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. Choose the meaning of the word 'affected' in the following sentence: 'Apply a thin film of cream to the affected area once or twice a day depending on the acuteness of the condition.'

• A. Involved
• B. Diseased
• C. Assumed
• D. Perceived

Correct answer: B

Rationale: In the context of the sentence, 'affected' is used to describe the area that requires the application of cream. It refers to a part of the body that is diseased or suffering from some ailment. Therefore, the correct meaning of 'affected' in this context is 'Diseased.' Choice A, 'Involved,' does not accurately capture the medical context of the sentence. Choice C, 'Assumed,' is not relevant to the physical condition described in the sentence. Choice D, 'Perceived,' does not convey the idea of a physical ailment, making it incorrect. The most appropriate interpretation is 'Diseased,' as it aligns with the context of applying cream to a specific area due to a health issue.

3. Based on the principles of asepsis, the nurse should consider a sterile packet below waist level to be _____.

• A. contaminated
• B. sterilized
• C. clean
• D. untouched

Correct answer: A

Rationale: In aseptic techniques, maintaining the sterility of items is crucial. Placing a sterile packet below waist level exposes it to potential contamination from non-sterile surfaces or objects. Therefore, the correct term to describe the sterile packet in this situation is 'contaminated.' 'Sterilized' (choice B) is incorrect as it implies the packet has undergone a sterilization process, which may not be the case if it is now considered contaminated. 'Clean' (choice C) is incorrect because although the packet was initially sterile, placing it below waist level compromises its cleanliness. 'Untouched' (choice D) is incorrect as the packet has been touched or exposed to non-sterile areas, leading to potential contamination.

4. Which term best describes a synthetic drug?

• A. man-made
• B. phony
• C. atypical
• D. futile

Correct answer: A

Rationale: A synthetic drug is one that is artificially created in a laboratory setting rather than occurring naturally. The term 'man-made' accurately describes this process. Choices B, C, and D are incorrect. 'Phony' means fake or fraudulent, not specifically related to synthetic drugs. 'Atypical' means unusual or not typical, which doesn't directly relate to how synthetic drugs are made. 'Futile' means pointless or ineffective, which is not a characteristic of synthetic drugs.

5. Which of the following is the plural form of the noun 'stimulus'?

• A. Stimulus
• B. Stimuli
• C. Stimulis
• D. Stimula

Correct answer: B

Rationale: The correct answer is 'Stimuli.' When forming the plural of 'stimulus,' the correct form is 'stimuli.' Choice A, 'Stimulus,' is the singular form, not the plural. Choice C, 'Stimulis,' is an incorrect spelling. Choice D, 'Stimula,' is also an incorrect form for the plural of 'stimulus.' Therefore, 'Stimuli' is the only correct plural form.

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