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. 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. Select the meaning of the word 'initial' in the sentence: 'The doctor made an initial examination of the patient.'

• A. Complete
• B. First
• C. Incomplete
• D. Discharge

Correct answer: B

Rationale: In this context, 'initial' means 'first,' referring to the first examination conducted by the doctor. The initial examination is the first assessment or evaluation performed on the patient. Therefore, 'first' is the correct meaning in this sentence. 'Complete' (choice A) is incorrect as initial does not imply completeness, 'incomplete' (choice C) is incorrect as initial does not mean unfinished, and 'discharge' (choice D) is unrelated to the concept of an initial examination.

4. _____ are very ancient people.

• A. Chinese
• B. The Greeks
• C. Romans
• D. Egyptians

Correct answer: A

Rationale: The correct answer is 'Chinese.' In the context of ancient civilizations, 'Chinese' is appropriately used to refer to a very ancient culture like the Shang dynasty (c. 1600–1046 BC) or the Zhou dynasty (1046–256 BC). The other choices ('The Greeks,' 'Romans,' and 'Egyptians') are also ancient civilizations, but they are not the best fit in the given sentence as they do not match the description of 'very ancient people.' The Greeks, Romans, and Egyptians are ancient too, but 'very ancient people' specifically points towards Chinese civilization during its early periods. Therefore, 'Chinese' is the most suitable option.

5. Which word is NOT CORRECTLY USED in the sentence? Confidentiality should be observed at all times, so the nurse should not discuss clients when the conversation can be overheard.

• A. Be observed
• B. By
• C. Can be
• D. Should not

Correct answer: A

Rationale: The correct answer is A. In the sentence, 'be observed' should be changed to 'should be observed' for proper grammar. 'Should be observed' is the correct way to indicate the necessity of maintaining confidentiality. Choice B, 'by,' is used correctly as a preposition. Choice C, 'can be,' is also used correctly in the sentence. Choice D, 'should not,' is correctly used to indicate what the nurse ought not to do.

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