Nursing Elites

1. Which of the following is a contraindication for the administration of live vaccines?

• A. Mild upper respiratory infection
• B. Previous allergic reaction to the vaccine
• C. Current antibiotic therapy
• D. Family history of allergies

Correct answer: B

Rationale: A previous allergic reaction to the vaccine is a contraindication for the administration of live vaccines. This is because individuals who have had a previous allergic reaction to a vaccine are at higher risk of developing a severe allergic reaction with subsequent doses. It is crucial to identify and avoid administering live vaccines to individuals with a history of allergic reactions to prevent potential adverse events.

2. Why is iron supplementation given to pregnant women?

• A. To prevent anemia
• B. To promote fetal growth
• C. To prevent premature labor
• D. To prevent postpartum hemorrhage

Correct answer: A

Rationale: Iron supplementation is essential for pregnant women to prevent anemia, which can have adverse effects on both the mother and the developing fetus. Anemia in pregnancy can lead to fatigue, weakness, and even complications such as preterm birth or low birth weight. Therefore, ensuring an adequate supply of iron through supplementation is crucial to support the increased demands during pregnancy and prevent deficiencies that could negatively impact the health of both the mother and the baby.

3. When the occupational health nurse employs ergonomic principles, they are performing which of their roles?

• A. Health care provider
• B. Health educator
• C. Health care coordinator
• D. Environment manager

Correct answer: D

Rationale: When an occupational health nurse applies ergonomic principles, they are acting as an environment manager. Ergonomics involves optimizing the work environment for efficiency and safety by considering factors like workplace design, equipment, and furniture to enhance worker well-being and productivity. By focusing on ergonomics, the nurse aims to create a workspace that minimizes physical strain, reduces the risk of musculoskeletal injuries, and promotes overall health and comfort for the employees.

4. What is the primary purpose of the Field Health Services and Information System (FHSIS)?

• A. To monitor hospital services
• B. To record and report public health services
• C. To evaluate private health services
• D. To manage health insurance claims

Correct answer: B

Rationale: The primary purpose of the Field Health Services and Information System (FHSIS) is to record and report public health services. It is specifically designed to improve health service delivery and planning by systematically collecting, managing, and analyzing health-related data. Monitoring hospital services, evaluating private health services, and managing health insurance claims are not the primary functions of the FHSIS, which is focused on public health services.

5. In calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?

• A. 4.1/1000
• B. 5.2/1000
• C. 6.3/1000
• D. 7.3/1000

Correct answer: B

Rationale: To calculate the crude death rate, divide the total number of deaths (94) by the total population (18,000) and then multiply by 1,000. This gives a crude death rate of 5.2 deaths per 1,000 population.

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