Nursing Elites

1. What is the FIRST STEP for thermal protection of a newborn?

• A. Drying the baby thoroughly immediately after birth
• B. Covering the baby with a clean, dry cloth after the cord has been cut
• C. Drying the baby thoroughly after the cord has been cut
• D. Covering the baby with a clean, dry cloth immediately after birth

Correct answer: A

Rationale: The first step in thermal protection of a newborn is to dry the baby thoroughly immediately after birth. This helps prevent heat loss and maintain the newborn's body temperature, which is crucial for their well-being. By drying the baby promptly, you can reduce the risk of hypothermia and provide a comfortable environment for the newborn.

2. What is a common barrier to effective health education?

• A. Lack of funding for educational programs
• B. Cultural differences
• C. Complex medical terminology
• D. Resistance to behavior change

Correct answer: D

Rationale: Resistance to behavior change is a common barrier to effective health education because individuals may be resistant or hesitant to change their behaviors even when presented with health education interventions.

3. James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?

• A. Slow breathing
• B. Fast breathing
• C. Normal breathing
• D. Very fast breathing

Correct answer: C

Rationale: James' breathing is classified as normal because his respiratory rate falls within the expected range for his age group, and there are no general danger signs present. In this case, his breathing is considered normal based on the provided information.

4. If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:

• A. Massage the uterus
• B. Insert a urinary catheter
• C. Start an IV
• D. Check the placenta to ensure completeness

Correct answer: A

Rationale: In postpartum hemorrhage, massaging the uterus is the initial step to promote uterine contractions, which can help control bleeding by compressing the blood vessels. This action can help prevent further blood loss and stabilize the patient's condition. Calling for help is essential to ensure timely assistance, but taking immediate action by massaging the uterus is crucial in managing postpartum bleeding.

5. What is the drug of choice for progressive multiple sclerosis?

• A. Ocrelizumab
• B. Dimethyl fumarate
• C. Teriflunomide
• D. Fluoroquinolones

Correct answer: A

Rationale: Ocrelizumab is the drug of choice for progressive multiple sclerosis due to its efficacy in reducing disease activity and progression in patients with this form of the disease. Dimethyl fumarate, Teriflunomide, and Fluoroquinolones are not typically used as first-line treatments for progressive MS.

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