HESI RN
Reproductive System Exam Questions
1. Which of the following are signs and symptoms of vaginitis EXCEPT?
- A. Vaginal itching and irritation
- B. Heavy vaginal bleeding
- C. Pain during coitus
- D. Painful urination
Correct answer: B
Rationale: Vaginitis is characterized by symptoms such as vaginal itching, irritation, pain during coitus, and painful urination. However, heavy vaginal bleeding is not typically associated with vaginitis. Vaginal bleeding could be indicative of other conditions like cervical or endometrial issues, but it is not a common symptom of vaginitis.
2. An antibiotic IM injection for a 2-year-old child is ordered. The total volume of the injection equals 2.0 ml. The correct action is to
- A. administer the medication in 2 separate injections
- B. give the medication in the ventrogluteal site
- C. call to get a smaller volume ordered
- D. check with the pharmacy for a liquid form of the medication
Correct answer: A
Rationale: Administering the medication in 2 separate injections is the correct action. When the total volume of an injection is relatively large for a specific site, dividing it into smaller volumes and administering them separately is a safer practice to prevent discomfort, tissue damage, or absorption issues. Giving the medication in the ventrogluteal site can be appropriate for IM injections but does not address the issue of the total volume being too high for a single injection. Calling to get a smaller volume ordered may delay treatment and is not necessary when a safe administration method is available. Checking with the pharmacy for a liquid form of the medication does not directly address the issue of the total volume being too high for a single injection, and changing the formulation may not be necessary if the correct administration technique can be applied.
3. A client has been taking oral corticosteroids for the past five days because of seasonal allergies. Which assessment finding is of most concern to the nurse?
- A. White blood count of 10,000/mm³.
- B. Serum glucose of 115 mg/dL.
- C. Purulent sputum.
- D. Excessive hunger.
Correct answer: C
Rationale: The correct answer is C: Purulent sputum. Corticosteroids can suppress the immune system, increasing the risk of infections. Purulent sputum suggests a possible respiratory infection, which can rapidly progress and lead to complications, making it the most concerning finding. Choice A, a white blood count of 10,000/mm³, is within the normal range and not typically a cause for immediate concern. Choice B, a serum glucose level of 115 mg/dL, is also normal and not directly related to corticosteroid use. Choice D, excessive hunger, is a common side effect of corticosteroids but is not as concerning as a sign of infection indicated by purulent sputum.
4. A nurse manager is focusing on improving communication on the unit. Which of the following best describes the importance of this focus?
- A. The nurse manager's focus on communication is essential to ensure that all staff members are informed, understand their roles, and can work together effectively to provide quality care.
- B. The nurse manager's focus on communication is important to ensure that information is shared effectively and that there is a clear understanding of roles and responsibilities on the unit.
- C. The nurse manager's focus on communication is crucial to ensuring that all staff members are working together effectively and that there is a shared understanding of the unit's goals and priorities.
- D. The nurse manager's focus on communication is vital to creating an open and transparent environment where staff members feel comfortable sharing information and concerns.
Correct answer: A
Rationale: The correct answer is A. Effective communication is essential for ensuring that all staff members are informed, understand their roles, and can collaborate effectively to provide quality care. Choice B focuses more on information sharing and understanding roles but lacks emphasis on effective teamwork and quality care provision. Choice C mentions staff working together effectively and understanding unit goals, but it does not explicitly highlight the importance of staff being informed and understanding their roles. Choice D emphasizes creating an open environment for sharing information and concerns, which is important but does not encompass the broader aspects of effective communication as described in choice A.
5. The nurse is caring for a 15-year-old adolescent who is admitted with a diagnosis of bulimia nervosa. The adolescent’s vital signs are stable, but the nurse notes that the client has dry skin and appears thin. What is the nurse’s priority action?
- A. Initiate a structured eating plan for the client
- B. Establish a therapeutic relationship with the client
- C. Monitor the client’s electrolyte levels
- D. Provide education on healthy eating habits
Correct answer: C
Rationale: In clients with bulimia nervosa, electrolyte imbalances are common due to purging behaviors and can lead to severe complications. Monitoring electrolyte levels is essential to detect and manage any imbalances promptly, as they can be life-threatening.