Adult Health Nursing Test Banks

Correct Answer: C

Rationale: The main source of nutrition for the baby during pregnancy is the placenta. The placenta is an organ that develops inside the uterus during pregnancy and provides essential nutrients and oxygen from the mother's blood to the baby through the umbilical cord. It acts as a barrier, protecting the baby from harmful substances while allowing necessary nutrients to pass through. The amniotic fluid serves as a protective cushion for the baby, the uterus provides the space for the baby to grow, and chorionic villi are small, hair-like structures on the placenta that aid in the exchange of nutrients and waste between the mother and the baby. However, the primary source of nutrition for the baby is the placenta, making option C the correct answer in this scenario.

Correct Answer: A

Rationale: ORNAP stands for Operating Room Nurses Association of the Philippines, which is an appropriate professional organization for Merle to actively join after 3 years of experience in the Operating Room. ORNAP is dedicated to promoting professional growth and development, advancing the standards of perioperative nursing practice, and providing a platform for networking and collaboration among operating room nurses in the Philippines. By becoming a member of ORNAP, Merle can stay updated on the latest trends and best practices in perioperative nursing, participate in continuing education opportunities, and connect with colleagues in the same field to enhance her skills and knowledge.

Correct Answer: B

Rationale: The clinical scenario described is consistent with a diagnosis of anterior epistaxis due to a prominent vascular lesion located in Little's area, which is an important site for nosebleeds. Silver nitrate cautery is the most appropriate intervention for managing this condition. Silver nitrate cautery is a commonly used method to chemically cauterize and eliminate the friable blood vessels responsible for recurrent epistaxis. It is a cost-effective and minimally invasive technique that can be easily performed in an outpatient setting. Nasal packing with anterior nasal tampons might be considered in cases of severe or refractory epistaxis, but in this scenario, where the source of bleeding is localized and identifiable, silver nitrate cautery is the treatment of choice. Endoscopic cauterization of the sphenopalatine artery and surgical excision of a nasal polyp are unnecessary and overly invasive for the described scenario.

Correct Answer: C

Rationale: The salivary glands are responsible for the production of saliva, which aids in lubricating the oral cavity and initiating the digestion of carbohydrates. Saliva contains enzymes that begin the digestive process by breaking down carbohydrates into simpler sugars. The liver is involved in the production of bile, which aids in the digestion and absorption of fats. The gallbladder stores bile produced by the liver, which is released into the small intestine. The pancreas produces digestive enzymes that are released into the small intestine to aid in the digestion of proteins, fats, and carbohydrates.

Correct Answer: B

Rationale: The patient's presentation of well-demarcated, erythematous plaques with silvery scales on the trunk and extensor surfaces of the limbs is classic for psoriasis. Additionally, the family history of similar skin lesions further supports the diagnosis of psoriasis, as it is a condition with a genetic predisposition. Pityriasis rosea typically presents with a herald patch followed by oval, scaly lesions in a Christmas tree pattern. Erythema multiforme is characterized by target-like lesions. Lichen planus presents as purple, polygonal, flat-topped papules that may have fine white lines on their surface known as Wickham striae.