Nursing Elites

1. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

• A. Change the medication to the second-line antibiotics
• B. Advise the mother to observe the child and continue giving the antibiotics
• C. Give the first dose of antibiotics and refer urgently
• D. Observe the child at the center

Correct answer: C

Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.

2. The Four M's framework for Age-Friendly Health Systems includes all of the following concepts except:

• A. medication
• B. mentation
• C. mobility
• D. managed care

Correct answer: D

Rationale: The Four M's framework for Age-Friendly Health Systems consists of medication, mentation, mobility, and what matters. Managed care is not part of this framework, making it the correct answer.

3. James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?

• A. Slow breathing
• B. Fast breathing
• C. Normal breathing
• D. Very fast breathing

Correct answer: C

Rationale: James' breathing is classified as normal because his respiratory rate falls within the expected range for his age group, and there are no general danger signs present. In this case, his breathing is considered normal based on the provided information.

4. Which of the following is not considered one of the four cornerstones or pillars in primary health care?

• A. Active community participation
• B. Support mechanisms made available
• C. Use of appropriate technology
• D. Inter-sectoral linkages only

Correct answer: D

Rationale: The four cornerstones of primary health care are active community participation, support mechanisms made available, and the use of appropriate technology. Inter-sectoral linkages, while important, are not part of the four core pillars in primary health care.

5. Which source of information about a community's health would give the community health nurse information about births, deaths, and marriages and aid in providing indicators of population growth or reduction?

• A. Census tracts
• B. Vital statistics
• C. National Health Survey data
• D. Needs assessment

Correct answer: B

Rationale: Vital statistics are records of births, deaths, and marriages. They provide crucial data that help in understanding population dynamics, growth, and reduction trends within a community. By analyzing vital statistics, community health nurses can identify health needs, plan interventions, and allocate resources effectively to address the specific health challenges of the population.

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