Nursing Elites

1. 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.

2. What is an advantage of conducting a home visit?

• A. It enables the nurse to provide nursing care to a greater number of people
• B. It provides an opportunity to conduct a firsthand appraisal of the home situation
• C. It allows sharing of experiences among people with similar health problems
• D. It fosters the family’s initiative in providing for the health needs of its members

Correct answer: B

Rationale: Conducting a home visit provides an opportunity to conduct a firsthand appraisal of the home situation. This allows healthcare professionals to observe the living conditions, identify potential health hazards, and tailor care plans to the individual's environment. It helps in gaining a better understanding of the patient's lifestyle, social support, and resources available at home, leading to more personalized and effective care.

3. Which vaccine leaves a permanent scar at the site of injection?

• A. BCG
• B. DPT
• C. Hepatitis B vaccine
• D. Measles vaccine

Correct answer: A

Rationale: The BCG vaccine, which is used for tuberculosis, is known to leave a permanent scar at the site of injection. This distinctive scar formation is one of the characteristic features of receiving the BCG vaccine and is used as a marker of vaccination in some regions.

4. Isolation of a child with measles belongs to which level of prevention?

• A. Primary
• B. Secondary
• C. Intermediate
• D. Tertiary

Correct answer: A

Rationale: Isolating a child with measles is considered a primary prevention measure. Primary prevention aims to prevent the disease from occurring by intervening before exposure to the causative agent. Isolating the child helps to contain the spread of the disease and protect those who are not already sick. This strategy falls under the realm of specific disease prevention, which is a key aspect of primary prevention.

5. Which nutrient is most critical for preventing neural tube defects during pregnancy?

• A. Iron
• B. Calcium
• C. Folic acid
• D. Vitamin D

Correct answer: C

Rationale: Folic acid is the most critical nutrient for preventing neural tube defects during pregnancy. Neural tube defects are serious birth defects of the brain and spinal cord. Adequate intake of folic acid before and during early pregnancy can significantly reduce the risk of these defects. Iron, calcium, and vitamin D are important nutrients during pregnancy for other reasons, such as supporting the increased demands on the body for blood production, bone health, and calcium absorption, respectively.

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