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. What is the interval between tetanus toxoid doses for pregnant women?

• A. 4 weeks
• B. 6 weeks
• C. 8 weeks
• D. 12 weeks

Correct answer: A

Rationale: The correct interval between doses of tetanus toxoid for pregnant women is 4 weeks. This interval ensures that pregnant women receive adequate protection against tetanus, particularly in areas where the disease is prevalent. The 4-week interval helps in building and maintaining immunity to protect both the pregnant woman and her developing baby from tetanus infection.

3. Which of the following practices can help reduce the transmission of HIV from mother to child?

• A. Exclusive breastfeeding
• B. Administering antiretroviral therapy
• C. Using unsterilized medical equipment
• D. Avoiding prenatal care

Correct answer: B

Rationale: Administering antiretroviral therapy to HIV-positive mothers is a crucial practice to reduce the risk of mother-to-child transmission of HIV. Antiretroviral therapy helps lower the viral load in the mother's body, decreasing the chance of passing the virus to the child during pregnancy, childbirth, or breastfeeding. Exclusive breastfeeding, using unsterilized medical equipment, and avoiding prenatal care do not directly contribute to reducing HIV transmission from mother to child.

4. In calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?

• A. 4.1/1000
• B. 5.2/1000
• C. 6.3/1000
• D. 7.3/1000

Correct answer: B

Rationale: To calculate the crude death rate, divide the total number of deaths (94) by the total population (18,000) and then multiply by 1,000. This gives a crude death rate of 5.2 deaths per 1,000 population.

5. RA 1054 is also known as the Occupational Health Act. Besides the number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled?

• A. Type of occupation: agriculture, commercial, industrial
• B. Location of the workplace in relation to health facilities
• C. Classification of the business enterprise based on net profit
• D. Sex and age composition of employees

Correct answer: B

Rationale: According to R.A. 1054, the key factor to consider, apart from the number of employees, is the location of the workplace concerning health facilities. Specifically, an occupational nurse must be employed when there are 30 to 100 employees, and the workplace is more than 1 km away from the nearest health center. This ensures timely access to health services for employees in case of emergencies or health needs.

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