ENADE Enfermagem Practice Questions - ENADE Enfermagem - Exame Nacional de Desempenho dos Estudantes (Enfermagem) Exam - ENADE Enfermagem Practice Questions - ENADE Enfermagem - Exame Nacional de Desempenho dos Estudantes (Enfermagem) Exam

Question 1

A municipal health department is planning resource allocation for basic health units. An isolated riverside community in the Amazon region with severe socio-environmental vulnerabilities requires mobile river clinics (Unidades Básicas de Saúde Fluviais) and expanded nursing staffing, which involves higher per-capita expenditures than urban clinics. Which fundamental principle of the Brazilian Unified Health System (Sistema Único de Saúde - SUS) justifies allocating greater financial and logistical resources to unequal populations to reduce structural health disparities?

Equity (Equidade), which dictates treating unequal individuals unequally according to their specific needs to achieve social justice and mitigate health disparities. Universality (Universalidade), which mandates that identical healthcare packages and fixed budgets must be distributed identically across all geographic jurisdictions. Decentralization (Descentralização), which transfers complete financial responsibility for healthcare delivery exclusively to municipal governments without federal co-financing. Integrality (Integralidade), which requires that curative specialized hospital services always take financial precedence over preventive primary healthcare actions.

Correct Answer:

Equity (Equidade), which dictates treating unequal individuals unequally according to their specific needs to achieve social justice and mitigate health disparities.

Question 2

Under Federal Law No. 8.142/1990, social participation (controle social) in the Brazilian Unified Health System (SUS) is institutionalized through collegiate bodies. Regarding the composition and functioning of Health Councils (Conselhos de Saúde) and Health Conferences (Conferências de Saúde), which rule defines their parity structure?

Healthcare professionals and government managers combined must hold 75% of the voting seats to ensure technical predominance in deliberation. Civil society users (usuários do SUS) must represent 50% of the total seats (parity), while healthcare workers represent 25%, and government managers and service providers represent the remaining 25%. Elected legislative representatives from municipal and state chambers occupy 50% of all council seats as ex-officio voting members. Private healthcare service providers under contract with SUS must hold a permanent majority on the executive board of municipal health councils.

Correct Answer:

Civil society users (usuários do SUS) must represent 50% of the total seats (parity), while healthcare workers represent 25%, and government managers and service providers represent the remaining 25%.

Question 3

An alert, fully oriented 42-year-old adult patient diagnosed with severe anemia secondary to gastrointestinal bleeding explicitly refuses homologous blood transfusion based on deeply held religious beliefs as a Jehovah's Witness, while consenting to non-blood alternative volume expanders and medical therapies. In clinical bioethics and Brazilian medical-legal jurisprudence, which bioethical principle protects this patient's right to self-determination when fully informed of risks?

Beneficence (Beneficência), which empowers the healthcare team to override the patient's refusal whenever medical judgment deems a procedure life-saving. Paternalism (Paternalismo Médico), which legally obligates the registered nurse to administer blood components against patient refusal in hospital settings. Autonomy (Autonomia), which guarantees a competent person's moral and legal right to make informed decisions about their own body and medical treatments. Non-maleficence (Não Maleficência), which defines blood component refusal as an act of self-harm that invalidates the patient's legal competence.

Correct Answer:

Autonomy (Autonomia), which guarantees a competent person's moral and legal right to make informed decisions about their own body and medical treatments.

Question 4

The Dahlgren and Whitehead model adopted by the Brazilian National Commission on Social Determinants of Health (CNDSS) stratifies determinants into concentric layers from individual to macro-structural levels. According to this framework, which factors are classified as distal (macro-determinants / determinantes estruturais)?

Individual age, biological sex, and non-modifiable genetic hereditary factors. Individual lifestyle choices, such as cigarette smoking, alcohol consumption, and personal physical activity levels. Interpersonal social and community networks, including family solidarity and peer support in neighborhoods. Socioeconomic, cultural, and environmental conditions, such as national labor market policies, housing sanitation, education, and social protection systems.

Correct Answer:

Socioeconomic, cultural, and environmental conditions, such as national labor market policies, housing sanitation, education, and social protection systems.

Question 5

The National Humanization Policy (Política Nacional de Humanização - HumanizaSUS), instituted by the Brazilian Ministry of Health, proposes cross-cutting changes in healthcare management and clinical practices. Which operational guideline of HumanizaSUS directly addresses the reorganization of user reception in health facilities by replacing first-come-first-served bureaucratic queues with ethical-clinical vulnerability assessment?

Acolhimento com Classificação de Risco (User Reception with Risk Classification), which organizes patient flow based on clinical urgency and social vulnerability rather than order of arrival. Ambiência, which focuses exclusively on purchasing high-cost decorative furniture for hospital administrative suites. Clínica Ampliada, which prohibits multi-professional teamwork in favor of exclusive individual physician autonomy. Colegiado Gestor, which eliminates patient participation in institutional governance and clinical discussions.

Correct Answer:

Acolhimento com Classificação de Risco (User Reception with Risk Classification), which organizes patient flow based on clinical urgency and social vulnerability rather than order of arrival.

Question 1

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Prepare with the ENADE Enfermagem Practice Questions - ENADE Enfermagem - Exame Nacional de Desempenho dos Estudantes (Enfermagem) Exam practice quiz. This question bank includes 100 questions covering health, patient, brazilian, nursing, and year-old. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ENADE Enfermagem Practice Questions - ENADE Enfermagem - Exame Nacional de Desempenho dos Estudantes (Enfermagem) Exam

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ENADE Enfermagem Practice Questions - ENADE Enfermagem - Exame Nacional de Desempenho dos Estudantes (Enfermagem) Exam

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