Nursing Elites

1. Which age group is most vulnerable to protein-energy malnutrition (PEM)?

• A. Infants below 6 months
• B. Children aged 1-4 years
• C. Adolescents
• D. Elderly

Correct answer: B

Rationale: Children aged 1-4 years are most vulnerable to protein-energy malnutrition (PEM) due to their rapid growth and development, increased nutritional requirements, and sometimes inadequate diets. This age group is particularly susceptible to malnutrition if they do not receive adequate protein and energy-rich foods to support their growth and development.

2. What level of facility is Region IV Hospital classified as?

• A. Primary
• B. Secondary
• C. Intermediate
• D. Tertiary

Correct answer: D

Rationale: Region IV Hospital is classified as a tertiary facility. Tertiary facilities are typically advanced centers that provide specialized care, advanced medical procedures, and serve as teaching hospitals for medical professionals. These hospitals offer a wide range of medical services and are equipped with advanced technology and expertise to handle complex cases. Therefore, Region IV Hospital being a tertiary facility indicates that it offers high-level medical care and serves as a regional training center for healthcare professionals.

3. Which of the following is an epidemiologic function of the nurse during an epidemic?

• A. Conducting assessments of suspected cases to detect communicable diseases
• B. Monitoring the condition of cases affected by the communicable disease
• C. Participating in the investigation to determine the source of the epidemic
• D. Educating the community on preventive measures against the disease

Correct answer: C

Rationale: During an epidemic, nurses play a crucial role in participating in epidemiologic investigations to identify the source of the outbreak. By investigating the source of the epidemic, nurses can help in understanding what caused the outbreak and how it can be controlled and prevented in the future. This function is essential in managing and responding effectively to epidemics.

4. Which of the following is an example of secondary prevention?

• A. Vaccination
• B. Health education
• C. Screening for hypertension
• D. Rehabilitation therapy

Correct answer: C

Rationale: Secondary prevention focuses on early detection and intervention to prevent the progression of diseases. Screening for hypertension falls under secondary prevention as it aims to identify the condition early, allowing for timely management and prevention of complications.

5. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

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