HESI RN
Reproductive System Exam Quizlet
1. Risk of endometrial hyperplasia is greatest in individuals who do not menstruate for at least _____ months and require immediate referral:
- A. 2 months
- B. 3 months
- C. 4 months
- D. 5 months
Correct answer: C
Rationale: The correct answer is C: '4 months.' The risk of endometrial hyperplasia is highest in individuals who do not menstruate for at least 4 months. This prolonged exposure to unopposed estrogen can lead to endometrial hyperplasia. Choices A, B, and D are incorrect because the risk is greatest after at least 4 months of not menstruating, not 2, 3, or 5 months.
2. What is included in the Quality of Care in reproductive health?
- A. Ensuring accessible services, privacy, confidentiality, and continuity of care.
- B. Providing reproductive health services only in urban areas.
- C. Ensuring that all women deliver in a hospital setting.
- D. Ensuring that reproductive health services are only provided by doctors.
Correct answer: A
Rationale: The correct answer is A. Quality of care in reproductive health encompasses ensuring accessible services, privacy, confidentiality, and continuity of care. These elements are crucial in providing comprehensive and effective reproductive health services. Choices B, C, and D are incorrect because they do not adequately address the holistic approach required for quality reproductive health care. Providing services only in urban areas limits accessibility, mandating hospital deliveries may not be suitable for all women, and restricting services to doctors only disregards the importance of a multi-disciplinary approach in reproductive health care.
3. A client with depression remains in bed most of the day and declines activities. Which nursing problem has the greatest priority for this client?
- A. Loss of interest in diversional activity.
- B. Social isolation.
- C. Refusal to address nutritional needs.
- D. Low self-esteem.
Correct answer: C
Rationale: The correct answer is C: 'Refusal to address nutritional needs.' When a client with depression remains in bed and declines activities, addressing their refusal to address nutritional needs is of utmost priority. Nutritional needs are essential for physical health and overall well-being. Inadequate nutrition can worsen the client's physical health, impact their mood, and hinder the effectiveness of treatment. Option A, 'Loss of interest in diversional activity,' while important, is not as critical as addressing nutritional needs for immediate physical well-being. Option B, 'Social isolation,' is a significant concern but addressing nutritional needs takes precedence due to its direct impact on physical health. Option D, 'Low self-esteem,' is a valid concern but does not take priority over addressing the client's refusal to meet their nutritional needs for immediate health benefits.
4. An older adult who recently began self-administration of insulin calls the nurse daily to review the steps that should be taken when giving an injection. The nurse has assessed the client's skills during two previous office visits and knows that the client is capable of giving the daily injection. Which response by the nurse is likely to be most helpful in encouraging the client to assume total responsibility for the daily injections?
- A. I know you are capable of giving yourself the insulin.
- B. Giving yourself the injection seems to make you nervous.
- C. When I watched you give yourself the injection, you did it correctly.
- D. Tell me what you want me to do to help you give yourself the injection at home.
Correct answer: C
Rationale: Choice C is the correct answer because focusing on the client's demonstrated ability to self-administer the injection is likely to reinforce his level of competence without sounding punitive. By acknowledging the client's correct performance during the self-injection, the nurse can boost the client's confidence, encouraging him to assume total responsibility for the daily injections. Choices A, B, and D do not directly highlight the client's competence in self-administration, which may not be as effective in promoting independent self-care.
5. The nurse is planning discharge teaching for a client with chronic kidney disease. Which information is most important for the nurse to provide this client?
- A. Monitor daily weights
- B. Limit fluid intake to prevent fluid overload
- C. Report any weight gain of more than 2 pounds in a day
- D. Increase protein intake to promote healing
Correct answer: C
Rationale: The most important information for the nurse to provide a client with chronic kidney disease is to report any weight gain of more than 2 pounds in a day. This is crucial because sudden weight gain can indicate fluid retention, which is a common issue in kidney disease. Monitoring daily weights, as in option A, is important but not as critical as reporting sudden weight gain. Option B, limiting fluid intake, is a general recommendation for kidney disease but not the most important aspect in this scenario. Option D, increasing protein intake, is not appropriate as excessive protein intake can be harmful for clients with kidney disease.