Adult Health Nursing Test Banks

Correct Answer: D

Rationale: The correct answer is D, issuing a permit for the opening of nursing programs in the country. The PRC-Board of Nursing (PR-BON) in the Philippines primarily focuses on regulating nursing practice and ensuring the quality and standards of nursing care provided in the country. While they have the authority to oversee aspects such as certification of registered nurses, enforcing quality standards, and monitoring proper conduct of nurses, the responsibility of issuing permits for the opening of nursing programs typically falls under the jurisdiction of other relevant educational or accrediting bodies.

Correct Answer: B

Rationale: Goiter is a condition characterized by the enlargement of the thyroid gland. The most common cause of goiter worldwide is iodine deficiency, which is required for the production of thyroid hormones. When there is insufficient iodine intake, the thyroid gland enlarges in an attempt to produce more hormones, leading to the development of goiter. While other factors can also contribute to the development of goiter, such as autoimmune diseases and certain medications, the primary cause associated with the condition is an iodine-deficient diet.

Correct Answer: C

Rationale: The health care team will try the oral route first for Ms. C for delivering nutrition and fluid because it is the most natural and least invasive method. If the patient is able to tolerate oral intake and has adequate oral intake, it is typically the preferred route. Only if she is unable to meet her nutritional needs orally or has difficulty swallowing, then alternative routes such as nasogastric tube, gastrostomy tube, or intravenous routes may be considered. It's important to promote oral intake whenever possible to maintain the patient's quality of life and prevent complications associated with more invasive methods.

Correct Answer: A

Rationale: Acute Respiratory Distress Syndrome (ARDS) is a severe form of acute lung injury that is characterized by hypoxemia, bilateral pulmonary infiltrates, and noncardiogenic pulmonary edema. When managing a patient with ARDS in the ICU, the priority intervention is to provide adequate oxygenation and ventilation. Mechanical ventilation is often necessary to support gas exchange in these patients.

Correct Answer: D

Rationale: When someone is bitten by a dog, the most important first aid step is to wash the wound thoroughly with running water. This helps to remove any dirt or bacteria from the wound, reducing the risk of infection. Washing the wound with garlic (choice A) is not recommended as it can irritate the skin and may not effectively clean the wound. Feeding the dog (choice B) is not relevant to treating the bite wound. Bleeding the bitten area (choice C) is also not necessary and can actually increase the risk of infection. Therefore, the best advice the nurse should give in case of a dog bite is to wash the wound thoroughly with running water.