Nursing Elites

1. Which of the following is an example of a waterborne disease?

• A. Hepatitis A
• B. Influenza
• C. Measles
• D. Tuberculosis

Correct answer: A

Rationale: Hepatitis A is a waterborne disease caused by a virus that can be transmitted through contaminated water or food. Ingestion of even microscopic amounts of fecal matter from an infected person can lead to infection. It is important to practice good hygiene and ensure water sources are clean to prevent the spread of Hepatitis A.

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. What is the main focus of the World Health Organization's (WHO) Health For All strategy?

• A. Providing free healthcare to all individuals
• B. Achieving a level of health that enables all people to lead economically productive lives
• C. Building more hospitals and clinics
• D. Increasing the number of healthcare workers

Correct answer: B

Rationale: The WHO's Health For All strategy focuses on achieving a level of health that allows individuals to lead socially and economically productive lives, emphasizing overall well-being beyond just physical health. This approach aims for a holistic improvement in health outcomes rather than just providing free healthcare or focusing solely on increasing healthcare infrastructure or workforce.

4. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

5. Which of the following is an epidemiologic function of the nurse during an epidemic?

• A. Conducting assessments of suspected cases to detect communicable diseases
• B. Monitoring the condition of cases affected by the communicable disease
• C. Participating in the investigation to determine the source of the epidemic
• D. Educating the community on preventive measures against the disease

Correct answer: C

Rationale: During an epidemic, nurses play a crucial role in participating in epidemiologic investigations to identify the source of the outbreak. By investigating the source of the epidemic, nurses can help in understanding what caused the outbreak and how it can be controlled and prevented in the future. This function is essential in managing and responding effectively to epidemics.

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