Nursing Elites

1. An enervated patient is ___________.

• A. anxious
• B. immature
• C. tired
• D. frightened

Correct answer: C

Rationale: Enervated refers to being weakened or lacking energy, so an enervated patient would likely be fatigued or tired. This term does not specifically imply anxiety, immaturity, or fear, making 'tired' the most suitable choice in this context. 'Anxious' (choice A) means feeling nervous or worried, which is not directly related to being enervated. 'Immature' (choice B) refers to lacking maturity or development, which is unrelated to the patient's energy level. 'Frightened' (choice D) means feeling afraid or scared, which is not necessarily connected to being enervated.

2. The abbreviation DTs on a patient’s chart stands for ___________.

• A. deep tendon reflex
• B. descending thorax
• C. delirium tremens
• D. dextrose in water

Correct answer: C

Rationale: The abbreviation DTs on a patient's chart stands for delirium tremens, which is a severe form of alcohol withdrawal. Symptoms of delirium tremens include confusion, hallucinations, severe agitation, seizures, and autonomic instability. This condition requires prompt medical treatment to prevent serious complications. Choices A, B, and D are incorrect. Deep tendon reflex (A) refers to the reflex response elicited by tapping a tendon with a reflex hammer, descending thorax (B) is not a recognized medical term, and dextrose in water (D) is a solution used for various medical purposes but is not represented by the abbreviation DTs.

3. Choose the meaning of the word 'adverse' in the following sentence: 'Occasionally, this medicine causes an adverse reaction.'

• A. Unfavorable
• B. Contrary
• C. Noticeable
• D. Startling

Correct answer: A

Rationale: The word 'adverse' in the sentence is most closely aligned with the meaning of 'unfavorable.' An adverse reaction to a medicine signifies a negative or harmful response, which supports the definition of unfavorable. Choice B, 'Contrary,' does not accurately capture the negative connotation associated with 'adverse.' Choice C, 'Noticeable,' does not reflect the meaning in the context provided. Choice D, 'Startling,' suggests a more sudden or surprising nature, which is not the primary meaning of 'adverse' in this context.

4. A patient who is querulous might be guilty of ______.

• A. Stealing
• B. Questioning
• C. Overeating
• D. Complaining

Correct answer: D

Rationale: The correct answer is D, 'Complaining.' 'Querulous' means complaining in a petulant or whining manner. This word describes someone who is constantly finding fault and is difficult to please. Choices A, B, and C are incorrect because 'querulous' specifically refers to complaining behavior, not stealing, questioning, or overeating.

5. What does instigate mean?

• A. Deactivate
• B. Activate
• C. Suppress
• D. Evaluate

Correct answer: B

Rationale: The correct answer is B: 'Activate.' Instigate means to initiate or provoke a particular event or action. Choice A, 'Deactivate,' is incorrect as it means to make something inactive, which is the opposite of instigate. Choice C, 'Suppress,' is incorrect as it means to restrain or prevent something, not to initiate it. Choice D, 'Evaluate,' is incorrect as it means to assess or judge the value or quality of something, not to start or provoke it.

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