Nursing Elites

1. 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.

2. He has 3 DISCRETE symptoms, causing the doctor to create an elaborative plan of care.

• A. individual
• B. common
• C. difficult
• D. separate

Correct answer: D

Rationale: The term 'discrete' means individually separate and distinct. Therefore, the most appropriate choice to describe the symptoms that are distinct and separate from each other is 'separate' (option D). Choices A, B, and C are incorrect because they do not convey the specific meaning of the term 'discrete' as separate and distinct.

3. The most important things in my life are making money, traveling abroad, and _____.

• A. living well
• B. to live well
• C. to be happy
• D. enjoying life

Correct answer: A

Rationale: The correct answer is 'living well.' The sentence lists actions using '-ing' forms (making, traveling, and living), so 'living well' maintains parallel structure. Choice B ('to live well') breaks this structure by introducing an infinitive form. Choice C ('to be happy') introduces a new action not in parallel with the others. Choice D ('enjoying life') changes the structure and focuses on a different action not consistent with the previous activities listed.

4. What is a nit?

• A. abscess
• B. parasite
• C. bandage
• D. infection

Correct answer: B

Rationale: A nit is a kind of parasite, specifically the egg of a louse. Nits are typically found attached to hair close to the scalp and are commonly associated with head lice infestations. Choice A, 'abscess,' is incorrect as an abscess is a collection of pus caused by an infection. Choice C, 'bandage,' is incorrect as it is a material used for covering wounds. Choice D, 'infection,' is incorrect as it refers to the invasion and multiplication of microorganisms in body tissues.

5. Choose the meaning of the word 'mercurial' in the following sentence: 'Due to his mercurial temperament, Justin did not work well with others.'

• A. Continuous
• B. Unpredictable
• C. Mercenary
• D. Miraculous

Correct answer: B

Rationale: The word 'mercurial' in this sentence means unpredictable or prone to sudden changes in mood or behavior. Justin's temperament can be characterized as unpredictable, which is causing him to not work well with others. Choice A, 'Continuous,' does not align with the meaning of 'mercurial' as it implies a steady, uninterrupted flow. Choice C, 'Mercenary,' refers to being primarily motivated by money or reward, which is not the context here. Choice D, 'Miraculous,' means extraordinary or remarkable, which is not the intended meaning in this sentence.

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