Nursing Elites

1. Choose the meaning of the word inhibiting in the following sentence: 'This medication works by inhibiting the action of a certain enzyme.'

• A. Occupying
• B. Speeding
• C. Hindering
• D. Enhancing

Correct answer: C

Rationale: Inhibiting means to prevent, restrain, or impede. In the context of the sentence, inhibiting the action of a certain enzyme refers to hindering or slowing down the enzyme's activity. Choice A ('Occupying') is incorrect as inhibiting does not mean taking up space. Choice B ('Speeding') is incorrect as inhibiting does not mean to accelerate. Choice D ('Enhancing') is incorrect as inhibiting is the opposite of enhancing.

2. In medicine, to be resistant is to be ___________.

• A. unwilling
• B. unaffected by
• C. opposed to
• D. accepting of

Correct answer: B

Rationale: In medicine, when a microorganism or pathogen is described as resistant, it means that it is not affected by the drug or treatment being used against it. Resistance can develop due to various factors, making the pathogen no longer susceptible to the effects of the treatment. Therefore, the correct answer is 'unaffected by.' The other choices are incorrect: 'unwilling' and 'opposed to' do not accurately describe the concept of resistance in medicine, and 'accepting of' is the opposite of what resistance represents in this context.

3. The Ramifications of a course of treatment are that treatment's ______

• A. Effectiveness
• B. Consequences
• C. Complications
• D. Outcomes

Correct answer: B

Rationale: The correct answer is 'B: Consequences.' Ramifications refer to the consequences of a particular course of action or treatment. In this context, 'Effectiveness' (Choice A) is not the most appropriate term as ramifications are more about the results or outcomes beyond just effectiveness. 'Complications' (Choice C) are adverse effects or issues that arise, not necessarily the overall consequences. 'Outcomes' (Choice D) is close in meaning but not as synonymous with ramifications as 'Consequences' is.

4. The nurse noted in the chart, 'The patient is lethargic.' How was the patient behaving?

• A. Pacing the halls
• B. Difficult to arouse
• C. Shaking uncontrollably
• D. Not responding to pain

Correct answer: B

Rationale: The correct answer is B: 'Difficult to arouse.' 'Lethargic' is a medical term used to describe a state of drowsiness or lack of energy, making the patient difficult to arouse. Choices A, C, and D describe different behaviors that are not indicative of lethargy. A patient who is pacing the halls is more likely to be agitated, while shaking uncontrollably may suggest tremors or seizures. Not responding to pain indicates a lack of reaction to painful stimuli but does not directly reflect being lethargic.

5. Select the meaning of the underlined word in the following sentence. In children with high fevers, the use of aspirin is contraindicated.

• A. Banned
• B. Inadvisable
• C. Anticipated
• D. Expedient

Correct answer: B

Rationale: The word 'contraindicated' means not recommended or inadvisable in this context. It suggests that using aspirin for children with high fevers is not a good idea or is not suitable. The other options (A. Banned, C. Anticipated, D. Expedient) do not accurately convey the meaning of the word 'contraindicated' in this sentence. 'Banned' implies a prohibition, 'Anticipated' means expected, and 'Expedient' means convenient or practical, none of which capture the intended meaning of 'contraindicated.'

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