Nursing Elites

1. A blood vessel that is distended is ____

• A. Narrow
• B. Swollen
• C. Flat
• D. Dilated

Correct answer: B

Rationale: The correct answer is B: 'Swollen.' Distended means swollen or expanded, not narrow (A), flat (C), or dilated (D). When a blood vessel is distended, it is enlarged or swollen due to increased pressure.

2. 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).

3. Which sentence correctly uses the word 'affect'?

• A. The medication had no effect on the patient's symptoms
• B. The noise did not affect his sleep
• C. The bright light will affect your eyes
• D. The cold weather did not affect her mood

Correct answer: B

Rationale: The correct use of 'affect' is to show influence or make a difference. In this context, 'The noise did not affect his sleep' is the correct usage as noise can impact one's ability to sleep. Choice A is incorrect as 'affect' is commonly confused with 'effect.' Choice C is incorrect as 'affect' is not typically used to refer to the impact of light on eyes. Choice D is incorrect as 'affect' is not typically used to describe the impact of weather on mood.

4. What is the meaning of exacerbate?

• A. To lessen in intensity
• B. To make worse
• C. To neutralize
• D. To control

Correct answer: B

Rationale: The correct answer is B: 'To make worse.' Exacerbate means to worsen or make a situation, condition, or problem more severe or intense, not to lessen it. Therefore, if something exacerbates a situation, it means it makes it worse. Choices A, C, and D are incorrect because exacerbate does not mean to lessen in intensity, neutralize, or control the situation, but rather to worsen it.

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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