To begin your discussion, you explain to her that the endocrine glands include, which of the following?

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Adult Health Nursing Test Bank Questions

Question 1 of 9

To begin your discussion, you explain to her that the endocrine glands include, which of the following?

Correct Answer: A

Rationale: The correct answer is A because it includes all the major endocrine glands: pituitary, thyroid, parathyroid, adrenals, pancreatic islets, and hypothalamus. The pituitary gland is known as the "master gland" as it controls other endocrine glands. The thyroid gland regulates metabolism, while the parathyroid glands regulate calcium levels. The adrenal glands produce hormones involved in stress response. Pancreatic islets produce insulin and glucagon. The hypothalamus plays a key role in hormone regulation. Choice B is incorrect because it includes ovaries and testes, which are not endocrine glands. Choice C is incorrect because it omits the hypothalamus. Choice D is incorrect because it includes ovaries and testes which are not endocrine glands.

Question 2 of 9

Before admitting the client, you should FIRST make sure that:

Correct Answer: A

Rationale: The correct answer is A because obtaining the client's own consent is the first step in ensuring the client's autonomy and right to make decisions about their own care. This is in line with ethical principles of informed consent. Choices B, C, and D are incorrect because consent should come directly from the client, not from a spouse, family member, or social worker. Choice B violates the principle of individual autonomy, choice C is not the priority before admission, and choice D is not the appropriate person to provide consent.

Question 3 of 9

Which of the following situations will the nurse consider as risks factors for complicated grief?

Correct Answer: B

Rationale: The correct answer is B because the death of a spouse, child, or death by suicide are all significant losses that can lead to complicated grief due to the intensity of emotions and the disruption of daily life. These experiences can result in prolonged and severe grieving processes that may require professional intervention. Explanation for other choices: A: Childbirth, marriage, and divorce are not typically considered risk factors for complicated grief as they are more commonly associated with expected life events that may involve grief but not necessarily lead to complicated grief. C: Inadequate perception of the grieving process may contribute to difficulties in coping with grief but is not a direct risk factor for complicated grief. D: While inadequate support can impact the grieving process, and old age may present unique challenges, they are not specific risk factors for complicated grief compared to the profound loss experienced in choice B.

Question 4 of 9

In nursing, Nurse Trining explained that the MAIN goal of conducting research is to______.

Correct Answer: B

Rationale: The correct answer is B: establish a credit body of evidence to support and improve the delivery of care. Conducting research in nursing aims to generate a robust evidence base to inform and enhance the quality of care provided to patients. This evidence helps in identifying best practices, improving patient outcomes, and advancing the nursing profession as a whole. Choice A is incorrect because the main goal of research is not to solely justify the role of nurses, but rather to improve care delivery. Choice C is incorrect as the goal is not to justify an oversupply of nurses, but to address healthcare needs effectively. Choice D is incorrect because the focus of nursing research is on nursing-related issues, not non-nursing problems.

Question 5 of 9

A postpartum client presents with severe abdominal pain, nausea, and vomiting. Which nursing action is most appropriate?

Correct Answer: C

Rationale: In a postpartum client who presents with severe abdominal pain, nausea, and vomiting, it is crucial to assess for signs of peritonitis or surgical abdomen. These signs may include rebound tenderness, guarding, rigidity, and fever. Peritonitis is a serious condition that may require immediate surgical intervention. Administering antiemetic medication, encouraging clear fluids, or providing a heating pad may not address the underlying cause of the symptoms and delay appropriate treatment. Assessing for signs of peritonitis or surgical abdomen is crucial for prompt identification and management of the client's condition.

Question 6 of 9

A patient presents with intensely pruritic, linear burrows on the web spaces of the hands and wrists. The patient reports a history of close contact with an individual diagnosed with a similar condition. Which of the following conditions is most likely responsible for this presentation?

Correct Answer: A

Rationale: The correct answer is A: Scabies. This presentation is classic for scabies infestation caused by the Sarcoptes scabiei mite. The intensely pruritic linear burrows are pathognomonic. Close contact with an individual with scabies increases the likelihood of transmission. The other choices, B: Pediculosis, C: Tinea corporis, and D: Contact dermatitis, do not typically present with linear burrows on the hands and wrists. Pediculosis presents with lice infestation, Tinea corporis with circular lesions, and contact dermatitis with erythema and edema.

Question 7 of 9

Ms. Nena is specifically assigned to talk individually with community leaders like the primary grade teacher and the barangay official in charge of the health committee. Which data collection method will the nurse use?

Correct Answer: A

Rationale: The correct answer is A: Key informant interview. Ms. Nena will use this method to gather in-depth information from knowledgeable individuals within the community. This approach allows her to gain insights and perspectives from key stakeholders, such as the primary grade teacher and barangay official, who have first-hand knowledge and experience. Key informant interviews are particularly useful for obtaining specific details, opinions, and insights that may not be easily accessible through other methods. In contrast, participant observer involves direct participation in community activities, community mapping focuses on spatial data collection, and social survey typically involves collecting data from a larger sample size rather than individual key informants.

Question 8 of 9

A patient receiving palliative care for end-stage cancer experiences intractable pain despite receiving opioid medications. What intervention should the palliative nurse prioritize to address the patient's pain?

Correct Answer: D

Rationale: The correct answer is D because referring the patient to a pain management specialist for evaluation is essential in this scenario. The specialist can conduct a comprehensive assessment to identify the underlying causes of the intractable pain and recommend a tailored pain management plan. This approach ensures a multidisciplinary approach to address the complex nature of the patient's pain. Choice A is incorrect because simply increasing the dosage of the current opioid medication may not effectively address the underlying cause of the pain and can lead to potential side effects or opioid tolerance. Choice B is incorrect as switching to a different opioid medication without a thorough evaluation may not guarantee better pain control and can increase the risk of adverse effects or inadequate pain relief. Choice C is incorrect as administering adjuvant analgesic medications without addressing the root cause of the pain may not provide adequate pain relief and does not address the need for a specialized pain management plan.

Question 9 of 9

Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which provides a detailed description of the tracheobronchial tree and allows for biopsies of suspicious areas?

Correct Answer: B

Rationale: The correct answer is B: Bronchoscopy. This procedure involves inserting a thin, flexible tube with a camera through the mouth or nose to examine the tracheobronchial tree. It allows direct visualization of the airways, collection of tissue samples for biopsy, and detection of abnormalities like tumors. A: CT scan provides detailed images of the lungs but does not allow for direct tissue sampling. C: Sputum cytology involves examining sputum for cancer cells but may not provide accurate results. D: PET scan is used to detect metabolic activity in tissues, including tumors, but does not provide detailed visualization of the airways or allow for biopsies.

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