Nursing Elites

1. 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.

2. The development of the disease was INSIDIOUS.

• A. Momentous
• B. Sudden
• C. Innocuous
• D. Gradual

Correct answer: D

Rationale: The term 'insidious' typically describes something that occurs gradually and subtly, often without being noticed until it has become more serious or established. Therefore, the development of the disease being insidious suggests that it was gradual, aligning best with the meaning of the word in this context. Choice A, 'momentous,' means significant or important, which is opposite in meaning to insidious. Choice B, 'sudden,' indicates something happening quickly and unexpectedly, contrary to the gradual nature of an insidious development. Choice C, 'innocuous,' means harmless or not likely to cause harm, which does not accurately reflect the negative and harmful connotation associated with an insidious disease development.

3. Which adjective best completes the sentence?

• A. More greater
• B. Great
• C. Best
• D. More greatest

Correct answer: C

Rationale: 'Best' is the correct choice because it conveys the highest quality or degree in comparison, which is appropriate in this context. The sentence is discussing the opinion of coffee experts about a particular coffee blend, indicating that it is the most superior among the options. Choices A, B, and D are grammatically incorrect or redundant. 'More greater' is incorrect due to the redundant use of 'more' and 'greater.' 'Great' is a comparative form that does not fit the superlative context required. 'More greatest' is incorrect due to the unnecessary use of 'more' alongside 'greatest,' which is already a superlative form.

4. An apartment is advertised as being furnished. What does the sentence mean?

• A. It is equipped with articles
• B. It has just been repainted
• C. The first month’s rent must be paid in advance
• D. The utility bills are included in the rental cost

Correct answer: A

Rationale: The correct answer is A: 'It is equipped with articles.' In real estate terms, when an apartment is advertised as 'furnished', it means that the apartment comes equipped with furniture and other necessary items. This choice directly reflects the meaning of a furnished apartment. The other choices are incorrect because being furnished does not imply that the apartment has just been repainted (B), requires the first month’s rent to be paid in advance (C), or includes utility bills in the rental cost (D).

5. Choose the meaning of the word 'intramuscularly' in the following sentence: 'This vaccine must only be used intramuscularly and as a single-dose vial.'

• A. Between muscles
• B. Into muscles
• C. Without muscles
• D. On top of muscles

Correct answer: B

Rationale: The word 'intramuscularly' in the sentence indicates that the vaccine should be used by injection directly into the muscles. This means the correct meaning is 'into muscles,' making option B the most suitable choice. Choices A, C, and D are incorrect because 'intramuscularly' specifically refers to administering something inside the muscle, not between muscles, without muscles, or on top of muscles.

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