ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
For prevention of Hepatitis A, you decided to conduct health education activities. Which of the following is Irrelevant?
Correct Answer: D
Rationale: The correct answer is D because water pipe leaks and illegal water connections do not directly contribute to the prevention of Hepatitis A, which is primarily transmitted through contaminated food or water. A, B, and C are relevant as they address key factors in preventing the transmission of Hepatitis A such as avoiding the use of contaminated syringes, ensuring safe food handling practices, and maintaining proper hygiene and sanitation. Therefore, focusing on immediate reporting of water-related issues is not directly related to preventing Hepatitis A transmission.
Question 2 of 5
A client was diagnosed as having Dengue Fever. You will say that there is slow capillary refill when the color of the nailbed that you pressed does not return within how many seconds?
Correct Answer: B
Rationale: The correct answer is B: 5 seconds. Slow capillary refill in Dengue Fever typically indicates poor peripheral perfusion, which can be a sign of shock. In a healthy individual, capillary refill should occur within 2 seconds. In cases of shock or poor perfusion, the capillary refill time may be prolonged. Choosing 5 seconds as the threshold aligns with the delayed capillary refill commonly seen in patients with Dengue Fever. Choices A, C, and D are incorrect as they do not reflect the typical time frame for capillary refill in these circumstances.
Question 3 of 5
The pathognomonic sign of measles is Koplik's spot. You may see Koplik's spot by inspecting the:
Correct Answer: B
Rationale: The correct answer is B: Buccal mucosa. Koplik's spots are small white spots surrounded by a red halo that appear on the buccal mucosa opposite the molars. This is a pathognomonic sign of measles due to the presence of the measles virus in the mucous membranes. Inspecting the nasal mucosa (Choice A) would not reveal Koplik's spots. Similarly, examining the skin on the abdomen (Choice C) or the skin on the antecubital surface (Choice D) would not show Koplik's spots as they are specific to the buccal mucosa.
Question 4 of 5
Among children aged 2 months to 3 years, the most prevalent form of meningitis is caused by which microorganism?
Correct Answer: A
Rationale: The correct answer is A: Hemophilus Influenzae. In children aged 2 months to 3 years, Hemophilus Influenzae type B (Hib) is the most prevalent cause of meningitis due to their immature immune systems. Hib vaccination has significantly reduced the incidence of Hib meningitis. Morbillivirus (B) causes measles, not meningitis. Streptococcus Pneumoniae (C) and Neisseria meningitidis (D) can also cause meningitis but are less common in this age group compared to Hib.
Question 5 of 5
Mosquito-borne diseases are prevented mostly with the use of mosquito control measures. Which of the following is NOT appropriate for malaria control?
Correct Answer: D
Rationale: The correct answer is D because using mosquito-repelling soaps is not an effective method for malaria control. Malaria is primarily spread through the bites of infected mosquitoes, so focusing on preventing mosquito breeding and bites is key. Let's break it down: A - Chemically treated nets prevent mosquito bites, reducing malaria transmission. B - Introducing larva-eating fish can reduce mosquito populations by eating mosquito larvae. C - Destroying breeding sites eliminates mosquito breeding grounds, reducing the mosquito population and the risk of malaria transmission. D - Mosquito-repelling soaps may help to repel mosquitoes temporarily but do not address the root cause of malaria transmission.