Nursing Elites

1. In the past year, Barangay A had an average population of 1655. There were 46 babies born in that year, 2 of whom died less than 4 weeks after birth, and 4 stillbirths were recorded. What is the neonatal mortality rate?

• A. 27.8/1000
• B. 43.5/1000
• C. 86.9/1000
• D. 130.4/1000

Correct answer: B

Rationale: Neonatal mortality rate is calculated by dividing the number of babies who died before reaching the age of 28 days by the total number of live births, then multiplying by 1,000. In this case, 2 babies died within 28 days out of 46 total live births. Therefore, the neonatal mortality rate is (2/46) * 1000 = 43.5/1000.

2. 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.

3. In a study on the factors contributing to the high mortality rate due to heart diseases in the municipality, which branch of epidemiology is being practiced?

• A. Descriptive
• B. Analytical
• C. Therapeutic
• D. Evaluation

Correct answer: B

Rationale: Analytical epidemiology focuses on studying factors or determinants that affect the patterns of disease occurrence and distribution in a community. In this scenario, the nurse is analyzing various factors contributing to the high mortality rate due to heart diseases, which aligns with the principles of analytical epidemiology.

4. Public health services are given free of charge. Is this statement true or false?

• A. The statement is true; it is the responsibility of government to provide these services
• B. The statement is false; people pay indirectly for public health services
• C. The statement may be true or false; depending on the Specific service required
• D. The statement may be true or false; depending on policies of the government concerned.

Correct answer: B

Rationale: Community health services, including public health services, are prepaid paid services, through taxation, for example.

5. 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.

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