Nursing Elites

1. Where is the correct injection site for administering the DPT vaccine to an infant?

• A. Deltoid muscle
• B. Gluteal muscle
• C. Vastus lateralis muscle
• D. Forearm

Correct answer: C

Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in infants due to its larger muscle mass and fewer major nerves and blood vessels, reducing the risk of injury or adverse effects.

2. What is the primary method of transmission for tuberculosis?

• A. Vector-borne
• B. Airborne
• C. Waterborne
• D. Fecal-oral

Correct answer: B

Rationale: The correct answer is 'Airborne.' Tuberculosis is mainly transmitted through the air via respiratory droplets when an infected person coughs or sneezes. This allows the bacteria to be inhaled by others and infect their lungs. It is important to implement infection control measures to prevent the spread of tuberculosis in healthcare settings and the community.

3. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

4. Which is a characteristic of person-to-person propagated epidemics?

• A. There are more cases of the disease than expected
• B. The disease must necessarily be transmitted through a vector
• C. The spread of the disease can be attributed to a common vehicle
• D. There is a gradual build-up of cases before the epidemic becomes easily noticeable

Correct answer: D

Rationale: In person-to-person propagated epidemics, there is typically a gradual build-up of cases before the epidemic becomes easily noticeable. This slow onset allows for the disease to spread from one individual to another, leading to a progressive increase in cases over time.

5. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

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