Nursing Elites

1. Which nutrient is most critical for preventing neural tube defects during pregnancy?

• A. Iron
• B. Calcium
• C. Folic acid
• D. Vitamin D

Correct answer: C

Rationale: Folic acid is the most critical nutrient for preventing neural tube defects during pregnancy. Neural tube defects are serious birth defects of the brain and spinal cord. Adequate intake of folic acid before and during early pregnancy can significantly reduce the risk of these defects. Iron, calcium, and vitamin D are important nutrients during pregnancy for other reasons, such as supporting the increased demands on the body for blood production, bone health, and calcium absorption, respectively.

2. 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.

3. Which is a characteristic of person-to-person propagated epidemics?

• A. There are more cases of the disease than expected
• B. The disease must necessarily be transmitted through a vector
• C. The spread of the disease can be attributed to a common vehicle
• D. There is a gradual build-up of cases before the epidemic becomes easily noticeable

Correct answer: D

Rationale: In person-to-person propagated epidemics, there is typically a gradual build-up of cases before the epidemic becomes easily noticeable. This slow onset allows for the disease to spread from one individual to another, leading to a progressive increase in cases over time.

4. Which of the following practices is essential for preventing the spread of healthcare-associated infections?

• A. Frequent handwashing
• B. Sharing medical equipment
• C. Reducing patient turnover
• D. Increasing hospital bed capacity

Correct answer: A

Rationale: Frequent handwashing is a crucial practice for preventing the spread of healthcare-associated infections. Washing hands frequently helps remove pathogens and reduces the risk of transmitting infections between patients, healthcare providers, and other individuals in healthcare settings.

5. During a home visit, the PHN bag is a crucial tool for providing nursing care. The most important principle in bag technique states that it:

• A. Should save time and effort
• B. Should minimize, if not totally prevent, the spread of infection
• C. Should not overshadow concern for the patient and their family
• D. May be done in a variety of ways depending on the home situation

Correct answer: B

Rationale: The bag technique is a vital practice to prevent the transmission of infections to and from the client during home visits. By following proper bag technique procedures, nurses can minimize, if not entirely prevent, the spread of infections between themselves and their clients, ensuring a safe care environment.

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