Nursing Elites

1. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

• A. Referring cases or patients to the midwife
• B. Providing technical guidance to the midwife
• C. Providing nursing care to cases referred by the midwife
• D. Formulating and implementing training programs for midwives

Correct answer: B

Rationale: The correct answer is B. Providing technical guidance to the midwife is a key supervisory function of the public health nurse. This guidance helps the midwife in delivering care to clients effectively, especially in adhering to management guidelines such as those in Integrated Management of Childhood Illness. While options A, C, and D involve various aspects of support and collaboration, providing technical guidance aligns directly with the supervisory role of ensuring quality and consistency in the care provided by midwives.

2. Which of the following vaccines is recommended to be given at birth?

• A. BCG
• B. Hepatitis B
• C. OPV
• D. Measles

Correct answer: A

Rationale: The BCG vaccine is recommended to be given at birth to protect against tuberculosis. It is often administered soon after birth to provide early protection against the disease, especially in areas where tuberculosis is prevalent.

3. In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?

• A. Establishing the epidemic
• B. Testing the hypothesis
• C. Formulation of the hypothesis
• D. Appraisal of facts

Correct answer: A

Rationale: During the investigation of an epidemic, establishing the epidemic involves comparing the current frequency of the disease with the typical frequency for that time of year in the community. This comparison helps determine whether an epidemic is occurring by assessing if the number of cases exceeds the expected baseline, as well as establishing the link between the cases of the disease.

4. Which of the following is a contraindication for the administration of live vaccines?

• A. Mild upper respiratory infection
• B. Previous allergic reaction to the vaccine
• C. Current antibiotic therapy
• D. Family history of allergies

Correct answer: B

Rationale: A previous allergic reaction to the vaccine is a contraindication for the administration of live vaccines. This is because individuals who have had a previous allergic reaction to a vaccine are at higher risk of developing a severe allergic reaction with subsequent doses. It is crucial to identify and avoid administering live vaccines to individuals with a history of allergic reactions to prevent potential adverse events.

5. Which vaccine leaves a permanent scar at the site of injection?

• A. BCG
• B. DPT
• C. Hepatitis B vaccine
• D. Measles vaccine

Correct answer: A

Rationale: The BCG vaccine, which is used for tuberculosis, is known to leave a permanent scar at the site of injection. This distinctive scar formation is one of the characteristic features of receiving the BCG vaccine and is used as a marker of vaccination in some regions.

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