allow for continuous observation of the IV site, reducing the risk of complications. Choice B is incorrect because the charge nurse should intervene to ensure the new nurse follows best practices. Choice C is incorrect as the charge nurse should not just assist but provide guidance on the correct procedure. Choice D is incorrect because the size of the dressing is not the issue; it's the type of dressing that allows for better observation.
4. The healthcare provider is conducting a health assessment for a family living in a high-crime area. Which intervention should the healthcare provider prioritize to ensure the family's safety?
- A. providing information on local crime statistics
- B. teaching the family self-defense techniques
- C. helping the family develop a safety plan
- D. encouraging the family to move to a safer neighborhood
Correct answer: C
Rationale: Developing a safety plan is the most appropriate intervention as it helps the family prepare for potential emergencies and enhances their overall sense of security. Providing information on local crime statistics may raise awareness but does not directly address safety planning. Teaching self-defense techniques may have limited effectiveness in a high-crime area where the family may face multiple threats. Encouraging the family to move to a safer neighborhood is not always feasible due to various reasons such as financial constraints or social ties to the current community.
5. A client is admitted with a diagnosis of fluid volume excess. Which intervention should the nurse include in the client's plan of care?
- A. Encourage increased fluid intake.
- B. Place the client in a high Fowler's position.
- C. Measure the client's intake and output.
- D. Restrict dietary sodium intake.
Correct answer: D
Rationale: Restricting dietary sodium intake (D) is the most critical intervention for a client with fluid volume excess to prevent further fluid retention. Encouraging increased fluid intake (A) would exacerbate the issue by adding more fluid to the body. Placing the client in a high Fowler's position (B) is more relevant for respiratory issues than fluid volume excess. While measuring intake and output (C) is important for assessing fluid balance, restricting sodium intake is the priority as it helps manage fluid levels more effectively by reducing fluid retention.