Nursing Elites

1. Which action exemplifies secondary prevention?

• A. Administering vaccines
• B. Providing treatment for acute illnesses
• C. Teaching safe health practices
• D. Developing health policies

Correct answer: B

Rationale: The correct answer is B: Providing treatment for acute illnesses. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression and complications. Administering vaccines (choice A) is an example of primary prevention aimed at preventing the onset of a disease. Teaching safe health practices (choice C) falls under health promotion and education, which is a form of primary prevention. Developing health policies (choice D) is more aligned with public health initiatives and may impact primary, secondary, or tertiary prevention strategies, depending on the specific policies enacted.

2. What is a primary objective of public health?

• A. Lowering the prevalence of chronic diseases
• B. Eliminating health disparities among populations
• C. Delivering health education
• D. Extending life expectancy

Correct answer: B

Rationale: A fundamental goal of public health is to address and eliminate health disparities among different populations, aiming to ensure that everyone has equal access to resources and opportunities for good health outcomes.

3. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?

• A. Apply warm blankets & continue oxygen as prescribed
• B. Take the patient's rectal temperature
• C. Page the doctor for further orders
• D. Adjust the thermostat in the room

Correct answer: A

Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.

4. 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.

5. Why is epidemiologic data useful in the planning phase of the community assessment process?

• A. Help discover the patterns of health and illness distribution in a population.
• B. Help construct benchmarks to gauge achievement of program objectives.
• C. Identify the population at risk.
• D. Explain the nature of the health problem.

Correct answer: A

Rationale: Epidemiologic data are valuable in the planning phase of community assessment as they provide insights into the distribution of health and illness within a population. By analyzing these patterns and trends, healthcare professionals can better understand the health needs of the community and tailor interventions accordingly. This information serves as a foundation for identifying priority areas and developing effective strategies to address health issues.

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