Adult Health Nursing Test Banks

Correct Answer: A

Rationale: The healthcare team should prioritize performing endoscopic hemostasis with mechanical or thermal techniques in a patient with acute gastrointestinal bleeding (GIB) requiring urgent intervention. This approach involves directly visualizing the bleeding site and applying methods such as clipping, coagulation, or band ligation to stop the bleeding. Endoscopic hemostasis is considered the gold standard for managing acute GIB as it allows for both diagnostic and therapeutic intervention in real-time, offering a targeted and effective way to control bleeding and prevent recurrent episodes. Administering proton pump inhibitors (PPIs) may help in reducing gastric acid secretion and promoting ulcer healing but is not the primary intervention for actively bleeding patients. Implementing strict bed rest may be necessary in some cases to minimize physical exertion, but it is not the primary intervention to manage acute GIB. Transfusion of fresh frozen plasma to correct coagulopathy may be necessary if

Correct Answer: C

Rationale: The element involved when a nurse initiates interpersonal communication is the sender. In the communication process, the sender is the person who initiates the message or information to be conveyed to the receiver. In this case, the nurse is taking on the role of the sender by initiating the communication with the patient, another healthcare professional, or any other individual. The sender is responsible for encoding the message and selecting the appropriate channel to convey it effectively. Therefore, in this scenario, the nurse is the one initiating communication, making her the sender in the communication process.

Correct Answer: D

Rationale: Public Health Nursing is a specialized field of nursing that focuses on promoting and protecting the health of populations and communities rather than individuals. One of the key principles of Public Health Nursing is the emphasis on health promotion and disease prevention strategies. This involves educating and empowering individuals, families, and communities to adopt healthy behaviors and lifestyles in order to prevent illness and improve overall well-being. Public Health Nurses work to address the root causes of health disparities and advocate for policies and programs that promote the health of entire populations. While providing care to sick individuals may be a component of Public Health Nursing, the primary focus is on preventing illness and promoting health at the community level.

Correct Answer: D

Rationale: The diagnosis of gestational diabetes mellitus (GDM) is typically confirmed through an oral glucose tolerance test (OGTT) during pregnancy. In GDM, the 2-hour plasma glucose level during the OGTT is equal to or greater than 140 mg/dL. This finding is characteristic of GDM and distinguishes it from other types of diabetes. Fasting blood glucose ?126 mg/dL is diagnostic of diabetes mellitus outside of pregnancy, not specifically GDM. Random plasma glucose ?200 mg/dL is indicative of uncontrolled diabetes in general. Hemoglobin A1c (HbA1c) ?6.5% is used for diagnosing diabetes outside of pregnancy and is not specific to GDM.

Correct Answer: A

Rationale: Nurse Nilda immediately responds to any cry from her pediatric patients to attend to her patients who cannot communicate verbally. Crying is one of the few ways infants and young children communicate their needs and discomforts. By responding promptly to their cries, Nurse Nilda can assess and address potential issues such as hunger, pain, discomfort, or other needs that the child may have. This enhances the quality of care provided and helps in comforting and soothing the child, ultimately promoting their well-being and building trust between the nurse and the patient.