Nursing Elites

1. A community hospital is an example of which level of health care?

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

Correct answer: A

Rationale: Community hospitals are considered part of the secondary level of health care. They provide acute care services, including emergency care, surgeries, and specialized diagnostic services. Primary care is typically provided in outpatient settings such as clinics and doctor's offices, while tertiary care involves highly specialized services like organ transplants and neurosurgery. Intermediate care usually refers to services that are more intensive than what is provided at the primary care level but less specialized than tertiary care.

2. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

3. Which factor is most likely to enhance the success of health promotion activities?

• A. Adequate funding
• B. Support from local government
• C. Community involvement
• D. Strong leadership

Correct answer: C

Rationale: Community involvement is essential for the success of health promotion activities as it ensures that the initiatives are relevant and supported by the community. When the community actively participates in planning and implementing health promotion activities, it increases the chances of long-term success and sustainability. Community involvement fosters a sense of ownership and empowerment, leading to greater engagement and positive health outcomes.

4. What is the primary goal of public health?

• A. To achieve health equity
• B. To prevent disease and disability
• C. To prolong life
• D. To promote health

Correct answer: B

Rationale: The primary goal of public health is to prevent disease and disability by implementing measures to protect and improve the health of communities and populations. While achieving health equity, prolonging life, and promoting health are important aspects of public health, the central focus remains on preventing diseases and disabilities through various strategies such as vaccination programs, health education, and environmental regulations.

5. If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:

• A. Massage the uterus
• B. Insert a urinary catheter
• C. Start an IV
• D. Check the placenta to ensure completeness

Correct answer: A

Rationale: In postpartum hemorrhage, massaging the uterus is the initial step to promote uterine contractions, which can help control bleeding by compressing the blood vessels. This action can help prevent further blood loss and stabilize the patient's condition. Calling for help is essential to ensure timely assistance, but taking immediate action by massaging the uterus is crucial in managing postpartum bleeding.

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