Nursing Elites

1. Which of the following describes a valid way to collect data for community assessment?

• A. Using a library database to conduct a literature review
• B. All of these strategies are helpful in conducting a community assessment
• C. Using surveys or questionnaires to gather information from members of the community
• D. Reading government documents to determine if similar data have already been collected

Correct answer: B

Rationale: Selecting option B is the correct choice as all the mentioned strategies in options A, C, and D are valid and useful methods for collecting data during a community assessment. Using a library database for a literature review, conducting surveys or questionnaires to gather information from community members, and reading government documents to identify existing data are essential approaches in assessing a community comprehensively.

2. Which best describes an example of an environmental health intervention?

• A. Providing clean drinking water
• B. Administering medications
• C. Conducting health education sessions
• D. Developing health policies

Correct answer: A

Rationale: Providing clean drinking water is a crucial environmental health intervention as it helps prevent waterborne diseases and promotes overall health. Access to clean drinking water is essential for maintaining public health, especially in preventing illnesses caused by contaminated water sources. Administering medications, conducting health education sessions, and developing health policies are important interventions but are not directly related to environmental health like providing clean drinking water.

3. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

4. What is the drug of choice for progressive multiple sclerosis?

• A. Ocrelizumab
• B. Dimethyl fumarate
• C. Teriflunomide
• D. Fluoroquinolones

Correct answer: A

Rationale: Ocrelizumab is the drug of choice for progressive multiple sclerosis due to its efficacy in reducing disease activity and progression in patients with this form of the disease. Dimethyl fumarate, Teriflunomide, and Fluoroquinolones are not typically used as first-line treatments for progressive MS.

5. Which sign or reflex is used to diagnose meningitis?

• A. Homan's sign
• B. Brudzinski
• C. Startle
• D. Anterior drawer

Correct answer: B

Rationale: Brudzinski sign is a physical exam finding used to diagnose meningitis. It is elicited by flexing the patient's neck, resulting in involuntary flexion of the hips and knees. This maneuver indicates meningeal irritation, a common feature in meningitis. Homan's sign is used to assess for deep vein thrombosis, Startle is a reflex response to sudden stimuli, and the Anterior drawer test is used to diagnose ligamentous instability in the knee.

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