HESI RN
Reproductive Health Exam Questions And Answers
1. In which part of the fallopian tube is tubal abortion most common?
- A. Ampullary portion
- B. Isthmus
- C. Interstitial portion
- D. Infundibulum
Correct answer: C
Rationale: Tubal abortion is most common when the ovum implants in the interstitial portion of the fallopian tube. This location is the narrowest part of the tube, making it more prone to obstruction or difficulty in the passage of the fertilized ovum. Choices A, B, and D are incorrect because tubal abortion is more likely to occur in the interstitial portion rather than the ampullary portion, isthmus, or infundibulum of the fallopian tube.
2. When reinforcing information about the use of corticosteroids in treating asthma in children, which statement indicates that the parent understands the teaching?
- A. My child should take the medication only when experiencing symptoms.
- B. I will rinse my child's mouth after each use of the inhaler.
- C. I should discontinue the medication if my child seems better.
- D. Corticosteroids are used for quick relief during an asthma attack.
Correct answer: B
Rationale: Rinsing the mouth after using corticosteroid inhalers is crucial as it helps prevent oral thrush, a common side effect associated with these medications. This practice reduces the risk of developing fungal infections in the mouth and throat, maintaining optimal oral health during asthma treatment.
3. An emergency department nurse assesses a client with kidney trauma and notes that the client’s abdomen is tender and distended, and blood is visible at the urinary meatus. Which prescription should the nurse consult the provider about before implementation?
- A. Assessing vital signs every 15 minutes
- B. Inserting an indwelling urinary catheter
- C. Administering intravenous fluids at 125 mL/hr
- D. Typing and crossmatching for blood products
Correct answer: B
Rationale: In a client with kidney trauma and blood visible at the urinary meatus, inserting a urinary catheter via the urethra should be avoided until further diagnostic studies are completed to prevent potential urethral tears. The nurse should consult the provider about the need for a catheter; if necessary, a suprapubic catheter can be used instead. Assessing vital signs every 15 minutes is important for continuous monitoring of the client's condition. Administering intravenous fluids at 125 mL/hr is crucial to maintain hydration and support kidney function. Typing and crossmatching for blood products is necessary in case the client requires blood transfusion due to potential blood loss from the trauma.
4. A nurse is preparing to insert an indwelling urinary catheter in a female client. Which action should the nurse take to maintain sterile technique?
- A. Apply sterile gloves before inserting the catheter
- B. Use sterile gloves to insert the catheter
- C. Clean the urinary meatus with an antiseptic solution
- D. Place the drainage bag above the level of the bladder
Correct answer: B
Rationale: Using sterile gloves to insert the catheter is crucial to maintaining sterile technique. Sterile gloves help prevent the introduction of microorganisms during the insertion process. Applying sterile gloves before cleansing the perineal area (Choice A) is important but not specific to maintaining sterility during catheter insertion. Cleaning the urinary meatus with an antiseptic solution (Choice C) is a step in the catheterization process but does not solely ensure sterile technique. Placing the drainage bag above the level of the bladder (Choice D) is incorrect; the bag should be placed below the level of the bladder to facilitate urine drainage.
5. Oligomenorrhea is defined as a cycle longer than:
- A. 28 days
- B. 30 days
- C. 35 days
- D. 40 days
Correct answer: C
Rationale: Oligomenorrhea is defined as a menstrual cycle longer than 35 days. A cycle of 28 days (Choice A) is within the normal range, and not considered oligomenorrhea. Similarly, 30 days (Choice B) and 40 days (Choice D) are also within the normal range. The correct definition of oligomenorrhea specifically refers to cycles longer than 35 days, making Choice C the correct answer.