Nursing Elites

1. Identify the sentence with a misplaced modifier.

• A. The child found a dollar walking to school
• B. Walking to school, the child found a dollar
• C. The teacher found a note after class
• D. After class, the teacher found a note

Correct answer: A

Rationale: The correct answer is A because the phrase 'walking to school' seems to modify 'a dollar,' which is illogical. The intended meaning is that the child found the dollar while walking to school. In sentence B, the modifier is correctly placed at the beginning of the sentence, indicating that the child found the dollar while walking to school. Choices C and D do not contain any misplaced modifiers.

2. Which phrase should be moved to improve sentence clarity? 'He opened the door slowly, trying not to wake the baby.'

• A. 'Trying not to wake the baby,' he slowly opened the door
• B. 'He opened the door,' trying not to wake the baby
• C. 'He opened the door slowly,' trying not to wake the baby
• D. 'Slowly trying not to wake the baby,' he opened the door

Correct answer: A

Rationale: Placing 'trying not to wake the baby' at the beginning as in option A clarifies the purpose of the action right away, improving the sentence's flow.

3. Select the meaning of the word 'parameters' in the sentence: 'The parameters of medical ethics require the nurse to report suspected child abuse.'

• A. Laws
• B. Limits
• C. Common sense
• D. Structure

Correct answer: B

Rationale: In the context of the sentence provided, 'parameters' refer to the limits or boundaries set by medical ethics that dictate the nurse's actions. This term does not directly relate to laws (choice A), common sense (choice C), or structure (choice D) in this context. The correct answer is 'B - Limits,' as it aligns with the idea of boundaries or restrictions within which the nurse must operate according to medical ethics.

4. What does 'Flushed' refer to?

• A. Swollen
• B. Reddened or ruddy appearance
• C. Discolored
• D. Pale

Correct answer: B

Rationale: The correct answer is B: 'Reddened or ruddy appearance.' When someone is flushed, it means they have a red or ruddy complexion, often due to embarrassment, anger, or a physical reaction. Choices A, C, and D are incorrect because 'flushed' specifically refers to a red or ruddy appearance, not swelling, discoloration, or paleness.

5. A note in the patients' medical record states anticipatory grieving, which patient situations below explains this type of grieving?

• A. A patient who has just given birth to twins following a long labor
• B. A patient who will have their left leg amputated below the knee tomorrow
• C. A patient experiencing pain during a physical therapy session
• D. A patient who will be discharged tomorrow after two months of being hospitalized

Correct answer: B

Rationale: Anticipatory grieving occurs when an individual experiences the emotional response to the anticipated loss before it occurs. In this case, the patient who will have their left leg amputated below the knee tomorrow is facing a significant loss and is likely to be experiencing anticipatory grieving. This situation involves anticipating the physical and emotional challenges that will come with the loss of a body part, leading to emotional distress and grief before the actual amputation takes place. Choices A, C, and D do not involve an impending significant loss that would typically trigger anticipatory grieving. Giving birth, experiencing pain during physical therapy, and being discharged from the hospital, while potentially stressful situations, do not inherently involve the anticipation of a significant loss.

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