Nursing Elites

1. Which of the following is an appropriate site for administration of DPT vaccine?

• A. Deltoid muscle
• B. Vastus lateralis muscle
• C. Gluteus maximus muscle
• D. Abdomen

Correct answer: B

Rationale: The vastus lateralis muscle (located in the thigh) is the recommended site for the administration of the DPT vaccine in infants and young children. This muscle is preferred due to its large muscle mass and lower risk of nerve or blood vessel injury, making it a safe and effective site for vaccine administration.

2. RA 7160 mandates the devolution of basic services from the national government to local government units. What is the primary goal of this devolution?

• A. To strengthen local government units
• B. To allow greater autonomy to local government units
• C. To empower the people and promote their self-reliance
• D. To make basic services more accessible to the people

Correct answer: C

Rationale: The major goal of devolution, as outlined in RA 7160, is to empower the people and promote their self-reliance. By devolving basic services to local government units, the aim is to enhance people's participation in decision-making processes and foster self-reliance within communities, ultimately promoting empowerment and self-sufficiency.

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 statistic best reflects the nutritional status of a population?

• A. 1-4 year old age-specific mortality rate
• B. Proportionate mortality rate
• C. Infant mortality rate
• D. Swaroop’s index

Correct answer: A

Rationale: The most appropriate statistic to reflect the nutritional status of a population is the 1-4 year old age-specific mortality rate. This age group is highly susceptible to the effects of malnutrition, so a population with poor nutritional status is likely to have a high 1-4 year old age-specific mortality rate, also known as child mortality rate.

5. Which of the following conditions is a contraindication for breastfeeding?

• A. Maternal HIV infection
• B. Maternal diabetes
• C. Maternal anemia
• D. Maternal hypertension

Correct answer: A

Rationale: Maternal HIV infection is a contraindication for breastfeeding because it poses a risk of transmission to the infant. HIV can be transmitted through breast milk, putting the baby at risk of acquiring the infection. Therefore, it is recommended that mothers with HIV do not breastfeed to prevent the transmission of the virus to their infants.

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