Nursing Elites

1. Who among the following individuals was involved in the discovery of anesthesia?

• A. Robert Koch
• B. William Morton
• C. Joseph Lister
• D. Sushruta

Correct answer: B

Rationale: William Morton was a dentist who was involved in the discovery of anesthesia. In 1846, Morton demonstrated the use of ether as a surgical anesthetic, leading to a significant advancement in medical practices. Robert Koch was a bacteriologist known for his work on anthrax and tuberculosis. Joseph Lister was a surgeon who introduced antiseptic surgical methods. Sushruta was an ancient Indian physician known for his contributions to the field of surgery.

2. A patient in Mindanao was diagnosed with Dengue Hemorrhagic Fever. The therapeutic regimen for the patient includes the following EXCEPT:

• A. Rapid replacement of plasma loss
• B. Aspirin for high fever
• C. Rapid fluid and electrolyte replacement
• D. Oxygen therapy

Correct answer: B

Rationale: In cases of Dengue Hemorrhagic Fever, aspirin is contraindicated due to the risk of bleeding. The therapeutic regimen focuses on rapid replacement of plasma loss, rapid fluid and electrolyte replacement, and oxygen therapy to manage the condition effectively.

3. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

• A. Bronchoscopy
• B. Tracheostomy
• C. Thoracentesis
• D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

4. The appropriate order of steps in active management of the third stage of labor include:

• A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
• B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
• C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
• D. Controlled cord traction, fundal massage and oxytocin

Correct answer: C

Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.

5. After organizing, follow-up visits are also necessary. What should you do first?

• A. Explain the purpose of the visit
• B. Wash your hands and perform the necessary procedure
• C. Conduct environmental surveillance
• D. Greet the patient/resident and introduce yourself

Correct answer: A

Rationale: Explaining the purpose of the visit is the first step in a follow-up visit as it establishes the reason for the interaction. This communication helps set expectations for both the provider and the patient/resident, ensuring that the visit is focused and productive. It allows the patient/resident to understand the goals of the follow-up and promotes a patient-centered approach to care.

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