Nursing Elites

1. What is the best description for the word 'distal'?

• A. Receives blood from lungs
• B. Farthest from injury
• C. Closest to heart
• D. Empathetic

Correct answer: B

Rationale: The correct answer is B: 'Farthest from injury.' In medical terminology, 'distal' refers to the body part that is farthest from the point of reference or injury. The term is commonly used to describe the location of structures in relation to a point of origin or attachment. Choices A, C, and D are incorrect because 'distal' specifically denotes a spatial relationship in terms of distance from a point of reference, not blood flow, proximity to the heart, or emotional empathy.

2. Which word is NOT CORRECTLY USED in the sentence? Confidentiality should be observed at all times, so the nurse should not discuss clients when the conversation can be overheard.

• A. Be observed
• B. By
• C. Can be
• D. Should not

Correct answer: A

Rationale: The correct answer is A. In the sentence, 'be observed' should be changed to 'should be observed' for proper grammar. 'Should be observed' is the correct way to indicate the necessity of maintaining confidentiality. Choice B, 'by,' is used correctly as a preposition. Choice C, 'can be,' is also used correctly in the sentence. Choice D, 'should not,' is correctly used to indicate what the nurse ought not to do.

3. An enervated patient is ___________.

• A. anxious
• B. immature
• C. tired
• D. frightened

Correct answer: C

Rationale: Enervated refers to being weakened or lacking energy, so an enervated patient would likely be fatigued or tired. This term does not specifically imply anxiety, immaturity, or fear, making 'tired' the most suitable choice in this context. 'Anxious' (choice A) means feeling nervous or worried, which is not directly related to being enervated. 'Immature' (choice B) refers to lacking maturity or development, which is unrelated to the patient's energy level. 'Frightened' (choice D) means feeling afraid or scared, which is not necessarily connected to being enervated.

4. Identify the correct sentence structure.

• A. The cat sleeping on the mat
• B. The cat is sleeping on the mat
• C. The mat that the cat is sleeping on
• D. Sleeping on the mat is the cat

Correct answer: B

Rationale: The correct sentence structure is 'The cat is sleeping on the mat.' This is a complete and grammatically correct sentence following a standard subject-verb-object structure. 'The cat' is the subject, 'is sleeping' is the verb, and 'on the mat' is the prepositional phrase describing where the action is taking place. Choices A, C, and D are incorrect. Option A is a sentence fragment lacking a verb; option C is a dependent clause lacking a main clause, and option D has a subject-verb inversion making it awkward and incorrect.

5. The patient fractured the lateral portion of the hip bone, which is known as the _____.

• A. ilium
• B. ileum
• C. icterus
• D. ileus

Correct answer: A

Rationale: The correct answer is A, "ilium." The ilium is the lateral, or outer, portion of the hip bone. Choices B, C, and D are incorrect. Option B, "ileum," refers to a part of the small intestine. Option C, "icterus," is a term for jaundice, a condition related to the liver. Option D, "ileus," is a term for intestinal obstruction, which is unrelated to the hip bone.

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