Nursing Elites

1. 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.

2. _______ having trouble with _______ new dog.

• A. There, their
• B. Their, there
• C. They’re, their
• D. Their, they’re

Correct answer: C

Rationale: In this sentence, the correct choices are 'They’re' and 'their.' 'They’re' is a contraction of 'they are,' which fits the context of the sentence as it suggests ownership of the dog. 'Their' is a possessive pronoun showing ownership. Choice A is incorrect as 'there' refers to a place and doesn't make sense in this context. Choice B is incorrect as the possessive pronoun 'their' should come before the noun 'dog'. Choice D is incorrect as 'they’re' should be used before the verb 'having trouble' to form a contraction for 'they are'.

3. A note in the patient’s medical record states 'ANTICIPATORY GRIEVING'. Which patient situation 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: The correct answer is B because 'anticipatory grieving' refers to the process of grieving in anticipation of a significant loss or change. In this case, a patient who is expecting a leg amputation tomorrow is experiencing anticipatory grieving as they are grieving the loss of a limb before it actually occurs. Choices A, C, and D do not involve an impending significant loss or change that would lead to anticipatory grieving.

4. Contact dermatitis occurs through the sense of ___________.

• A. smell
• B. taste
• C. touch
• D. sight

Correct answer: C

Rationale: Contact dermatitis occurs through the sense of touch when the skin comes into direct contact with irritants or allergens, leading to an inflammatory reaction. This condition is commonly caused by the skin being in contact with items like certain chemicals, fabrics, plants, or metals, resulting in redness, itching, and sometimes blisters. The other choices (smell, taste, sight) do not relate to the cause of contact dermatitis, which specifically involves the skin's direct contact with irritants or allergens.

5. Select the meaning of the word in the sentence: 'The dog developed bilateral weakness in its hindquarters.'

• A. Present on two sides
• B. Available for exercise
• C. Affecting the left side
• D. Affecting the right side

Correct answer: A

Rationale: "Bilateral" refers to something that affects or involves both sides of the body, making "Present on two sides" the correct answer. The other options refer to one-sided or unrelated conditions.

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