Nursing Elites

1. When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?

• A. Education
• B. Safety
• C. Policy-making
• D. Vaccination

Correct answer: B

Rationale: The primary priority when caring for a first-time mom and baby is ensuring safety. Safety encompasses various aspects such as preventing accidents, promoting a safe environment for both the mother and baby, and reducing risks of harm. By prioritizing safety, the community RN can address immediate concerns and create a foundation for the well-being of the mother and baby.

2. Which of the following is not a common causative agent of bacterial meningitis?

• A. Streptococcus pneumoniae
• B. Neisseria meningitidis
• C. Staphylococcus aureus
• D. Haemophilus influenzae

Correct answer: C

Rationale: Bacterial meningitis is commonly caused by Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Staphylococcus aureus is not a typical causative agent of bacterial meningitis. This bacterium is more commonly associated with skin and soft tissue infections rather than meningitis.

3. How should contaminated instruments used during delivery be handled?

• A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
• B. Soak in 0.5% chlorine solution for 30 minutes
• C. Wash with soap and water and boil for 2 hours
• D. Soak in 0.5% chlorine solution for 10 minutes

Correct answer: B

Rationale: When dealing with contaminated instruments used during delivery, it is crucial to soak them in a 0.5% chlorine solution for 30 minutes to ensure proper disinfection. This practice helps eliminate potential pathogens and ensures the safety of both the healthcare provider and the patient.

4. A traditional plant used to lower uric acid is being used by Rosario, a 55-year-old client with rheumatism. This herbal plant is called “ulasimang bato.” What is its common name?

• A. Lagundi
• B. Pancit-pancitan
• C. Bayabas
• D. Sambong

Correct answer: B

Rationale: The traditional plant 'ulasimang bato,' known as pancit-pancitan, is used to lower uric acid levels and treat rheumatism. It is important to recognize the common names of medicinal plants to understand their uses and benefits.

5. A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

• A. Reviewing the most recent hospital patient data collected by the local college of nursing
• B. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community
• C. Evaluating the results of the most recent community-wide screening program before planning for the next community health program
• D. Giving testimony to the state legislature on a new health and safety bill

Correct answer: A

Rationale: The most easily postponed task among the options provided is reviewing the most recent hospital patient data collected by the local college of nursing. This task focuses on data collection and analysis, which can be delayed without immediate impact on decision-making related to new clinic options, community-wide screening program evaluation, or legislative testimony on health and safety bills.

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