Nursing Elites

1. Which sentence is grammatically correct?

• A. Somebody left their jacket on the train
• B. Somebody left his or her jacket on the train
• C. His jacket was left on the train
• D. His or her jacket was left on the train

Correct answer: B

Rationale: The sentence 'Somebody left his or her jacket on the train.' is grammatically correct and respects gender neutrality. 'Somebody' is singular, so the pronoun 'their' in choice A is incorrect. Choice C changes the subject from 'somebody' to 'his,' making it grammatically incorrect. Choice D is grammatically correct, but it is less concise and more awkward than choice B, which smoothly combines 'his' and 'her' for gender-neutral language.

2. 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.

3. What does Labile mean?

• A. Stable
• B. Changing rapidly and often
• C. Unchanging
• D. Rarely changing

Correct answer: B

Rationale: Labile means something that changes rapidly and often. In this context, 'Stable' (Choice A) is the opposite of labile, 'Unchanging' (Choice C) and 'Rarely changing' (Choice D) do not capture the essence of labile. Labile is specifically used to describe something that is easily altered, constantly changing, or unstable, hence the most suitable choice is 'Changing rapidly and often' (Choice B).

4. Select the meaning that best fits the following word: injurious.

• A. Toxic
• B. Palatable
• C. Amenable
• D. Harmless

Correct answer: A

Rationale: The correct answer is A, 'Toxic.' 'Injurious' means harmful or likely to cause injury, similar to 'toxic.' Choices B, C, and D are incorrect because 'palatable' means pleasant to taste, 'amenable' means cooperative or willing to agree, and 'harmless' means not causing harm.

5. 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.

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