Nursing Elites

1. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

• A. Bronchoscopy
• B. Tracheostomy
• C. Thoracentesis
• D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

2. Which best describes a primary role of nurses in promoting community health?

• A. Conducting individual health assessments
• B. Advocating for health policy changes
• C. Providing health education to groups
• D. Developing health policies

Correct answer: B

Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.

3. Which of the following is NOT a principle of Primary Health Care?

• A. Health promotion
• B. Community participation
• C. Inter-sectoral collaboration
• D. Accessibility

Correct answer: D

Rationale: The principles of Primary Health Care include health promotion, community participation, and inter-sectoral collaboration. Accessibility, while important, is not explicitly listed as a principle of Primary Health Care. The focus of Primary Health Care is on providing essential healthcare services to all individuals, emphasizing community involvement, prevention, and addressing social determinants of health.

4. What is the FIRST STEP for thermal protection of a newborn?

• A. Drying the baby thoroughly immediately after birth
• B. Covering the baby with a clean, dry cloth after the cord has been cut
• C. Drying the baby thoroughly after the cord has been cut
• D. Covering the baby with a clean, dry cloth immediately after birth

Correct answer: A

Rationale: The first step in thermal protection of a newborn is to dry the baby thoroughly immediately after birth. This helps prevent heat loss and maintain the newborn's body temperature, which is crucial for their well-being. By drying the baby promptly, you can reduce the risk of hypothermia and provide a comfortable environment for the newborn.

5. Which of the following statements best describes the role of a community health nurse?

• A. Provides direct patient care in hospital settings
• B. Conducts health education and community organizing activities
• C. Coordinates care for individuals and families
• D. Advocates for health policies and programs

Correct answer: B

Rationale: The correct answer is B. Community health nurses play a crucial role in conducting health education and community organizing activities within the community. They focus on promoting health, preventing diseases, and improving the overall well-being of the community members by organizing educational programs and initiatives. While they may be involved in coordinating care to some extent, their primary focus lies in health education and community outreach.

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