Nursing Elites

1. What are the soft spots on the head of a newborn called?

• A. Fistula
• B. Fontanel
• C. Follicle
• D. Fissure

Correct answer: B

Rationale: The correct answer is 'Fontanel.' Fontanels are the soft spots on a newborn's head where the skull bones have not yet fused together, allowing for some flexibility during birth and rapid brain growth in early infancy. 'Fistula' is a medical term for an abnormal connection between two body parts. 'Follicle' refers to a small cavity in the skin from which hair grows. 'Fissure' is a narrow opening or crack, not related to the soft spots on a newborn's head.

2. What does Latent mean?

• A. Easily seen
• B. Present but not active or visible
• C. Quick to react
• D. Actively growing

Correct answer: B

Rationale: The correct answer is B: 'Present but not active or visible.' Latent refers to something that is existing but not yet developed or manifest. Choice A, 'Easily seen,' is incorrect as latent implies the opposite - not easily seen. Choice C, 'Quick to react,' is incorrect as latent does not imply a quick reaction but rather a hidden or dormant state. Choice D, 'Actively growing,' is incorrect as latent suggests the opposite - not actively growing but rather inactive or concealed.

3. A note in the patients' medical record states anticipatory grieving, which patient situations below explains this type of grieving?

• A. A patient who has just given birth to twins following a long labor
• B. A patient who will have their left leg amputated below the knee tomorrow
• C. A patient experiencing pain during a physical therapy session
• D. A patient who will be discharged tomorrow after two months of being hospitalized

Correct answer: B

Rationale: Anticipatory grieving occurs when an individual experiences the emotional response to the anticipated loss before it occurs. In this case, the patient who will have their left leg amputated below the knee tomorrow is facing a significant loss and is likely to be experiencing anticipatory grieving. This situation involves anticipating the physical and emotional challenges that will come with the loss of a body part, leading to emotional distress and grief before the actual amputation takes place. Choices A, C, and D do not involve an impending significant loss that would typically trigger anticipatory grieving. Giving birth, experiencing pain during physical therapy, and being discharged from the hospital, while potentially stressful situations, do not inherently involve the anticipation of a significant loss.

4. Which word best defines the term 'accountable' as used in the following sentence? 'The night nursing staff is accountable for those records.'

• A. Receptive
• B. Notorious
• C. Responsible
• D. Preoccupied with

Correct answer: C

Rationale: The correct answer is C, 'Responsible.' In this context, 'accountable' means being held answerable or responsible for something. The night nursing staff is responsible for maintaining and managing those records. Choice A, 'Receptive,' does not accurately capture the meaning of 'accountable' in this context. Being receptive means being open to new ideas or suggestions, which is not the intended meaning here. Choice B, 'Notorious,' is incorrect as it means famous or well-known for something negative, which is not related to being accountable or responsible. Choice D, 'Preoccupied with,' is also incorrect. 'Preoccupied with' means being excessively concerned or worried about something, which does not align with the meaning of 'accountable' in this sentence.

5. Choose the meaning of the word 'persistent' in the following sentence: 'The elderly patient has been fighting a persistent cold.'

• A. Typical
• B. Harmless
• C. Without cure
• D. Lasting a long time

Correct answer: D

Rationale: In the sentence provided, the word 'persistent' is used to describe the cold, indicating that it has been lasting for a long time without going away easily. This choice emphasizes the prolonged nature of the cold. Choices A, B, and C are incorrect because 'persistent' does not mean 'typical,' 'harmless,' or 'without cure' in this context. The key is to focus on the word's meaning in relation to the duration of the cold.

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