Nursing Elites

1. Choose the meaning of the word quandary in the following sentence: 'Too many potential job choices put Martin in a quandary.'

• A. A place where rocks are mined
• B. A journey of discovery
• C. A state of uncertainty
• D. A major attempt or trial

Correct answer: C

Rationale: In this context, the word 'quandary' refers to a state of uncertainty or confusion caused by being faced with a difficult decision or choice. This matches the meaning of option C. Choices A, B, and D are incorrect because 'quandary' does not relate to a place where rocks are mined (A), a journey of discovery (B), or a major attempt or trial (D), but rather to a state of uncertainty or confusion.

2. A symptom that is exacerbated is ______

• A. Improving
• B. Made worse
• C. Stayed the same
• D. Ameliorated

Correct answer: B

Rationale: The correct answer is B, 'Made worse.' When a symptom is exacerbated, it means that it is becoming more severe or intense. Choices A, C, and D are incorrect. A is the opposite of exacerbated as improving means getting better, C means remaining unchanged, and D means to make something better or improve, which is the opposite of exacerbate.

3. 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.

4. The patient made a ritualistic arranging of the food on his plate. Which word best describes the patient's repetitive behavior?

• A. Formal
• B. Ritualistic
• C. Formalizing
• D. Ritual

Correct answer: B

Rationale: The correct answer is 'Ritualistic.' This adjective describes actions performed in a habitual or ceremonial manner, which aligns with the context of the patient's repeated arrangement of food. 'Formal' (choice A) does not capture the repetitive nature of the behavior. 'Formalizing' (choice C) refers to the process of making something formal rather than describing repetitive behavior. 'Ritual' (choice D) is a noun and does not best describe the patient's behavior in this context.

5. What does Lateral mean?

• A. Near the midline
• B. Away from the midline
• C. At the top of the body
• D. On the side

Correct answer: D

Rationale: The correct answer is D: 'On the side.' Lateral means situated on the side or away from the midline. Choices A, B, and C are incorrect because lateral specifically refers to a position that is situated away from the midline, not near it, at the top of the body, or on the side.

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