Nursing Elites

1. In the past year, Barangay A had an average population of 1655. There were 46 babies born in that year, 2 of whom died less than 4 weeks after birth, and 4 stillbirths were recorded. What is the neonatal mortality rate?

• A. 27.8/1000
• B. 43.5/1000
• C. 86.9/1000
• D. 130.4/1000

Correct answer: B

Rationale: Neonatal mortality rate is calculated by dividing the number of babies who died before reaching the age of 28 days by the total number of live births, then multiplying by 1,000. In this case, 2 babies died within 28 days out of 46 total live births. Therefore, the neonatal mortality rate is (2/46) * 1000 = 43.5/1000.

2. Which of the following is an example of secondary prevention?

• A. Vaccination
• B. Health education
• C. Screening for hypertension
• D. Rehabilitation therapy

Correct answer: C

Rationale: Secondary prevention focuses on early detection and intervention to prevent the progression of diseases. Screening for hypertension falls under secondary prevention as it aims to identify the condition early, allowing for timely management and prevention of complications.

3. Which of the following diseases is targeted for eradication through the Expanded Program on Immunization (EPI)?

• A. Hepatitis B
• B. Diphtheria
• C. Poliomyelitis
• D. Tuberculosis

Correct answer: C

Rationale: Poliomyelitis is the correct answer as it is one of the diseases targeted for eradication through the Expanded Program on Immunization (EPI). The EPI aims to control and eliminate vaccine-preventable diseases globally, with a specific focus on polio due to its severe consequences and the feasibility of eradication through vaccination campaigns.

4. Which statistic can provide the most accurate reflection of the health status of a community?

• A. 1-4 year old age-specific mortality rate
• B. Infant mortality rate
• C. Swaroop’s index
• D. Crude death rate

Correct answer: C

Rationale: Swaroop’s index is a valuable statistic that reflects the health status of a community by indicating the proportion of deaths aged 50 years and above. A higher Swaroop’s index signifies a greater proportion of individuals who lived at least 50 years before passing away. This metric provides insight into the overall health and longevity of a population, making it a more accurate reflection of community health compared to other mortality rates.

5. 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.

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