Nursing Elites

1. Which of the following exemplifies the school nurse’s health care provider function?

• A. Requesting BCG vaccine from the RHU for school entrance immunization
• B. Conducting random classroom inspections during a measles epidemic
• C. Taking corrective action on an accident hazard in the school playground
• D. Observing areas in the school where pupils spend their free time

Correct answer: B

Rationale: Conducting random classroom inspections during a measles epidemic is a vital function of the school nurse as it involves assessing pupils and teachers for signs of a health problem prevalent in the community. This function helps in early detection, prevention, and control of diseases among students and staff, contributing to maintaining a healthy school environment.

2. 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.

3. 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.

4. Which vitamin deficiency in the pregnant woman may cause neural tube defects?

• A. Niacin
• B. Riboflavin
• C. Folic Acid
• D. Thiamine

Correct answer: C

Rationale: Neural tube defects are linked to a deficiency in folic acid intake during pregnancy. Adequate folic acid intake is crucial as it significantly reduces the risk of neural tube defects in newborns. Therefore, ensuring pregnant women have sufficient folic acid is essential in preventing this serious birth defect.

5. Where is the correct injection site for administering the DPT vaccine to an infant?

• A. Deltoid muscle
• B. Gluteal muscle
• C. Vastus lateralis muscle
• D. Forearm

Correct answer: C

Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in infants due to its larger muscle mass and fewer major nerves and blood vessels, reducing the risk of injury or adverse effects.

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