Nursing Elites

1. Which of the following is NOT a principle of Primary Health Care?

• A. Health promotion
• B. Community participation
• C. Inter-sectoral collaboration
• D. Accessibility

Correct answer: D

Rationale: The principles of Primary Health Care include health promotion, community participation, and inter-sectoral collaboration. Accessibility, while important, is not explicitly listed as a principle of Primary Health Care. The focus of Primary Health Care is on providing essential healthcare services to all individuals, emphasizing community involvement, prevention, and addressing social determinants of health.

2. While on a hiking trip, a Girl Scout unit rested on Mt. Makiling when scout Jaymee, 14 years old, complained of a sudden, moderately bearable toothache. In their first-aid kit, they discovered they had no mefenamic acid but luckily stumbled upon a home that uses alternative pain-relieving medicinal plants. Which plant would be helpful for the toothache?

• A. Bawang (garlic)
• B. Lagundi
• C. Sambong
• D. Tsaang gubat

Correct answer: A

Rationale: Bawang (garlic) is traditionally used as a pain reliever, especially for toothaches due to its antimicrobial properties that can help reduce pain and inflammation associated with dental issues.

3. Which fluid is used in the management of gastrointestinal tract (GIT) loss and burns?

• A. Ringer's lactate
• B. Normal saline
• C. Dextrose
• D. Blood

Correct answer: A

Rationale: Ringer's lactate is the preferred fluid for managing gastrointestinal tract (GIT) losses and burns due to its balanced electrolyte composition. It helps replace lost fluids and electrolytes, making it an ideal choice for resuscitation in such scenarios. Normal saline is commonly used for volume resuscitation but may not be the best choice for these specific conditions. Dextrose is a source of glucose and is not typically used as the primary fluid for GIT losses and burns. Blood transfusion is indicated for specific situations like severe hemorrhage or anemia but is not the primary fluid for GIT losses and burns.

4. Which term refers to nurses in the local/national health departments or public schools?

• A. Public health nursing
• B. Public health nurse
• C. Registered midwives
• D. Registered nurses

Correct answer: B

Rationale: The correct term that refers to nurses in local/national health departments or public schools is 'Public health nurse.' Public health nursing (Choice A) is a broader term that encompasses the practice of nursing in the community to promote and protect the health of populations. Registered midwives (Choice C) specifically refers to a different role in healthcare related to childbirth and maternal care. Registered nurses (Choice D) are nurses who have completed specific education and training and are licensed to practice nursing.

5. If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:

• A. Massage the uterus
• B. Insert a urinary catheter
• C. Start an IV
• D. Check the placenta to ensure completeness

Correct answer: A

Rationale: In postpartum hemorrhage, massaging the uterus is the initial step to promote uterine contractions, which can help control bleeding by compressing the blood vessels. This action can help prevent further blood loss and stabilize the patient's condition. Calling for help is essential to ensure timely assistance, but taking immediate action by massaging the uterus is crucial in managing postpartum bleeding.

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