Nursing Elites

1. What does 'Contour' mean?

• A. Flat area
• B. Shape or outline of something
• C. Volume of a structure
• D. Height of a structure

Correct answer: B

Rationale: The term 'Contour' specifically refers to the shape or outline of something. In art and geography, contours are used to represent the outline or shape of an object or landform, making choice B the correct definition. Choice A, 'Flat area,' is incorrect as it does not capture the essence of contour which is about the shape or outline. Choice C, 'Volume of a structure,' is unrelated to the concept of contour. Choice D, 'Height of a structure,' is also incorrect as contour is more about the shape and not the height of an object.

2. Select the meaning of the word 'reflex' in the sentence: 'The typical patellar reflex takes only 50 milliseconds between the initial tap and the leg extension.'

• A. Replication
• B. Convulsion
• C. Reaction
• D. Stretching

Correct answer: C

Rationale: In the context of the sentence, the word 'reflex' indicates a quick, automatic response by the body to a stimulus. The patellar reflex, also known as the knee-jerk reflex, involves the leg extending in response to a tap on the patellar tendon. Therefore, the word 'reaction' aligns closely with the nature of the patellar reflex in terms of a rapid and involuntary response. Choices A, B, and D are incorrect: 'Replication' does not capture the concept of a bodily response, 'convulsion' implies a sudden and uncontrollable movement which is not specific to the nature of the patellar reflex, and 'stretching' does not encompass the automatic and rapid nature of a reflex action.

3. Choose the meaning of the word 'intramuscularly' in the following sentence: 'This vaccine must only be used intramuscularly and as a single-dose vial.'

• A. Between muscles
• B. Into muscles
• C. Without muscles
• D. On top of muscles

Correct answer: B

Rationale: The word 'intramuscularly' in the sentence indicates that the vaccine should be used by injection directly into the muscles. This means the correct meaning is 'into muscles,' making option B the most suitable choice. Choices A, C, and D are incorrect because 'intramuscularly' specifically refers to administering something inside the muscle, not between muscles, without muscles, or on top of muscles.

4. Which word is NOT used correctly in the sentence? 'A sentence must always begin with a capital letter, but many people forget this rule.'

• A. Must always
• B. Simple
• C. Forget
• D. Capitol

Correct answer: D

Rationale: The correct answer is 'D: Capitol.' In this context, 'Capitol' is incorrect as it refers to a building where a legislative body meets. The correct term for uppercase letters is 'capital.' Choice A, 'must always,' is used correctly to emphasize the necessity of starting a sentence with a capital letter. Choice B, 'simple,' is not the incorrect word in the sentence. Choice C, 'forget,' is also used appropriately in the sentence to indicate the action of neglecting the rule.

5. 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.

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