Nursing Elites

1. The nurse is administering the measles, mumps, rubella (MMR) vaccine to a 12-month-old child during the well-baby visit. Which age range should the nurse advise the parents to plan for their child to receive the MMR booster based on the current recommendations and guidelines by the Center for Disease Control (CDC)?

• A. 13 to 18 years of age.
• B. 11 to 12 years of age.
• C. 18 to 24 months of age.
• D. 4 to 6 years of age.

Correct answer: D

Rationale: The correct answer is D: 4 to 6 years of age. The CDC recommends the MMR booster for children in this age group. Choice A (13 to 18 years of age) is incorrect as it is not the recommended age range for the MMR booster. Choice B (11 to 12 years of age) is also incorrect as it does not align with the CDC guidelines for the MMR booster. Choice C (18 to 24 months of age) is not the correct age range for the MMR booster according to CDC recommendations.

2. Which of the following statements can motivate a couple to practice family planning?

• A. Family planning helps families improve their standard of living.
• B. Family planning reduces or eliminates fear of unwanted pregnancies.
• C. Family planning affords family members time to study or pursue personal interests.
• D. All of the above

Correct answer: D

Rationale: The correct answer is D because all the listed statements provide valid reasons to motivate couples to practice family planning. Option A highlights how family planning can lead to an improvement in the standard of living by allowing families to better manage their resources. Option B emphasizes the importance of family planning in reducing or eliminating the fear of unwanted pregnancies, which can have significant emotional and financial implications for couples. Option C points out that family planning can also afford family members time to focus on personal development, such as studying or pursuing personal interests, without the added responsibilities of unplanned pregnancies. Therefore, all these factors combined can serve as strong motivators for couples to consider and practice family planning. Choices A, B, and C are incorrect because each of them individually provides a valid reason to motivate couples, making the comprehensive answer D the most appropriate.

3. The nurse is teaching a group of older adults about medication safety. Which of the following should be included in the teaching?

• A. keeping a list of all medications and dosages
• B. sharing medications with family members if they have the same prescription
• C. stopping medications when symptoms improve
• D. doubling up on missed doses

Correct answer: A

Rationale: The correct answer is A: keeping a list of all medications and dosages. Maintaining a comprehensive list of medications and their dosages is essential for older adults to prevent medication errors and dangerous interactions. Choice B is incorrect because sharing medications, even if family members have the same prescription, can lead to unintended adverse effects or inappropriate dosages. Choice C is incorrect as stopping medications when symptoms improve can be harmful if the full course of treatment is not completed. Choice D is incorrect as doubling up on missed doses can result in overdosing and adverse reactions.

4. The following statements pertain to devolution as mandated by the local government code. Which of these is not correct?

• A. People can participate in policymaking relative to healthcare delivery.
• B. Devolution will enhance the quality of community life.
• C. The barangay shall set criteria as to who shall be given priority in the delivery of healthcare services.
• D. The DOH shall transfer regulatory function of inspecting food establishments to local government units.

Correct answer: D

Rationale: The correct answer is D. The Department of Health (DOH) retains regulatory functions for inspecting food establishments, and it is not transferred to local government units. Choices A, B, and C are correct because devolution allows people to participate in policymaking for healthcare, enhances community life quality, and empowers the barangay to set criteria for healthcare service prioritization.

5. Which ethnic group has the highest risk for diabetes?

• A. African Americans
• B. Hispanic Americans
• C. Asian Americans
• D. Native Americans

Correct answer: D

Rationale: Native Americans have the highest risk for diabetes compared to other ethnic groups. This is due to genetic predisposition, lifestyle factors, and limited access to healthcare. African Americans, Hispanic Americans, and Asian Americans also have an increased risk of developing diabetes, but statistically, Native Americans have the highest prevalence of the disease. Therefore, choices A, B, and C are incorrect.

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