Nursing Elites

1. 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.

2. Which of the following interventions is an example of tertiary prevention?

• A. Vaccination campaigns
• B. Health education seminars
• C. Physical rehabilitation programs
• D. Early disease screening

Correct answer: C

Rationale: Tertiary prevention focuses on managing and improving the quality of life for individuals who already have a disease or condition. Physical rehabilitation programs fall under tertiary prevention as they aim to enhance functioning and reduce disability caused by ongoing illness or injury, thus aligning with the goal of tertiary prevention.

3. In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?

• A. Establishing the epidemic
• B. Testing the hypothesis
• C. Formulation of the hypothesis
• D. Appraisal of facts

Correct answer: A

Rationale: During the investigation of an epidemic, establishing the epidemic involves comparing the current frequency of the disease with the typical frequency for that time of year in the community. This comparison helps determine whether an epidemic is occurring by assessing if the number of cases exceeds the expected baseline, as well as establishing the link between the cases of the disease.

4. Which of the following is a common sign of dehydration in infants?

• A. Frequent urination
• B. Sunken fontanelle
• C. Excessive drooling
• D. Increased appetite

Correct answer: B

Rationale: A sunken fontanelle is a common sign of dehydration in infants. The fontanelle is the soft spot on an infant's head where the skull bones have not yet fused. When an infant is dehydrated, the fontanelle can appear sunken or indented. It is important for caregivers and healthcare providers to recognize this sign promptly to ensure timely intervention and hydration for the infant.

5. What is the appropriate action to take if a child is found to have a fever on the day of immunization?

• A. Administer the vaccine as scheduled
• B. Delay the immunization until the fever subsides
• C. Give a lower dose of the vaccine
• D. Administer an antipyretic before the vaccine

Correct answer: B

Rationale: When a child is found to have a fever on the day of immunization, it is recommended to delay the immunization until the fever subsides. This is important to ensure the child's safety and the vaccine's effectiveness. Administering the vaccine with a fever can potentially worsen the child's condition and reduce the vaccine's ability to generate an appropriate immune response.

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