Nursing Elites

1. Which biological used in Expanded Program on Immunization (EPI) is stored in the freezer?

• A. DPT
• B. OPV
• C. Hepatitis B vaccine
• D. Measles vaccine

Correct answer: B

Rationale: The correct answer is OPV. Oral Polio Vaccine should be stored in the freezer to maintain its potency. Vaccines like DPT, Hepatitis B vaccine, and Measles vaccine are typically stored in the refrigerator to ensure their efficacy.

2. To monitor clients registered in long-term regimens, such as Multi-Drug Therapy, which component will be most useful?

• A. Tally report
• B. Output report
• C. Target/client list
• D. Individual health record

Correct answer: C

Rationale: The Target/Client List is a record that specifically tracks clients enrolled in MDT and includes essential data like the dates when clients collected their monthly drug supplies. This list is crucial for monitoring and managing clients in long-term regimens, providing a comprehensive overview of client participation and treatment progress.

3. To maintain the cleanliness of the bag and its contents, what should the nurse do?

• A. Wash their hands before and after providing care to family members
• B. Use only items from the bag when caring for family members
• C. Wear an apron to protect their uniform and fold it with the right side out before returning it to the bag
• D. Fold the lining on which the bag was placed at the end of the visit, ensuring the contaminated side is facing outward

Correct answer: A

Rationale: The most crucial step in maintaining cleanliness when caring for family members and handling the bag and its contents is to wash the nurse's hands before and after providing care. This practice helps prevent the spread of germs and maintains proper hygiene standards, reducing the risk of contamination. Washing hands is a fundamental infection control measure that all healthcare professionals should adhere to in their daily practice.

4. Which of the following is the most prominent feature of public health nursing?

• A. Providing home care to sick people who are not confined in the hospital
• B. Providing free services to people within the catchment area
• C. Functioning as part of a team to provide a public health nursing service
• D. Focusing on preventive, not curative services

Correct answer: D

Rationale: The most prominent feature of public health nursing is its focus on preventive services rather than curative ones. Public health nursing aims to prevent diseases and promote health within the community by implementing interventions that target the population as a whole. This focus distinguishes public health nursing from other types of nursing that primarily provide curative care to individuals. Preventive services play a significant role in improving the overall health outcomes of communities and reducing the burden of disease.

5. Which of the following individuals should be considered as special targets for family planning?

• A. Individuals with two or more children
• B. Individuals with medical conditions such as anemia
• C. Individuals younger than 20 years or older than 35 years
• D. Individuals who have had a delivery within the past 15 months

Correct answer: D

Rationale: Individuals who have had a delivery within the past 15 months should be considered special targets for family planning because the ideal birth spacing is at least two years. By waiting two years (15 months post-delivery + 9 months of pregnancy), the individual can give their body enough time to recover and reduce potential health risks associated with closely spaced pregnancies.

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