Nursing Elites

1. What is the primary method of transmission for tuberculosis?

• A. Vector-borne
• B. Airborne
• C. Waterborne
• D. Fecal-oral

Correct answer: B

Rationale: The correct answer is 'Airborne.' Tuberculosis is mainly transmitted through the air via respiratory droplets when an infected person coughs or sneezes. This allows the bacteria to be inhaled by others and infect their lungs. It is important to implement infection control measures to prevent the spread of tuberculosis in healthcare settings and the community.

2. The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?

• A. Line
• B. Bar
• C. Pie
• D. Scatter diagram

Correct answer: B

Rationale: A bar graph is the appropriate choice for comparing the frequency of the leading causes of mortality in the municipality because it allows for the clear visualization of the different causes side by side. Bar graphs are commonly used to compare discrete categories, making them ideal for this scenario. Line graphs are typically used for showing trends over time or age, pie graphs for illustrating population composition or distribution, and scatter diagrams for displaying the correlation between two variables.

3. Which of the following individuals should be considered as special targets for family planning?

• A. Individuals with two or more children
• B. Individuals with medical conditions such as anemia
• C. Individuals younger than 20 years or older than 35 years
• D. Individuals who have had a delivery within the past 15 months

Correct answer: D

Rationale: Individuals who have had a delivery within the past 15 months should be considered special targets for family planning because the ideal birth spacing is at least two years. By waiting two years (15 months post-delivery + 9 months of pregnancy), the individual can give their body enough time to recover and reduce potential health risks associated with closely spaced pregnancies.

4. Which of the following diseases is prevented by administration of the Hepatitis B vaccine?

• A. Jaundice
• B. Liver cancer
• C. Pneumonia
• D. Tuberculosis

Correct answer: B

Rationale: The correct answer is B: Liver cancer. The Hepatitis B vaccine helps prevent liver cancer by preventing chronic Hepatitis B infection. While Hepatitis B infection can lead to jaundice, the primary goal of the vaccine is to prevent liver complications such as cirrhosis and liver cancer.

5. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?

• A. Effectiveness
• B. Efficacy
• C. Specificity
• D. Sensitivity

Correct answer: D

Rationale: Sensitivity is the ability of a diagnostic test to correctly identify individuals with the disease. A test with high sensitivity will rarely give false negative results, as it will detect almost all positive cases. In the context of the given scenario, false negative results indicate that the test is lacking in sensitivity to pick up all cases of pulmonary tuberculosis, leading to some cases being missed.

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