ATI RN
Community and Public Health Nursing Evidence for Practice Questions
Question 1 of 5
Which clients are considered targets for DOTS category?
Correct Answer: C
Rationale: The correct answer is C because clients who are relapses or failures of previous PTB treatment regimens are considered targets for DOTS category. These clients require a more structured and supervised treatment approach to ensure successful treatment outcomes. Choice A is incorrect because sputum negative cavitary cases are not typically targeted for DOTS category as they may not present the same level of treatment complexity as relapses or failures. Choice B is incorrect because clients returning after default may also require DOTS intervention, but they are not specifically categorized as targets for DOTS category. Choice D is incorrect because clients diagnosed for the first time through a positive sputum exam may not necessarily need the same level of supervision and support as relapses or failures.
Question 2 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 3 of 5
When residents obtain water from an artesian well in the neighborhood, the level of this approved type of water facility is:
Correct Answer: B
Rationale: The correct answer is B: II. Artesian wells are classified as type II water facilities, which are groundwater sources that are protected from surface contamination. This classification is based on the level of protection and vulnerability of the water source. Type I facilities are surface water sources, while type III and IV facilities have varying degrees of protection and vulnerability. Therefore, when residents obtain water from an artesian well, it falls under type II classification due to its groundwater source and protection from surface contamination.
Question 4 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 5 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.