HESI RN
Reproductive Health Exam Questions And Answers
1. During which phase of the menstrual cycle does the Graafian follicle rupture?
- A. Regenerative
- B. Menstruation
- C. Ovulation
- D. Proliferative
Correct answer: C
Rationale: The correct answer is C: Ovulation. The Graafian follicle ruptures during the ovulation phase, releasing the mature egg from the ovary. This process marks the midpoint of the menstrual cycle. Choice A, Regenerative, is incorrect as it does not correspond to a specific phase of the menstrual cycle. Choice B, Menstruation, is incorrect because menstruation is the shedding of the uterine lining and occurs after ovulation if fertilization does not occur. Choice D, Proliferative, is incorrect as it refers to the phase in which the uterine lining thickens in preparation for a potential embryo implantation, which happens after ovulation.
2. After a session of hemodialysis, the nurse should monitor the client for which of the following complications of hemodialysis?
- A. Hyperkalemia.
- B. Hypotension.
- C. Infection.
- D. Fever.
Correct answer: B
Rationale: The correct answer is 'B: Hypotension.' Hypotension is a common complication of hemodialysis because fluid removal during the process can lead to a drop in blood pressure. The nurse should closely monitor the client for signs of hypotension such as dizziness, lightheadedness, or a decrease in blood pressure readings. Choice 'A: Hyperkalemia' is incorrect because hemodialysis actually helps lower potassium levels by removing excess potassium from the blood. Choice 'C: Infection' is incorrect as it is not a direct complication of hemodialysis but rather a risk associated with invasive procedures. Choice 'D: Fever' is incorrect as fever is not a typical immediate post-hemodialysis complication unless an underlying infection is present.
3. Which of the following is included in a gynecological examination?
- A. Abdominal examination
- B. General and systemic examination
- C. Obstetric exam
- D. Pelvic examination
Correct answer: A
Rationale: Correct! A gynecological examination typically includes an abdominal examination to assess the overall health of the patient. This includes checking for any abnormalities, tenderness, or masses. General and systemic examinations are also important as they provide valuable information about the patient's overall health status. Pelvic examination is another essential component of a gynecological exam to assess the reproductive organs. Obstetric exams, focusing on pregnant women, are not part of routine gynecological examinations.
4. A client is being taught about the use of enoxaparin (Lovenox) for the prevention of deep vein thrombosis. Which instruction should the nurse include in the teaching plan?
- A. Inject the medication subcutaneously.
- B. Avoid massaging the injection site after administration.
- C. Administer the medication at the same time each day.
- D. Do not expel the air bubble from the syringe before injection.
Correct answer: C
Rationale: Enoxaparin (Lovenox) is administered subcutaneously at the same time each day to maintain consistent blood levels. Injecting the medication into the muscle is incorrect, as it should be given subcutaneously. Massaging the injection site should be avoided to prevent bruising. The air bubble in the prefilled syringe should not be expelled, as it ensures the full dose is administered.
5. The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before initiating this prescription, it is most important for the LPN/LVN to assess the client for which condition?
- A. Gestational diabetes.
- B. Elevated blood pressure.
- C. Urinary tract infection.
- D. Swelling in lower extremities.
Correct answer: A
Rationale: The correct answer is A: Gestational diabetes. Terbutaline (Brethine) is known to cause hyperglycemia, so it is crucial to assess for gestational diabetes before administering it. Assessing for elevated blood pressure (choice B), urinary tract infection (choice C), or swelling in lower extremities (choice D) is not directly related to the potential side effect of terbutaline in causing hyperglycemia.