HESI RN
Reproductive System Exam Quizlet
1. What forms the vaginal lining?
- A. Squamous epithelium
- B. Stratified epithelium
- C. Vascular connective tissue
- D. Muscle coat
Correct answer: A
Rationale: The vaginal lining is primarily formed by squamous epithelium. Squamous epithelium is the correct answer because it is the type of epithelium that lines the vaginal canal. Stratified epithelium consists of multiple layers and is not the primary type found in the vaginal lining. Vascular connective tissue and muscle coat are not the main components of the vaginal lining, making them incorrect choices.
2. A client with a history of seizures is being discharged with a prescription for phenytoin (Dilantin). Which instruction should the nurse provide this client?
- A. Take the medication with meals
- B. Avoid alcohol while taking this medication
- C. Limit sodium intake
- D. Take the medication at bedtime
Correct answer: B
Rationale: The correct instruction is to advise the client to avoid alcohol while taking phenytoin. Alcohol can interact with phenytoin, making it less effective and leading to increased side effects. Taking the medication with meals (Choice A) may help reduce gastrointestinal upset but is not the most crucial instruction for this medication. Limiting sodium intake (Choice C) is not directly related to phenytoin therapy. Taking the medication at bedtime (Choice D) is not a standard instruction for phenytoin administration.
3. A client with diabetes is being educated about the dietary source that should provide the greatest percentage of their calories. Which of the following statements by the client indicates an understanding of the teaching?
- A. Most of my calories each day should be from fats.
- B. I should eat more calories from complex carbohydrates than anything else.
- C. Simple sugars are needed more than other calorie sources.
- D. Protein should be my main source of calories.
Correct answer: B
Rationale: The correct answer is B. In diabetes management, complex carbohydrates should constitute the largest portion of the diet as they help in maintaining steady energy levels and managing blood sugar. Choice A is incorrect because a high-fat diet can lead to complications in diabetes. Choice C is incorrect as simple sugars can cause rapid spikes in blood sugar levels. Choice D is incorrect as protein, while important, should not be the main source of calories for a diabetic individual.
4. What is the inner lining of the non-pregnant uterus called?
- A. Decidua
- B. Myometrium
- C. Endometrium
- D. Sponge layer
Correct answer: C
Rationale: The correct answer is C, Endometrium. The endometrium is the inner lining of the non-pregnant uterus that undergoes cyclic changes in response to hormonal fluctuations during the menstrual cycle. Choice A, Decidua, is the specialized membrane formed during pregnancy. Choice B, Myometrium, refers to the middle layer of the uterine wall composed of smooth muscle. Choice D, Sponge layer, is not a term used to describe the inner lining of the uterus.
5. The occupational health nurse is working with a female employee who was just notified that her child was involved in a motor vehicle accident (MVA) and taken to the hospital. The employee states, “I can’t believe this. What should I do?” Which response is best for the nurse to provide in this crisis?
- A. Tell me what you think should be done.
- B. How serious was the collision?
- C. What do you think you should do?
- D. Call for transportation to the hospital.
Correct answer: D
Rationale: In a crisis situation where the female employee's child is involved in a motor vehicle accident (MVA) and taken to the hospital, the most appropriate response for the nurse is to provide immediate practical assistance. Calling for transportation to the hospital ensures that the employee can quickly reach her child in need of urgent medical attention. The other options (A, B, and C) do not address the immediate need for assistance and may not provide the necessary support required in such a critical situation.