Nursing Elites

1. All of the following are contraindications when giving Immunization except:

• A. BCG Vaccine can be given to a child with AIDS
• B. BCG Vaccine can be given to a child with Hepatitis B
• C. DPT can be given to a child that had convulsion 3 days after being given the first DPT dose
• D. DPT can be given to a child with active convulsion or other neurological disease

Correct answer: B

Rationale: The correct answer is B. BCG vaccine can be given to a child with Hepatitis B, as there is no contraindication for this. Choice A, C, and D all present contraindications for administering immunizations. Choice A is incorrect because giving BCG vaccines to a child with AIDS is a contraindication. Choice C is incorrect as convulsions after the first DPT dose indicate a contraindication to subsequent doses. Choice D is incorrect because active convulsions or other neurological diseases are contraindications to receiving the DPT vaccine.

2. During which phase of the therapeutic relationship should the nurse inform the patient about the termination of therapy?

• A. Pre-orientation
• B. Orientation
• C. Working
• D. Termination

Correct answer: D

Rationale: The correct answer is 'Termination'. This phase of the therapeutic relationship is when the nurse informs the patient about the conclusion of therapy. It is during this phase that the nurse and the patient review the goals and progress made and also discuss the upcoming termination. The other phases are not the appropriate times for discussing termination. 'Pre-orientation' is the phase before the nurse-patient relationship is established; 'Orientation' is when the nurse and patient get to know each other and set goals; and 'Working' is when these goals are pursued. Therefore, choices A, B, and C are incorrect.

3. What is the recommended dietary intervention for a patient with hyperlipidemia?

• A. Increase saturated fat intake
• B. Reduce fiber intake
• C. Increase dietary fiber intake
• D. Reduce protein intake

Correct answer: C

Rationale: Increasing dietary fiber can help reduce cholesterol levels in patients with hyperlipidemia.

4. Select all that apply. You are interested in learning about the effect of eating diet soft drinks on your health. Your internet search leads you to a website with the ending .com, which tells you that diet soft drinks contain sugar alcohols that can cause harm. Which of the following actions are logical?

• A. notice if there are any ads on the page that suggest conflicts of interest
• B. read about consuming diet soft drinks in the dietary guidelines for Americans
• C. visit a more credible website and compare information
• D. all of the above

Correct answer: D

Rationale: Logical steps include evaluating the credibility of the website, reading official guidelines, comparing information from credible sources, and verifying the author's qualifications.

5. Which foods should be avoided on a low-potassium diet? (SATA)

• A. Bananas
• B. A, C
• C. Sweet potatoes
• D. Frozen corn

Correct answer: B

Rationale: Bananas, sweet potatoes, and orange juice are high in potassium.

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