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. 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.

3. Which of the following is a mission of the Department of Health?

• A. Health for all Filipinos
• B. Ensure accessibility and quality of health
• C. Improve the general health status of the population
• D. Health in the hands of the Filipino people by the year 2020

Correct answer: B

Rationale: The mission of the Department of Health is to ensure the accessibility and quality of health services for the population. This encompasses providing healthcare services that are both easily reachable and of high standards to promote the well-being of the community.

4. Estimate the number of pregnant women who will be given tetanus toxoid during an immunization outreach activity in a barangay with a population of about 1,500.

• A. 265
• B. 300
• C. 375
• D. 400

Correct answer: A

Rationale: To estimate the number of pregnant women, multiply the total population by 3.5%.

5. 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.

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