Nursing Elites

1. What procedure is performed prior to a blood transfusion to detect incompatibilities?

• A. Grouping and crossmatching
• B. Complete blood count
• C. D-dimer test
• D. Blood clotting test

Correct answer: A

Rationale: Grouping and crossmatching is the procedure performed prior to a blood transfusion to determine the blood type and identify any potential incompatibilities between the donor and recipient. This process involves testing the recipient's blood for ABO and Rh antigens and crossmatching it with the donor's blood to ensure compatibility and prevent adverse reactions during the transfusion. Complete blood count, D-dimer test, and blood clotting test are other laboratory tests that serve different purposes and are not specifically done to detect incompatibilities prior to blood transfusion.

2. Which task will be most helpful in meeting the public health agency’s goals?

• A. Complete staff evaluations in preparation for individual meetings to plan their agency and individual goals for the next year.
• B. Actively participate in community agencies’ collaborative action plan to meet the community’s health goals for the year.
• C. Meet with the college of nursing faculty to finalize student objectives and schedules for the next semester.
• D. Teach a free course on healthful living for community residents.

Correct answer: B

Rationale: Actively participating in community agencies’ collaborative action plan to meet the community’s health goals is the most helpful task in meeting the public health agency’s goals. By engaging with external partners and working towards the health goals of the community as a whole, the agency can have a more significant impact on public health outcomes.

3. All of the following are objectives of FHSIS except:

• A. To complete the clinical picture of chronic diseases and describe their natural history
• B. To provide a standardized, facility-level database that can be accessed for more in-depth studies
• C. To minimize recording and reporting burden, allowing more time for patient care and promotive activities
• D. To ensure that reported data are useful, accurate, and disseminated in a timely and easy-to-use fashion

Correct answer: A

Rationale: The objective of FHSIS is not to complete the clinical picture of chronic diseases and describe their natural history. Instead, it focuses on providing standardized facility-level data, minimizing reporting burden to allow more time for patient care, and ensuring that reported data are useful, accurate, and disseminated effectively.

4. Which action exemplifies a policy-level intervention in community health?

• A. Providing health education to the community
• B. Advocating for legislative changes
• C. Implementing new treatment protocols
• D. Developing health policies

Correct answer: B

Rationale: Advocating for legislative changes is a policy-level intervention as it involves influencing and promoting changes in laws and regulations that can have a broad impact on community health outcomes. This type of intervention aims to address systemic issues and create sustainable improvements in public health by shaping policies at a higher level.

5. Which action exemplifies primary prevention in a community setting?

• A. Administering vaccines to children
• B. Screening for early signs of disease
• C. Offering support groups for chronic illness management
• D. Providing treatment for infectious diseases

Correct answer: A

Rationale: Administering vaccines to children is a primary prevention strategy that focuses on preventing the development of diseases before they occur. By administering vaccines, the aim is to protect individuals and the community from infectious diseases by building immunity against them. This proactive approach targets the root causes of illnesses, contributing to overall community health and well-being.

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