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. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

3. What is the purpose of a community needs assessment?

• A. To diagnose individual health conditions
• B. To identify and prioritize community health needs
• C. To evaluate the effectiveness of a treatment plan
• D. To provide emergency medical services

Correct answer: B

Rationale: A community needs assessment is conducted to identify and prioritize the health needs of a community. It helps in planning appropriate interventions and allocating resources to address the most pressing health concerns of the community. This process is essential for developing effective public health programs and initiatives tailored to the specific needs of the population.

4. 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.

5. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

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