ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
In immunity school entrants with BCG, you not obliged to secure parental consent. This is because of which legal document?
Correct Answer: A
Rationale: The correct answer is A: PD 996. This legal document, specifically Presidential Decree (PD) 996, grants exemption from securing parental consent for BCG vaccination in immunity school entrants. PD 996 is a specific regulation that addresses this particular situation, making it the appropriate legal basis. Summary: - B: RA 7864 does not specifically address the exemption for parental consent in BCG vaccination for immunity school entrants. - C: Presidential Proclamation No. 6 and D: Presidential Proclamation No. 46 are not directly related to the issue of parental consent for BCG vaccination in immunity school entrants.
Question 2 of 5
A 2-month old infant was brought to the health center for immunization. During assessment,
Correct Answer: D
Rationale: The correct answer is D because at 2 months old, any fever or unusual symptoms should be taken seriously. Referring the infant to a physician for further assessment ensures proper evaluation and treatment if necessary, as infants are more vulnerable to serious illnesses. Choice A is too vague and does not provide specific actions. Choice B is risky as immunization may worsen the infant's condition if there is an underlying medical issue. Choice C is inappropriate as giving paracetamol without knowing the cause of the fever can mask symptoms and delay proper diagnosis and treatment.
Question 3 of 5
Which of the following signs will indicate that a young child is suffering from severe pneumonia?
Correct Answer: D
Rationale: The correct answer is D: Chest indrawing. This sign indicates severe pneumonia in young children because it shows increased effort in breathing due to the lungs working harder to get enough oxygen. Chest indrawing is a visual indication of the child struggling to breathe, a critical symptom of severe pneumonia. Rationale: 1. Dyspnea (A) is a general term for difficulty in breathing and can be present in various respiratory conditions, not specific to severe pneumonia. 2. Wheezing (B) is typically associated with asthma or bronchiolitis, not a definitive sign of severe pneumonia. 3. Fast breathing (C) is a common symptom of pneumonia but alone may not indicate severity, unlike chest indrawing which is a more critical sign of respiratory distress.
Question 4 of 5
Based on the assessment, you classified a 3-month old infant with the chief complaint of diarrhea in the category of SOME DEHYDRATION. Based on the IMCI management guidelines, which of the following will you do?
Correct Answer: B
Rationale: The correct answer is B: Supervise the mother in giving 200 to 400 ml of Oresol in 4 hours. Rationale: 1. Oresol helps in rehydration and contains essential electrolytes. 2. For a 3-month-old with some dehydration, oral rehydration therapy is effective and safe. 3. The amount specified (200-400ml) is appropriate for the age and condition. 4. Supervision ensures proper administration and monitoring of intake. 5. This aligns with IMCI guidelines promoting effective home-based management of dehydration. Summary: A: Bringing the infant to a facility for IV fluids is not necessary for some dehydration. C: Giving home management instructions without active involvement may lead to improper rehydration. D: Keeping the infant in the health center is not needed if proper home-based rehydration can be supervised.
Question 5 of 5
Assessment of a 2-year old child revealed "baggy pantsâ€. Using the IMCI guidelines, how will you manage this child?
Correct Answer: D
Rationale: The correct answer is D: Assess and treat the child for health problems like infections and intestinal parasitism. This is the correct approach based on the IMCI guidelines for managing a 2-year-old child with "baggy pants," which may indicate malnutrition. By assessing and treating health issues like infections and parasitism, the child's nutritional status can improve. Referring the child urgently to a hospital for confinement (A) is not necessary unless there are severe complications. Coordinating with a social worker for a feeding program (B) may be beneficial but addressing health issues is the priority. Making a teaching plan for menu planning (C) is important, but addressing underlying health problems should come first.