Nursing Elites

1. After 3 days, the nurse notes that James has chest indrawing and stridor. His mother returned him to the health center immediately. The nurse should:

• A. Change the medication to the second-line antibiotics
• B. Advise the mother to observe the child and continue giving the antibiotics
• C. Give the first dose of antibiotics and refer urgently
• D. Observe the child at the center

Correct answer: C

Rationale: In the scenario described, the presence of chest indrawing and stridor indicates respiratory distress, which requires immediate attention. Giving the first dose of antibiotics and referring urgently is the correct course of action to ensure prompt and appropriate management of the child's condition.

2. Which type of facilities are capable of performing minor surgeries and simple laboratory examinations?

• A. Secondary level health care
• B. Tertiary level of care
• C. Intermediate level of care
• D. Primary health care

Correct answer: C

Rationale: Intermediate level of care facilities are equipped to perform minor surgeries and conduct basic laboratory tests. These facilities bridge the gap between primary health care centers and hospitals offering specialized tertiary care services.

3. Which of the following is an example of a social determinant of health?

• A. Genetic predisposition
• B. Personal health behaviors
• C. Biological factors
• D. Economic stability

Correct answer: D

Rationale: Economic stability, like having a stable income, is a crucial social determinant of health that can significantly influence an individual's overall well-being. Access to economic resources can affect a person's ability to afford healthcare, nutritious food, safe housing, and other essentials that are vital for good health outcomes.

4. Which best describes a benefit of using health informatics in community health?

• A. Reducing the risk of medical errors
• B. Improving patient satisfaction
• C. Facilitating access to health services
• D. Enhancing coordination of care

Correct answer: D

Rationale: The correct answer is D, enhancing coordination of care. Health informatics in community health ensures accurate and timely sharing of patient information among healthcare providers, leading to improved collaboration and continuity of care for patients across different settings.

5. Garantisadong Pambata (GP) or Child Health Week is the approach adopted to provide micronutrient supplements to 6-71-month-old preschoolers on a nationwide scale. This involves twice a year distribution of:

• A. Retinol
• B. Iron
• C. Iodine
• D. Calcium

Correct answer: A

Rationale: During Child Health Week, retinol (vitamin A) is distributed to preschoolers. Vitamin A supplementation is crucial for maintaining good vision, boosting the immune system, and supporting overall growth and development in children.

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