Adult Health Nursing Test Banks

Adult Health Nursing Test Banks Related

Review Adult Health Nursing Test Banks related questions and content

A patient presents with chronic low back pain and radicular symptoms radiating down the leg. MRI reveals a herniated disc at the L5-S1 level with compression of the adjacent nerve root. Which surgical procedure is commonly performed to decompress the nerve root and alleviate symptoms?

  • A. Spinal fusion
  • B. Laminectomy
  • C. Discectomy
  • D. Foraminotomy
Correct Answer: C

Rationale: A discectomy is a surgical procedure commonly performed to decompress the nerve root by removing a portion of the herniated disc that is pressing on the nerve. In cases of herniated discs causing radicular symptoms (such as pain radiating down the leg), a discectomy can help alleviate the compression on the nerve, reduce symptoms, and improve the patient's condition. This procedure involves removing the portion of the disc that is herniated or bulging out to relieve pressure on the nerve root, allowing for improved function and reduced pain. Spinal fusion, laminectomy, and foraminotomy are other surgical procedures that are not typically performed for the direct decompression of the nerve root in cases of herniated discs at a specific level like the L5-S1 level.

You may also like to solve these questions

A patient with hypertension is prescribed an angiotensin-converting enzyme (ACE) inhibitor. Which adverse effect is most commonly associated with ACE inhibitors?

  • A. Hyperkalemia
  • B. Hypokalemia
  • C. Dry cough
  • D. Bradycardia
Correct Answer: C

Rationale: The most commonly associated adverse effect with ACE inhibitors is a dry cough. This cough is non-productive and can be quite bothersome for patients, often leading to non-compliance with the medication. The cough is thought to be due to the accumulation of bradykinin and substance P, which are vasodilatory and bronchoconstrictive peptides that are normally degraded by ACE. When ACE is inhibited, these peptides accumulate and can lead to irritation of the respiratory tract, resulting in the dry cough. It's important for healthcare providers to be aware of this common side effect and consider alternative medications if the cough becomes problematic for the patient.

The nurse anticipates that the signs and symptoms of BPH do NOT include_________.

  • A. frequency of urination
  • B. pain on urination
  • C. dribbling of urine
  • D. hesitancy in starting urination
Correct Answer: B

Rationale: One of the signs and symptoms of Benign Prostatic Hyperplasia (BPH) is not pain on urination. BPH is a non-cancerous enlargement of the prostate gland which can cause urinary symptoms such as frequency of urination, dribbling of urine, hesitancy in starting urination, weak urine flow, feeling of incomplete bladder emptying, and increased urination at night (nocturia). Pain on urination is not typically associated with BPH, and it may suggest other urinary tract issues such as a urinary tract infection or a different medical condition.

After 3 years being assigned in the Operating Room, Merle in interested to actively join which appropriate professional organization?

  • A. ORNAP
  • B. NLGN
  • C. ADPCN
  • D. APO
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.

Sandro is taking pemoline (Cylert) for ADHD. The nurse must be aware of which of the following side effects?

  • A. Decreased red blood cell count
  • B. Elevated white blood cell count
  • C. Decreased thyroid stimulating hormones
  • D. elevated liver function test results
Correct Answer: D

Rationale: Pemoline (Cylert) is a central nervous system stimulant used in the treatment of ADHD. One of the significant potential side effects of pemoline is hepatotoxicity, which can manifest as elevated liver function test results. Therefore, the nurse must monitor the patient's liver function regularly while they are taking pemoline to monitor for any signs of liver damage or dysfunction. It is essential to educate the patient about the signs and symptoms of liver problems, such as jaundice (yellowing of the skin or eyes), abdominal pain, nausea, or dark urine, and to report any such symptoms immediately to their healthcare provider. Regular monitoring and early detection of liver function abnormalities can help prevent severe liver damage in patients taking pemoline.

When the nurse inserts an ordered urinary catheter into the client's urethra after the client has refused the procedure, and then the client suffers an injury, the client may sue the nurse for which type of tort?

  • A. Battery
  • B. Invasion of privacy
  • C. Assault
  • D. Dereliction of duty
Correct Answer: A

Rationale: Battery refers to the intentional touching of another person without consent, resulting in harm or offense. In this scenario, the nurse inserted the urinary catheter into the client's urethra without the client's consent, leading to an injury. This action constitutes battery as the nurse carried out a medical procedure without the client's permission, resulting in harm to the client. The client can sue the nurse for battery in this situation.

Copyright © 2025 Nokea. All rights reserved.