Nursing Elites

1. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

2. At what age is the first dose of the MMR vaccine typically administered to a child?

• A. At birth
• B. 6 months
• C. 12 months
• D. 18 months

Correct answer: C

Rationale: The first dose of the MMR vaccine is typically administered to a child at 12 months of age to provide protection against measles, mumps, and rubella. Administering the vaccine at this age ensures that the child's immune system is developed enough to generate a protective response to the vaccine.

3. Where is the correct injection site for administering the DPT vaccine to an infant?

• A. Deltoid muscle
• B. Gluteal muscle
• C. Vastus lateralis muscle
• D. Forearm

Correct answer: C

Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in infants due to its larger muscle mass and fewer major nerves and blood vessels, reducing the risk of injury or adverse effects.

4. Which of the following is a common sign of dehydration in infants?

• A. Frequent urination
• B. Sunken fontanelle
• C. Excessive drooling
• D. Increased appetite

Correct answer: B

Rationale: A sunken fontanelle is a common sign of dehydration in infants. The fontanelle is the soft spot on an infant's head where the skull bones have not yet fused. When an infant is dehydrated, the fontanelle can appear sunken or indented. It is important for caregivers and healthcare providers to recognize this sign promptly to ensure timely intervention and hydration for the infant.

5. CHN is a community-based practice. What best explains this statement?

• A. The service is provided in the natural environment of people
• B. The nurse conducts community diagnosis to determine nursing needs and problems
• C. The services are based on the available resources within the community
• D. Priority setting is based on the magnitude of the health problems identified

Correct answer: B

Rationale: In community-based practice, healthcare providers deliver care to individuals in their natural environments, such as homes, schools, and workplaces. Conducting community diagnosis allows nurses to assess the specific needs and problems within the community, enabling them to tailor their services effectively and address the identified health concerns.

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