Nursing Elites

1. Hospitals are finding severe unexpected complications in full-term newborns. Researchers are delving into the problem to find out the causes. In a recent study, Dr. Arnold N. Skjong reported, 'neonatal transfer was the most common complication.' This seems to be especially true in hospitals without higher levels of neonatal care.

• A. Hospitals are finding severe unexpected complications in term newborns.
• B. Researchers are delving into the problem to find out the causes.
• C. Dr. Arnold N. Skjong reported, 'Neonatal transfer was the most common complication.'
• D. This seems to be especially true in hospitals without higher levels of neonatal care.

Correct answer: C

Rationale: The correct answer is C because direct quotations, like the one from Dr. Arnold N. Skjong, require citations because they are taken from another source. Choice A is incorrect as it alters the original term 'full-term newborns' to 'term newborns,' changing the specificity of the information provided. Choice B is not the correct answer as it is a general statement about researchers without directly addressing the specific information provided by Dr. Arnold N. Skjong. Choice D is incorrect as it does not directly address or quote Dr. Arnold N. Skjong's statement about neonatal transfer being the most common complication in hospitals without higher levels of neonatal care.

2. The old clock hadn't worked in years, and _____ Ally finally decided to take it off the wall. Which of the following transition words or phrases is most appropriate to complete the sentence?

• A. as a result
• B. conversely
• C. then again
• D. similarly

Correct answer: A

Rationale: The correct answer is 'as a result.' This transition word is most suitable in this context as it indicates a logical consequence. The old clock not working for years led to Ally deciding to take it off the wall. Choices B, C, and D are incorrect. 'Conversely' suggests a contrast, 'then again' implies reconsideration or a contrasting point, and 'similarly' indicates a comparison, none of which align with the cause-and-effect relationship presented in the sentence.

3. The teacher shared several apothegms with the class, hoping that the short, wise sayings would inspire thoughtful discussions.

• A. instructions
• B. questions
• C. sayings
• D. lectures

Correct answer: C

Rationale: In this context, apothegms refers to short, wise sayings meant to convey wisdom or provoke thought. Apothegms are concise and insightful, serving as nuggets of wisdom. The term 'instructions' implies a set of directions or guidelines, not reflective of the nature of apothegms. 'Questions' are queries seeking information or answers, not synonymous with wise sayings. 'Lectures' are formal presentations or speeches, which are more extensive and detailed compared to the concise nature of apothegms.

4. What is the most effective way to combine the following sentences? 1. The colonists refused to buy stamps. 2. They were determined to get the Stamp Act repealed.

• A. The colonists refused to buy stamps and they were determined to get the Stamp Act repealed.
• B. The colonists refused to buy stamps, and they were determined to get the Stamp Act repealed.
• C. The colonists refused to buy stamps, and were determined to get the Stamp Act repealed.
• D. The colonists refused to buy stamps, were determined to get the Stamp Act repealed.

Correct answer: B

Rationale: The conjunction 'and' is used to connect the two independent clauses in the most effective and grammatically correct way. This choice maintains the clarity of the sentence and the relationship between the two ideas. Choice A is incorrect as it lacks the necessary conjunction to properly connect the two independent clauses. Choice C is incorrect as it misses the subject 'they' before 'were determined.' Choice D is incorrect as it lacks the necessary coordinating conjunction 'and' before 'were determined,' resulting in a run-on sentence.

5. It's really time for me to leave, and yet there are still so many things I'd like to do; next year I think I'll spend an extra week. Which of the following punctuation marks is used incorrectly in the sentence above?

• A. The comma after the word 'think'
• B. The semicolon after the word 'do'
• C. The period at the end of the sentence
• D. The comma after 'and yet'

Correct answer: A

Rationale: The comma after 'think' is unnecessary and incorrect. It should be removed to correct the sentence. The semicolon after 'do' is correct as it separates two independent clauses. The period at the end of the sentence is necessary to indicate the end of the sentence. The comma after 'and yet' is correctly used to separate two independent clauses joined by a coordinating conjunction.

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