Nursing Elites

1. 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.

2. Why is a primigravida instructed to offer her breast to the baby for the first time within 30 minutes after delivery?

• A. To initiate the occurrence of milk letdown
• B. To stimulate milk production by the mammary acini
• C. To provide the baby with colostrum
• D. To allow the mother to practice breastfeeding in the presence of healthcare providers

Correct answer: C

Rationale: Offering the breast to the baby early after delivery ensures that the baby receives colostrum, the initial milk produced by the mammary glands rich in antibodies and essential nutrients, which are crucial for the newborn's health and immune system. This early breastfeeding also helps establish the mother-infant bond and promotes successful breastfeeding in the long term.

3. What is the purpose of the Expanded Program on Immunization (EPI)?

• A. To provide emergency medical services
• B. To ensure all children receive routine immunizations
• C. To offer specialized treatments for rare diseases
• D. To manage chronic health conditions

Correct answer: B

Rationale: The Expanded Program on Immunization (EPI) is designed to ensure that all children receive routine immunizations to prevent common infectious diseases. It focuses on providing vaccinations to children to build immunity against various preventable diseases, thus contributing to public health by reducing the spread of infectious illnesses.

4. At what age is the first dose of the MMR vaccine typically administered to a child?

• A. At birth
• B. 6 months
• C. 12 months
• D. 18 months

Correct answer: C

Rationale: The first dose of the MMR vaccine is typically administered to a child at 12 months of age to provide protection against measles, mumps, and rubella. Administering the vaccine at this age ensures that the child's immune system is developed enough to generate a protective response to the vaccine.

5. Which of the following is a common sign of dehydration in infants?

• A. Frequent urination
• B. Sunken fontanelle
• C. Excessive drooling
• D. Increased appetite

Correct answer: B

Rationale: A sunken fontanelle is a common sign of dehydration in infants. The fontanelle is the soft spot on an infant's head where the skull bones have not yet fused. When an infant is dehydrated, the fontanelle can appear sunken or indented. It is important for caregivers and healthcare providers to recognize this sign promptly to ensure timely intervention and hydration for the infant.

Similar Questions