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. Which nutrient is most critical for preventing neural tube defects during pregnancy?

• A. Iron
• B. Calcium
• C. Folic acid
• D. Vitamin D

Correct answer: C

Rationale: Folic acid is the most critical nutrient for preventing neural tube defects during pregnancy. Neural tube defects are serious birth defects of the brain and spinal cord. Adequate intake of folic acid before and during early pregnancy can significantly reduce the risk of these defects. Iron, calcium, and vitamin D are important nutrients during pregnancy for other reasons, such as supporting the increased demands on the body for blood production, bone health, and calcium absorption, respectively.

3. Which vitamin deficiency in the pregnant woman may cause neural tube defects?

• A. Niacin
• B. Riboflavin
• C. Folic Acid
• D. Thiamine

Correct answer: C

Rationale: Neural tube defects are linked to a deficiency in folic acid intake during pregnancy. Adequate folic acid intake is crucial as it significantly reduces the risk of neural tube defects in newborns. Therefore, ensuring pregnant women have sufficient folic acid is essential in preventing this serious birth defect.

4. Which of the following individuals should be considered as special targets for family planning?

• A. Individuals with two or more children
• B. Individuals with medical conditions such as anemia
• C. Individuals younger than 20 years or older than 35 years
• D. Individuals who have had a delivery within the past 15 months

Correct answer: D

Rationale: Individuals who have had a delivery within the past 15 months should be considered special targets for family planning because the ideal birth spacing is at least two years. By waiting two years (15 months post-delivery + 9 months of pregnancy), the individual can give their body enough time to recover and reduce potential health risks associated with closely spaced pregnancies.

5. RA 1054 is also known as the Occupational Health Act. Besides the number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled?

• A. Type of occupation: agriculture, commercial, industrial
• B. Location of the workplace in relation to health facilities
• C. Classification of the business enterprise based on net profit
• D. Sex and age composition of employees

Correct answer: B

Rationale: According to R.A. 1054, the key factor to consider, apart from the number of employees, is the location of the workplace concerning health facilities. Specifically, an occupational nurse must be employed when there are 30 to 100 employees, and the workplace is more than 1 km away from the nearest health center. This ensures timely access to health services for employees in case of emergencies or health needs.

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