Nursing Elites

1. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

2. Which of the following diseases is prevented by administration of the Hepatitis B vaccine?

• A. Jaundice
• B. Liver cancer
• C. Pneumonia
• D. Tuberculosis

Correct answer: B

Rationale: The correct answer is B: Liver cancer. The Hepatitis B vaccine helps prevent liver cancer by preventing chronic Hepatitis B infection. While Hepatitis B infection can lead to jaundice, the primary goal of the vaccine is to prevent liver complications such as cirrhosis and liver cancer.

3. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?

• A. Effectiveness
• B. Efficacy
• C. Specificity
• D. Sensitivity

Correct answer: D

Rationale: Sensitivity is the ability of a diagnostic test to correctly identify individuals with the disease. A test with high sensitivity will rarely give false negative results, as it will detect almost all positive cases. In the context of the given scenario, false negative results indicate that the test is lacking in sensitivity to pick up all cases of pulmonary tuberculosis, leading to some cases being missed.

4. 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.

5. 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.

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