ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
Which biological used in EPI is stored in the freezer?
Correct Answer: D
Rationale: The correct answer is D: Hepatitis B vaccine. Hepatitis B vaccine is stored in the freezer to maintain its stability and efficacy. Freezing temperatures help prevent degradation of the vaccine components. Other choices, A (DPT), B (Tetanus toxoid), and C (Measles vaccine) are typically stored in the refrigerator, not the freezer, as they remain stable at higher temperatures. Storing these vaccines in the freezer could potentially damage their potency and effectiveness.
Question 2 of 5
A 4 week old baby was brought to the health center for his first immunization. Which can be given to him?
Correct Answer: B
Rationale: The correct answer is B: OPV1. At 4 weeks old, the baby can receive the oral polio vaccine (OPV1) as part of the routine immunization schedule. OPV1 helps protect against polio, a highly infectious viral disease. DPT1 (choice A) is usually given at 6 weeks, Infant BCG (choice C) is given at birth, and Hepatitis B Vaccine (choice D) is given within the first 24 hours of life. Therefore, OPV1 is the appropriate choice for a 4-week-old baby.
Question 3 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 4 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 5 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.