Adult Health Nursing Test Bank

Correct Answer: D

Rationale: The correct answer is D because the licensure examination aims to assess if candidates meet the expected competency standards to practice nursing safely and effectively. This process ensures that only qualified individuals enter the profession, maintaining high standards of care. Choice A is incorrect because the exam goes beyond applying theory to include practical skills. Choice B is incorrect as protecting the public is the outcome of ensuring competency. Choice C is incorrect as the exam evaluates the full scope of nursing practice, not just its application.

Correct Answer: A

Rationale: Precipitous labor is characterized by rapid cervical dilation and descent of the fetal presenting part, leading to a shortened labor duration of less than 3 hours. This rapid progression can increase the risk of maternal complications, such as postpartum hemorrhage. Postpartum hemorrhage is defined as excessive bleeding of more than 500 ml after vaginal delivery or more than 1000 ml after cesarean delivery. The rapid delivery in precipitous labor can result in inadequate uterine contractions after delivery, leading to poor uterine tone and potential postpartum hemorrhage due to uterine atony. Therefore, the nurse should anticipate postpartum hemorrhage as a potential maternal complication in a woman experiencing precipitous labor.

Correct Answer: C

Rationale: The correct answer is C: Fifth month. Nurse Vera should explain that the fetal heart can typically be heard using a Doppler ultrasound device around the fifth month of pregnancy. This is because the baby's heart is developed enough to produce audible sounds by this time. Choices A, B, and D are incorrect because in the ninth month, the baby is ready for delivery, in the third month the heart is still developing, and in the first month the heart is just beginning to form and is not yet audible.

Correct Answer: A

Rationale: The correct answer is A: Bleeding. Chemotherapy can lead to low platelet counts (thrombocytopenia), increasing the risk of bleeding. The priority goal of the nurse is to prevent bleeding by taking precautions such as avoiding invasive procedures, using soft toothbrushes, and monitoring for signs of bleeding. Infection (B) is important but not the priority as bleeding can be life-threatening. Hypotension (C) is not directly related to thrombocytopenia. Diarrhea (D) is a potential side effect of chemotherapy but is not the priority when considering thrombocytopenia.

Correct Answer: B

Rationale: The correct answer is B: To provide a patent airway. When caring for a patient with a tracheostomy, ensuring a clear and unobstructed airway is the top priority to maintain adequate oxygenation and ventilation. This involves suctioning, maintaining proper tube placement, and monitoring for any signs of respiratory distress. Choices A, C, and D are incorrect as they do not address the immediate need for airway management, which is crucial for the patient's safety and well-being.