HESI RN
Reproductive Health Exam
1. Which of the following investigations is done in Pelvic Inflammatory Disease?
- A. Paracentesis
- B. Culdocentesis
- C. Hysterectomy
- D. Douching
Correct answer: B
Rationale: Culdocentesis is the correct procedure performed to assess the pelvic cavity, often used in the diagnosis of Pelvic Inflammatory Disease. Paracentesis involves the aspiration of fluid from the abdominal cavity, not typically done for PID. Hysterectomy is the surgical removal of the uterus and is not a diagnostic investigation for PID. Douching is a hygiene practice and not a diagnostic procedure for PID.
2. A client is receiving morphine sulfate for pain management. Which assessment finding requires immediate action?
- A. Constipation
- B. Drowsiness
- C. Respiratory rate of 10 breaths per minute
- D. Nausea
Correct answer: C
Rationale: A respiratory rate of 10 breaths per minute indicates respiratory depression, a serious side effect of morphine sulfate that can lead to respiratory compromise and requires immediate intervention. Constipation, drowsiness, and nausea are common side effects of morphine but are not immediately life-threatening compared to respiratory depression. Monitoring and addressing a low respiratory rate are crucial in preventing further respiratory distress or failure.
3. An elderly client diagnosed with delirium is being treated with antipsychotic medication. Which side effect should the nurse monitor for in this client?
- A. Akathisia
- B. Hallucinations
- C. Orthostatic hypotension
- D. Drowsiness
Correct answer: C
Rationale: The correct side effect that the nurse should monitor for in an elderly client diagnosed with delirium and treated with antipsychotic medication is orthostatic hypotension. Antipsychotic medications can lead to a drop in blood pressure upon standing, particularly in elderly individuals. Akathisia (choice A) refers to a movement disorder characterized by a feeling of inner restlessness and a compelling need to be in constant motion, which can be a side effect of antipsychotic medications but is not specific to elderly clients with delirium. Hallucinations (choice B) are sensory perceptions that appear real but are created by the mind, and while they can be associated with certain conditions or medications, they are not a common side effect of antipsychotic medications in elderly clients with delirium. Drowsiness (choice D) is a general CNS depressant effect that can occur with antipsychotic medications but is not the specific side effect that the nurse should be monitoring for in this case.
4. A client is receiving external radiation therapy for lung cancer. Which intervention is most important for the nurse to include in the client's plan of care?
- A. Encourage the client to use sunscreen when outdoors.
- B. Apply a heating pad to the radiation site.
- C. Instruct the client to avoid using deodorant on the skin near the radiation site.
- D. Advise the client to increase intake of green leafy vegetables.
Correct answer: C
Rationale: Instructing the client to avoid using deodorant on the skin near the radiation site (C) is crucial to prevent skin irritation and potential adverse reactions during external radiation therapy. Sunscreen (A), heating pad (B), and dietary changes (D) are less pertinent in this situation.
5. How can the concept of Integrated Reproductive Health be strengthened?
- A. Through advocacy and IEC
- B. Through community participation
- C. Through radio messages
- D. Through family planning
Correct answer: A
Rationale: The correct answer is A: Through advocacy and IEC. Advocacy and Information, Education, Communication (IEC) campaigns are crucial in strengthening the concept of Integrated Reproductive Health. These efforts help raise awareness, educate the community, and promote positive health behaviors. Choice B, community participation, though important, is not as direct in strengthening the concept as advocacy and IEC. Choice C, radio messages, can be a part of IEC campaigns but alone may not be as effective in strengthening the concept. Choice D, family planning, is a component of Integrated Reproductive Health but is not the most comprehensive approach to strengthening the concept.