Nursing Elites

1. Which of the following practices is essential for preventing the spread of healthcare-associated infections?

• A. Frequent handwashing
• B. Sharing medical equipment
• C. Reducing patient turnover
• D. Increasing hospital bed capacity

Correct answer: A

Rationale: Frequent handwashing is a crucial practice for preventing the spread of healthcare-associated infections. Washing hands frequently helps remove pathogens and reduces the risk of transmitting infections between patients, healthcare providers, and other individuals in healthcare settings.

2. 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.

3. What is the best reason for administering vitamin A to a postpartum client?

• A. To help strengthen her immune system
• B. To improve her vision
• C. To protect her from infection
• D. To promote wound healing

Correct answer: A

Rationale: Vitamin A is crucial for maintaining the integrity of epithelial tissues, which are the body's first line of defense against pathogens. By supporting the immune system, vitamin A helps protect the postpartum client from infections and promotes overall health.

4. 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.

5. Which of the following is a key component of the IMCI strategy?

• A. Promoting hospital-based care
• B. Providing routine immunizations
• C. Enhancing maternal nutrition
• D. Integrated case management of childhood illnesses

Correct answer: D

Rationale: Integrated Management of Childhood Illness (IMCI) is a strategy developed by WHO and UNICEF. The key components of IMCI include integrated case management of childhood illnesses, where healthcare providers are trained to assess, classify, and treat common childhood illnesses holistically. This approach aims to improve the quality of care for children under five years of age by focusing on overall health, nutrition, immunization, and family and community practices. Therefore, promoting hospital-based care, providing routine immunizations, and enhancing maternal nutrition, while important, are not the sole key components of the IMCI strategy.

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