HESI RN
Reproductive Health Exam Questions And Answers
1. What is the most common cause of abortion in Zambia?
- A. Malaria.
- B. Tuberculosis.
- C. HIV.
- D. Ascariasis.
Correct answer: A
Rationale: The correct answer is A: Malaria. Malaria is a prevalent cause of abortion in Zambia due to its impact on maternal health. Malaria infection during pregnancy can lead to severe complications, including miscarriage. Choices B, C, and D are incorrect because while Tuberculosis, HIV, and Ascariasis are significant health issues, they are not the commonest cause of abortion in Zambia as Malaria.
2. The practical nurse is caring for a child who was admitted for treatment of seizures. Which intervention should the nurse implement to help prevent injury from a seizure?
- A. Have a padded tongue depressor at the bedside.
- B. Keep the side rails padded and in an upright position.
- C. Place a padded helmet on the child’s head.
- D. Restrain the child during the seizure activity.
Correct answer: B
Rationale: The correct intervention to help prevent injury during a seizure is to keep the side rails padded and in an upright position. This measure helps to ensure the child's safety by preventing falls or accidental injuries. Using a padded tongue depressor or restraining the child can potentially cause harm and are not recommended. Placing a padded helmet is not a standard intervention for seizure safety in this scenario.
3. In missed abortion, what will the woman often experience?
- A. Severe cramping and lower abdominal pains
- B. Brownish vaginal discharge
- C. Profuse per vagina bleeding
- D. Open cervical OS
Correct answer: B
Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.
4. A patient is admitted to the hospital for treatment of pneumonia after complaining of high fever and shortness of breath. The patient was not able to produce sputum for a culture. The nurse will expect the patient’s provider to order
- A. a broad-spectrum antibiotic.
- B. a narrow-spectrum antibiotic.
- C. multiple antibiotics.
- D. the pneumococcal vaccine.
Correct answer: A
Rationale: In this scenario where the offending organism causing pneumonia is unknown due to the inability to produce sputum for culture, the appropriate choice is a broad-spectrum antibiotic. Broad-spectrum antibiotics are effective against a wide range of bacteria and are commonly used when the specific pathogen is unidentified. Narrow-spectrum antibiotics target specific types of bacteria and are chosen based on culture and sensitivity results. Using multiple antibiotics without a clear indication from culture and sensitivity testing can lead to antibiotic resistance and is not recommended in this situation. Additionally, the pneumococcal vaccine is preventive and does not treat an ongoing infection like pneumonia.
5. Which of the following is incorrect about oral contraceptive pill 'Saheli'?
- A. It is taken by females
- B. It has very few side effects
- C. It is a steroidal preparation
- D. It is 'Once a week' pill
Correct answer: C
Rationale: Saheli' is not a steroidal preparation, it is a non-steroidal oral contraceptive.