Nursing Elites

1. What is usually the first contact between community members and other levels of health facilities called?

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

Correct answer: B

Rationale: The correct answer is B: Primary health care. Primary health care is the initial point of contact between community members and the healthcare system. This level of care focuses on preventive and primary treatment services. Choices A, C, and D are incorrect because secondary, tertiary, and intermediate care levels are more specialized and are usually accessed after primary care, depending on the complexity of the health issue.

2. Which family planning method is not advisable for women with extremely irregular menstrual periods?

• A. oral contraceptives
• B. diaphragm
• C. natural family planning
• D. vaginal contraceptives

Correct answer: C

Rationale: Natural family planning relies on tracking menstrual cycles to determine fertile days for avoiding or achieving pregnancy. It may not be suitable for women with extremely irregular menstrual periods as it can be challenging to predict fertile days accurately. Oral contraceptives (A), diaphragms (B), and vaginal contraceptives (D) do not rely on regular menstrual cycles for their effectiveness, making them more suitable options for women with irregular periods.

3. What is the aim of the Magna Carta of Public Health Workers?

• A. Develop skills and capabilities of health workers to deliver health projects/programs
• B. All of these
• C. Encourage those with proper qualifications to remain in government service
• D. Promote social and economic well-being of health workers

Correct answer: B

Rationale: The correct answer is B - 'All of these.' The Magna Carta of Public Health Workers aims to achieve multiple objectives, including developing the skills and capabilities of health workers to deliver health projects/programs, encouraging those with proper qualifications to remain in government service, and promoting the social and economic well-being of health workers. Choice A, C, and D are all part of the comprehensive goals outlined in the Magna Carta for Public Health Workers.

4. In 1996, there were 15 cases of Acute Respiratory Infection (ARI) in Barangay B, while Barangay C had 20 cases. The total number of children who have ARI is:

• A. higher in Barangay C than in Barangay B
• B. not comparable in Barangay B and C
• C. higher in Barangay B than in Barangay C
• D. data given is insufficient

Correct answer: A

Rationale: The correct answer is A: 'higher in Barangay C than in Barangay B.' This is because Barangay C had more cases of ARI (20) compared to Barangay B (15). Therefore, the total number of children who have ARI is higher in Barangay C. Choices B and C are incorrect because the data clearly shows that Barangay C had more cases than Barangay B. Choice D is also incorrect as there is sufficient data provided to compare the number of ARI cases between the two barangays.

5. A client with chronic renal failure is receiving erythropoietin (Epogen). The nurse should monitor the client for which of the following side effects?

• A. Hypertension
• B. Hypoglycemia
• C. Hyperkalemia
• D. Hypocalcemia

Correct answer: A

Rationale: The correct answer is A: Hypertension. Erythropoietin can lead to hypertension as a side effect due to its stimulation of red blood cell production, which can increase blood viscosity. This can result in elevated blood pressure. Choices B, C, and D are incorrect. Hypoglycemia is not a common side effect of erythropoietin. Hyperkalemia is more commonly associated with renal failure rather than erythropoietin use. Hypocalcemia is not a typical side effect of erythropoietin administration.

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