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. This medication works by inhibiting the action of a certain enzyme. What does inhibiting mean?

• A. Blocking
• B. Hindering
• C. Energizing
• D. Blocking improvement

Correct answer: B

Rationale: The correct answer is 'B: Hindering.' Inhibiting means to hinder or slow down a process. Choices A and D are similar and imply a complete stop of the process rather than just slowing it down. Choice C, 'Energizing,' is the opposite of inhibiting, as it means to provide energy or stimulate rather than hinder.

3. Which part of the sentence contains a typographical error?

• A. To a
• B. Very strong
• C. Being
• D. Went from

Correct answer: D

Rationale: The correct answer is D. The phrase 'Went form' contains a typographical error. It should be 'went from' to indicate the change in condition correctly. Choice A 'To a,' choice B 'Very strong,' and choice C 'Being' are grammatically correct and do not contain any typographical errors in the given sentence.

4. 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.

5. What does Adhere mean?

• A. To ignore something
• B. To stick to something
• C. To go against something
• D. To pull apart

Correct answer: B

Rationale: The correct answer is B: 'To stick to something.' Adhere means to stay attached or stick to something. Choices A, C, and D are incorrect. Choice A 'To ignore something' is the opposite of adhere, choice C 'To go against something' means to oppose rather than stick to, and choice D 'To pull apart' is the opposite of sticking together.

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