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. 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.

3. What is the primary goal of community health nursing?

• A. To support and supplement the efforts of the medical profession in the promotion of health and prevention of diseases
• B. To enhance the capacity of individuals, families, and communities to cope with their health needs
• C. To increase the productivity of people by providing them with services that will increase their level of health
• D. To contribute to national development through the promotion of family welfare, focusing particularly on mothers and children

Correct answer: B

Rationale: The primary goal of community health nursing is to enhance the capacity of individuals, families, and communities to cope with their health needs. This involves empowering them with the knowledge and resources to address their health concerns effectively, promoting overall well-being and preventing illnesses. While other choices touch on aspects of community health nursing, such as supporting the medical profession, increasing productivity, and contributing to national development, the core focus remains on empowering individuals and communities for better health outcomes.

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. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?

• A. Effectiveness
• B. Efficacy
• C. Specificity
• D. Sensitivity

Correct answer: D

Rationale: Sensitivity is the ability of a diagnostic test to correctly identify individuals with the disease. A test with high sensitivity will rarely give false negative results, as it will detect almost all positive cases. In the context of the given scenario, false negative results indicate that the test is lacking in sensitivity to pick up all cases of pulmonary tuberculosis, leading to some cases being missed.

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