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. What does it mean if a patient is lethargic?

• A. Active
• B. Exhausted
• C. Confused
• D. Restless

Correct answer: B

Rationale: Lethargic means feeling exhausted or sluggish. Being lethargic is the opposite of being active (choice A), confused (choice C), or restless (choice D). When a patient is lethargic, they lack energy and may appear tired or sluggish.

3. Select the meaning of the underlined word in the following sentence. The children became bellicose after too much time in the moving car.

• A. Beautiful
• B. Selfless
• C. Tolerant
• D. Quarrelsome

Correct answer: D

Rationale: The word 'bellicose' means showing aggression or a willingness to fight. In the context of the sentence, it suggests that the children became argumentative or confrontational after spending too much time in the moving car. Therefore, the correct meaning is 'quarrelsome.' Choices A, B, and C are incorrect because 'bellicose' does not mean beautiful, selfless, or tolerant. It specifically refers to a combative or aggressive behavior, which aligns with 'quarrelsome.'

4. What is another word for ABSTAIN?

• A. Refrain
• B. Indulge
• C. Adhere
• D. Eliminate

Correct answer: A

Rationale: Refrain is another word for abstain, as both words mean to resist or hold oneself back from doing something. In contrast, indulge (choice B) means to allow oneself to enjoy something freely, making it the opposite of abstain. Adhere (choice C) means to stick to or follow closely, while eliminate (choice D) means to completely remove or get rid of something. Therefore, the correct answer is A, 'Refrain,' which is a synonym for 'abstain.'

5. If you give a patient medication BID, you give it ___________.

• A. as needed
• B. every two hours
• C. twice daily
• D. with food

Correct answer: C

Rationale: BID stands for 'bis in die' in Latin, which translates to 'twice a day' in English. Therefore, when medication is prescribed to be given BID, it should be administered twice daily. Choice A, 'as needed,' does not correspond to a specific dosing frequency like BID. Choice B, 'every two hours,' indicates a different dosing schedule that is more frequent than BID. Choice D, 'with food,' refers to the administration instructions related to meals and is not the correct interpretation of BID.

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