ATI RN
Community and Public Health Nursing Evidence for Practice Questions
Question 1 of 5
In the Philippines, which condition is the most frequent cause of death associated by schistosomiasis?
Correct Answer: B
Rationale: The correct answer is B: Liver cirrhosis. Schistosomiasis is caused by parasitic worms that infect the liver, leading to inflammation and scarring, which can progress to cirrhosis. This chronic liver damage is the most common cause of death associated with schistosomiasis in the Philippines. A: Liver cancer may develop as a complication of cirrhosis caused by schistosomiasis, but it is not the most frequent cause of death associated with the disease. C: Bladder cancer is associated with chronic infection of the urinary tract caused by schistosomiasis, but it is not the most common cause of death. D: Intestinal perforation can occur in severe cases of intestinal schistosomiasis, but it is not the most frequent cause of death compared to liver cirrhosis.
Question 2 of 5
Which biological used in EPI should not be stored in the freezer?
Correct Answer: B
Rationale: The correct answer is B: OPV. Oral Polio Vaccine should not be stored in the freezer because freezing temperatures can damage the live attenuated virus in the vaccine, reducing its effectiveness. Other choices, such as DPT, Measles vaccine, and MMR, are typically stored in the refrigerator, as freezing can lead to loss of potency in these vaccines as well. It is crucial to follow proper storage guidelines to maintain the efficacy of vaccines and ensure optimal protection against diseases.
Question 3 of 5
In IMCI, severe conditions generally require urgent referral to a hospital. Which of the following severe conditions Does not always require urgent referral to hospital?
Correct Answer: A
Rationale: Step-by-step rationale for why answer A is correct: 1. Mastoiditis is an infection of the mastoid bone behind the ear. 2. Severe mastoiditis may require hospitalization but not always urgent. 3. Other options like severe dehydration, pneumonia, and febrile disease usually need urgent hospital referral. Summary: Mastoiditis may not always necessitate immediate hospital referral compared to the other severe conditions listed.
Question 4 of 5
A 3-year old child was brought by his mother to the health center because of fever of 4-day duration. The child had a positive tourniquet test result. In the absence of other signs, which of the most appropriate measure that the PHN may carry out to prevent Dengue shock syndrome?
Correct Answer: B
Rationale: The correct answer is B: Instruct the mother to give the child Oresol. For a 3-year-old child with a positive tourniquet test and fever, the most appropriate initial measure to prevent Dengue shock syndrome is oral rehydration therapy with Oresol. This is because maintaining hydration is crucial in Dengue fever management. Inserting an NGT and giving fluids per NGT (choice A) is invasive and not necessary at this point. Starting the patient on IV Stat (choice C) is too aggressive for a stable child with no signs of shock. Referring the client to the physician (choice D) is not the first step in management and can delay necessary interventions. Oral rehydration therapy is simple, effective, and helps prevent dehydration in children with Dengue fever.
Question 5 of 5
Among the following diseases, which is airborne?
Correct Answer: D
Rationale: The correct answer is D: Measles. Measles is an airborne disease caused by a virus that spreads through respiratory droplets when an infected person coughs or sneezes. This mode of transmission makes it highly contagious. Viral conjunctivitis (A) is spread through direct contact with eye secretions, not airborne. Acute poliomyelitis (B) is transmitted through contaminated food and water, not airborne. Diphtheria (C) is spread through respiratory droplets, but it is primarily transmitted through close physical contact, not solely by airborne transmission like measles.