Pharm hesi v1 315 Exam Test Exam with 205questions and
answers 100%Correctly verified answers latest update
2024/2025 RATED A+
What hormone stimulates the release of the follicle-stimulating hormone (FSH) from both
male and female glands?
A)Growth hormone-releasing hormone (GHRH)
B)Thyrotropin-releasing hormone (TRH)
C)Gonadotropin-releasing hormone (GnRH)
D)Prolactin-releasing hormone (PRH) - CORRECT ANSWERS c
The male and female glands respond to luteinizing hormone (LH) and FSH, which are
released from the anterior pituitary in response to stimulation from GnRH that is released
from the hypothalamus. GHRH stimulates the release of the growth hormone, which targets
cell growth. TRH stimulates the thyroid-stimulating hormone, which targets the thyroid
gland. PRH stimulates the release of prolactin, which is necessary for milk production.
A nurse is providing patient education to a patient as part of her work in a fertility clinic.
The nurse explains possible reasons for infertility. When explaining how the ovaries are
involved in conception, what will the nurse stress?
A)Ova quickly degenerate and most are absorbed in the body before the age of 12.
B)The ovaries at birth contain all of the ova that a woman will have.
C)Ova aggregate, causing millions to be contained in a storage site called a follicle.
D)Follicles produce only estrogen; the uterus produces progesterone. - CORRECT ANSWERS
b
It would be important to explain that the woman's ova do not increase or decrease from
birth to childbearing years. The nurse will stress that all the ova that a woman will have will
be present at birth. The patient should understand that if she does not ovulate 1 month or
for several months, it is not because she has done something to her body to cause this. Ova
slowly degenerate over a lifetime or they are released once a month until menopause is
complete. Each ovum is contained in a storage site called a follicle, which produces the
female sex hormones, estrogen and progesterone.
,Pharm hesi v1 315 Exam Test Exam with 205questions and
answers 100%Correctly verified answers latest update
2024/2025 RATED A+
The nursing instructor is discussing the physiology of pregnancy with her clinical group.
What hormone, produced during pregnancy, would the instructor tell the students helps to
maintain the pregnancy until birth of the fetus?
A)High levels of estrogen only
B)High levels of estrogen, low levels of progesterone
C)Low levels of estrogen, high levels of progesterone
D)High levels of estrogen and progesterone - CORRECT ANSWERS D
Feedback:
In a pregnant woman, both estrogen and progesterone hormones have specific functions.
High levels of both hormones are needed for the maintenance of pregnancy.
The nursing instructor is talking with her class of students about the female reproductive
system. A student is trying to understand the role of progesterone in the body. What
nonreproductive affect does progesterone have on the body?
A)Decreased body temperature B)Decreased appetite C)Anti-insulinD)Increased uterine
motility - CORRECT ANSWERS C
Feedback:
Progesterone has an anti-insulin effect to generate a higher blood glucose concentration to
allow for rapid diffusion of glucose to the developing embryo. Body temperature and
appetite are increased by progesterone. Uterine motility is decreased to provide increased
chance that implantation can occur.
What hormone causes ovulation to occur? A)Adrenocorticotropic hormone (ACTH)
B)Luteinizing hormone (LH)
C)Prolactin
D)Follicle-stimulating hormone (FSH) - CORRECT ANSWERS B
Feedback:
When the circulating estrogen level rises high enough, it stimulates a massive release of LH
from the anterior pituitary causing one of the developing follicles to burst and release the
ovum with its stored hormones into the system. ACTH targets the adrenal corticosteroid
hormone, which helps prepare the body for the "fight or flight" response. Prolactin is
,Pharm hesi v1 315 Exam Test Exam with 205questions and
answers 100%Correctly verified answers latest update
2024/2025 RATED A+
responsible for milk production and FSH in combination with LH stimulate follicles on the
outer surface of the uterus to grow and develop and also stimulates the release of estrogen
and progesterone.
A 16-year-old girl comes to the clinic complaining of severe menstrual cramps. The girl is
concerned about the pain and worried that "something is wrong." The nurse explains to the
patient that she has cramping during her menstrual period because of what?
A)An increase in the levels of estrogen and progesterone, which cause uterine contractions
B)Low levels of plasminogen in the uterus that cause the shedding of the lining of the
uterus
C)Prostaglandins in the uterus, which stimulate uterine contractions to clamp off vessels as
the lining of her uterus sheds
D)An increase in progesterone and a decrease of estrogen cause the lining of the uterus to
slough away - CORRECT ANSWERS C Feedback:
Prostaglandins in the uterus stimulate uterine contractions to clamp off vessels in the lining
of the uterus, which is the cause of the cramping. The decrease of estrogen and
progesterone after the involution of the corpus luteum triggers the release of follicle-
stimulating hormone (FSH) and luteinizing hormone (LH). The decreased levels of FSH and
LH cause the inner lining of the uterus to slough off because the vascular system is no
longer being stimulated. High, not low, levels of plasminogen in the uterus prevent clotting
of the lining as the vessels shear off.
What drug would the nurse expect to administer if beta-specific adrenergic agonist effects
are desired to prevent bronchospasm during anesthesia?
A)Dobutamine (Dobutrex) B)Ephedrine (generic) C)Isoproterenol (Isuprel)
D)Phenylephrine (Neo-Synephrine) - CORRECT ANSWERS C
Isoproterenol is a beta-specific adrenergic agonist used to prevent bronchospasm during
anesthesia. Phenylephrine is an alpha-specific adrenergic agonist. Both dobutamine and
ephedrine are alpha- and beta-adrenergic agonists.
, Pharm hesi v1 315 Exam Test Exam with 205questions and
answers 100%Correctly verified answers latest update
2024/2025 RATED A+
The nurse is preparing discharge teaching for four patients. Which patient should be
advised by the nurse that over-the-counter cold and allergy preparations contain
phenylephrine and should be avoided?
A)A 47-year-old woman with hypertensionB)A 52-year-old man with adult onset diabetes
C)A 17-year-old girl with symptoms of an upper respiratory infection
D)A 62-year-old man with gout - CORRECT ANSWERS A
Feedback:
Phenylephrine, a potent vasoconstrictor and alpha1-agonist with little or no effect on the
heart or bronchi, is used in many combination cold and allergy products. Patients with
hypertension should avoid these drugs because serious increases in blood pressure could
occur. Use of this drug in patients with diabetes and gout are not contraindicated. An upper
respiratory infection may be an indication for the drug.
The nurse is writing a plan of care for a patient receiving an alpha-specific adrenergic
agonist. What should this plan of care include?
A)Monitoring the patient for diarrhea
B)Monitoring blood pressure and heart rate every 2 to 4 hours
C)Assessing skin turgor for dehydration D)Assessing for fatigue and lethargy - CORRECT
ANSWERS B
Sympathetic stimulation will cause hypertension and increased heart rate so it is important
these be monitored. Sympathetic stimulation will also result in increased sweating,
decreased gastrointestinal activity, and a sense of anxiety and heightened awareness.
Diarrhea, dehydration, fatigue, and lethargy would not be expected.
A nurse receives an order for clonidine (Catapres) for a 25-year-old pregnant woman. What
is the nurse's priority action?
A)Weigh the patient to obtain correct dose/kg/day.
B)Have a second nurse check the dose before administering the drug.
C)Consult with the physician about the order.
D)Make sure the patient is wearing a fetal monitor. - CORRECT ANSWERS Ans:C
Feedback:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller StudyGuideSolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
