Adult Health Med Surg Nursing Test Banks

Correct Answer: A

Rationale: Endometriosis is the most likely condition responsible for the symptoms described in this scenario. Endometriosis is a chronic condition in which endometrial-like tissue grows outside the uterus, commonly affecting the pelvic structures such as the ovaries, fallopian tubes, and pelvic peritoneum. The main symptoms include cyclic pelvic pain, dysmenorrhea (painful periods), and dyspareunia (pain during intercourse). The retroverted and fixed uterus on examination may be due to adhesions from endometriosis, causing the uterus to be fixed in position. Endometriosis should be considered in women of reproductive age presenting with these symptoms and pelvic examination findings.

Correct Answer: B

Rationale: The professional conduct of doctors, nurses, and other healthcare providers in health facilities primarily aligns with patient care standards. This quality standard ensures that healthcare professionals prioritize the well-being, safety, and comfort of the patients they serve. Patient care standards encompass various aspects of healthcare delivery, including effective communication, compassionate treatment, adherence to medical protocols, and respect for patient rights and confidentiality. By upholding patient care standards, healthcare providers demonstrate their commitment to delivering quality care and maintaining the trust and confidence of their patients.

Correct Answer: D

Rationale: While urinalysis can provide valuable information about a person's health status and can be part of a clinical assessment, it is not typically considered a common screening test for specific diseases or conditions. The other options listed - Pap smears for cervical cancer screening, cholesterol levels for heart disease screening, and PSA levels for prostate cancer screening - are all commonly used screening tests aimed at early detection of specific diseases. Urinalysis is more commonly used as part of a broader health assessment or diagnostic evaluation rather than a dedicated screening tool for a specific condition.

Correct Answer: B

Rationale: Nurses are bound by strict confidentiality and privacy regulations in their profession. If a nurse fails to keep a patient's personal information confidential and discloses it without authorization, they can be charged with invasion of privacy. Invasion of privacy is the wrongful intrusion into a person's private affairs without their consent, and it is a serious violation of ethical and legal standards in healthcare. Nurses must always prioritize patient confidentiality to maintain trust and uphold ethical standards in their practice.

Correct Answer: A

Rationale: For a patient diagnosed with a hemorrhagic stroke, the caregiver should ensure that the bed is positioned in a High-Fowler's position. This position involves elevating the head of the bed between 60 to 90 degrees. Elevating the head of the bed helps to reduce intracranial pressure and promote optimal cerebral perfusion. It also assists in maintaining proper ventilation and oxygenation, which are essential for the patient's recovery. It is important to avoid positioning the patient flat or in a prone position as these may exacerbate the condition and lead to further complications.