Nursing Elites

1. The healthcare provider is preparing medication instructions for a child who has undergone a kidney transplant and is prescribed cyclosporine. The parents ask the provider about the reason for the cyclosporine. Which rationale for this medication should the healthcare provider include in the response?

• A. Suppress rejection
• B. Decrease pain
• C. Improve circulation
• D. Boost immunity

Correct answer: A

Rationale: Cyclosporine is used to suppress the immune system and prevent rejection of the transplanted kidney. It helps to reduce the risk of the body attacking and rejecting the new organ. This medication is crucial in ensuring the success of the kidney transplant by keeping the immune system in check.

2. A nurse is providing teaching to the guardian of an infant about home safety. Which of the following statements by the guardian indicates an understanding of the teaching?

• A. I will place my baby on her stomach to sleep
• B. I will put a small pillow in my baby's crib
• C. I will keep my baby's crib away from the radiator
• D. I will use a drop-side crib for my baby

Correct answer: C

Rationale: The nurse should instruct the guardian to keep the baby�s crib away from the radiator to prevent burns.

3. What is the last step in interpersonal reasoning?

• A. Choose a response or mode sequence
• B. Gather Feedback
• C. Anticipate
• D. Determine if a mode shift is required

Correct answer: B

Rationale: The last step in interpersonal reasoning involves gathering feedback. Once you have gone through the process of anticipating, choosing a response or mode sequence, and determining if a mode shift is required, the final step is to gather feedback to assess the effectiveness of your interaction and make any necessary adjustments.

4. Which of the following is a key feature of the diagnosis of ASD according to the DSM V?

• A. Unusual responses to sensory input
• B. Social isolation
• C. Repetitive behaviors
• D. Delayed motor development

Correct answer: A

Rationale: In the DSM V, one of the key diagnostic criteria for Autism Spectrum Disorder (ASD) is unusual responses to sensory input. These atypical responses can include hypersensitivity or hyposensitivity to sensory stimuli, such as sound, touch, taste, or smell. These sensory processing differences are important in the diagnosis of ASD because they can significantly impact an individual's daily functioning and behavior. Social isolation and repetitive behaviors are associated features of ASD but are not the key diagnostic criteria according to the DSM V. Delayed motor development may be observed in some individuals with ASD, but it is not a key feature used for diagnosis in the DSM V.

5. A healthcare professional is planning care for an infant with hyperbilirubinemia receiving phototherapy. Which of the following actions should the healthcare professional include in the plan?

• A. Dress the infant in light, breathable clothing.
• B. Turn and reposition the infant every 4 hours.
• C. Offer the infant frequent, small feedings.
• D. Avoid using lotions on the infant's skin.

Correct answer: B

Rationale: Turning and repositioning the infant every 4 hours is essential to prevent pressure sores and ensure uniform exposure to phototherapy. This practice helps prevent skin breakdown and ensures the effectiveness of the phototherapy in treating hyperbilirubinemia. Dressing the infant in light, breathable clothing (Choice A) is generally a good practice but not directly related to the effectiveness of phototherapy. Offering frequent, small feedings (Choice C) is important for infant nutrition but does not directly impact the phototherapy. Avoiding lotions on the infant's skin (Choice D) is recommended to prevent interference with the phototherapy but is not the most critical action to include in the care plan.

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