HESI RN
Reproductive Health Exam
1. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
- A. Risk for infection
- B. Pain
- C. Knowledge Deficit
- D. Anticipatory Grieving
Correct answer: D
Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.
2. What does Informed Consent mean?
- A. A patient has the right to know what a procedure involves before it is performed.
- B. Forcing all patients scheduled for surgery to sign a consent form.
- C. Telling the patient to sign the consent form without explanation.
- D. Allowing patients to undergo procedures without their consent.
Correct answer: A
Rationale: Informed Consent means that a patient has the right to be informed about what a procedure involves before it is performed. Choice B is incorrect because consent should not be forced, and patients should have the opportunity to understand what they are agreeing to. Choice C is incorrect as it goes against the essence of informed consent, which requires explanation. Choice D is incorrect as it contradicts the fundamental principle of requiring patient consent before procedures.
3. How can menopause affect health?
- A. Causing conjunctivitis
- B. Leading to colitis or bowel upsets
- C. Increasing the risk of cancer
- D. Triggering urinary infections
Correct answer: D
Rationale: Menopause can lead to changes in the urinary tract, such as decreased estrogen levels, which can increase the likelihood of urinary tract infections. While menopause can impact various aspects of health, including bone density and heart health, it is not directly linked to conjunctivitis, colitis, or an increased risk of cancer. Therefore, the correct answer is D.
4. Which phase of the menstrual cycle is variable?
- A. Ovulatory
- B. Regenerative
- C. Secretory
- D. Menstrual
Correct answer: B
Rationale: The regenerative phase of the menstrual cycle is the phase in which the endometrium rebuilds after menstruation. This phase can vary in duration from woman to woman and cycle to cycle. Choice A, the ovulatory phase, is not variable as it typically lasts around 24 hours. Choice C, the secretory phase, is also relatively consistent in its duration. Choice D, the menstrual phase, is the shedding of the endometrial lining and usually lasts around 3-7 days.
5. What is amniocentesis used to detect?
- A. Sexually transmitted diseases
- B. Presence of certain genetic disorders
- C. Causes of infertility
- D. Presence of pneumonia germs
Correct answer: B
Rationale: Amniocentesis is a prenatal test used to detect certain genetic disorders in a developing fetus. It involves collecting a small sample of the amniotic fluid surrounding the fetus and analyzing the genetic material present in the cells. This test is not used to detect sexually transmitted diseases, causes of infertility, or the presence of pneumonia germs. Therefore, the correct answer is B.
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