Nursing Elites

1. 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.

2. Which of the following interventions is an example of tertiary prevention?

• A. Vaccination campaigns
• B. Health education seminars
• C. Physical rehabilitation programs
• D. Early disease screening

Correct answer: C

Rationale: Tertiary prevention focuses on managing and improving the quality of life for individuals who already have a disease or condition. Physical rehabilitation programs fall under tertiary prevention as they aim to enhance functioning and reduce disability caused by ongoing illness or injury, thus aligning with the goal of tertiary prevention.

3. What is the interval between tetanus toxoid doses for pregnant women?

• A. 4 weeks
• B. 6 weeks
• C. 8 weeks
• D. 12 weeks

Correct answer: A

Rationale: The correct interval between doses of tetanus toxoid for pregnant women is 4 weeks. This interval ensures that pregnant women receive adequate protection against tetanus, particularly in areas where the disease is prevalent. The 4-week interval helps in building and maintaining immunity to protect both the pregnant woman and her developing baby from tetanus infection.

4. Which age group is most vulnerable to protein-energy malnutrition (PEM)?

• A. Infants below 6 months
• B. Children aged 1-4 years
• C. Adolescents
• D. Elderly

Correct answer: B

Rationale: Children aged 1-4 years are most vulnerable to protein-energy malnutrition (PEM) due to their rapid growth and development, increased nutritional requirements, and sometimes inadequate diets. This age group is particularly susceptible to malnutrition if they do not receive adequate protein and energy-rich foods to support their growth and development.

5. Knowing that malnutrition is a common community health issue, you decided to conduct a nutritional assessment. What population is particularly vulnerable to protein-energy malnutrition (PEM)?

• A. Pregnant women and the elderly
• B. Under 5-year-old children
• C. 1-4-year-old children
• D. School-age children

Correct answer: B

Rationale: Under 5-year-old children are particularly susceptible to protein-energy malnutrition (PEM) because they have generally been weaned and often rely on others for food. This population may suffer from poor intrafamilial food distribution, contributing to their vulnerability.

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