Nursing Elites

1. Which of the following is a major risk factor for cardiovascular diseases?

• A. Low cholesterol levels
• B. Physical inactivity
• C. Low blood pressure
• D. Adequate sleep

Correct answer: B

Rationale: Physical inactivity is a major risk factor for cardiovascular diseases as it contributes to a sedentary lifestyle, leading to obesity, high blood pressure, and other cardiovascular issues. Regular physical activity helps maintain a healthy heart and reduces the risk of developing cardiovascular diseases.

2. In immunization, which of the following measures is considered the most effective in controlling the occurrence of diseases?

• A. Immunization coverage
• B. Cold chain
• C. Potency of vaccines
• D. Health education

Correct answer: A

Rationale: Immunization coverage is the proportion of the target population that has been immunized. To control the occurrence of diseases effectively, it is crucial that a high percentage of the population is immunized. This not only protects individuals but also helps in achieving herd immunity, reducing the spread of diseases within the community. Therefore, ensuring high immunization coverage is a key strategy in disease prevention and control.

3. Which of the following exemplifies the school nurse’s health care provider function?

• A. Requesting BCG vaccine from the RHU for school entrance immunization
• B. Conducting random classroom inspections during a measles epidemic
• C. Taking corrective action on an accident hazard in the school playground
• D. Observing areas in the school where pupils spend their free time

Correct answer: B

Rationale: Conducting random classroom inspections during a measles epidemic is a vital function of the school nurse as it involves assessing pupils and teachers for signs of a health problem prevalent in the community. This function helps in early detection, prevention, and control of diseases among students and staff, contributing to maintaining a healthy school environment.

4. What is the primary purpose of providing iron supplementation to pregnant women?

• A. To prevent anemia
• B. To support fetal growth
• C. To reduce the risk of premature labor
• D. To decrease the likelihood of postpartum hemorrhage

Correct answer: A

Rationale: The primary reason for giving iron supplementation to pregnant women is to prevent anemia. Anemia can have detrimental effects on both the mother and the developing fetus. Iron is essential for the production of red blood cells, and during pregnancy, the demand for iron increases to support the mother's increased blood volume and the developing fetus. Anemia in pregnancy can lead to complications such as preterm birth, low birth weight, and even maternal mortality. Therefore, ensuring adequate iron intake through supplementation is crucial to prevent these adverse outcomes.

5. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

• A. Her OB score is G5P3
• B. She has some palmar pallor
• C. Her blood pressure is 130/80
• D. Her baby is in cephalic presentation

Correct answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

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