Nursing Elites

1. What is the primary purpose of administering Vitamin K to newborns?

• A. To prevent infection
• B. To promote growth
• C. To prevent bleeding disorders
• D. To enhance immune function

Correct answer: C

Rationale: Vitamin K is administered to newborns primarily to prevent bleeding disorders. Newborns have low levels of Vitamin K at birth, which can lead to a condition called vitamin K deficiency bleeding (VKDB). Administering Vitamin K helps prevent this potentially life-threatening bleeding disorder.

2. To monitor clients registered in long-term regimens, such as Multi-Drug Therapy, which component will be most useful?

• A. Tally report
• B. Output report
• C. Target/client list
• D. Individual health record

Correct answer: C

Rationale: The Target/Client List is a record that specifically tracks clients enrolled in MDT and includes essential data like the dates when clients collected their monthly drug supplies. This list is crucial for monitoring and managing clients in long-term regimens, providing a comprehensive overview of client participation and treatment progress.

3. What is the primary purpose of conducting a health survey in a community?

• A. To provide medical treatment to individuals
• B. To gather data on health status and needs
• C. To distribute health education materials
• D. To perform laboratory tests

Correct answer: B

Rationale: The primary purpose of conducting a health survey in a community is to gather data on the health status and needs of the community. It helps in identifying health issues, assessing the prevalence of diseases, understanding health behaviors, and planning appropriate interventions. While health surveys can lead to improved healthcare delivery and interventions, their primary focus is on data collection rather than providing direct medical treatment, distributing health education materials, or performing laboratory tests.

4. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

• A. Her OB score is G5P3
• B. She has some palmar pallor
• C. Her blood pressure is 130/80
• D. Her baby is in cephalic presentation

Correct answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

5. Which principle is CONTRARY to planning a home visit?

• A. A home visit should have a clear purpose or objective
• B. The plan should be centered around the family's health needs
• C. A home visit should strictly follow RHU guidelines
• D. Involving a responsible family member in continuing care planning is essential

Correct answer: C

Rationale: When planning a home visit, it is crucial for the visit to be tailored to the specific needs of the family. While guidelines are important, they should not restrict the flexibility and practicality of the plan. The plan should adapt to the family's unique circumstances, resources available, and the nurse's assessment, rather than being rigidly bound by preset guidelines.

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