Nursing Elites

1. A patient who is lethargic may seem _______

• A. Energetic
• B. Exhausted
• C. Restless
• D. Hyperactive

Correct answer: B

Rationale: The correct answer is B: 'Exhausted.' Lethargic describes a state of feeling sluggish or lacking energy, which aligns with being exhausted. Choice A, 'Energetic,' is the opposite of lethargic. Choice C, 'Restless,' implies a different state of agitation than lethargy. Choice D, 'Hyperactive,' describes excessive activity, which contrasts with the lethargic state.

2. Her mother asked her what she would do after she _____.

• A. graduated
• B. completes
• C. finishes
• D. finished

Correct answer: A

Rationale: The correct answer is 'graduated.' In reported speech, the verb tense often shifts back, so 'graduated' (past tense) is the appropriate choice here. 'Completes' (present tense), 'finishes' (present tense), and 'finished' (past tense) are incorrect as they do not match the reported speech context where the verb tense typically shifts back. Therefore, 'graduated' is the most suitable choice to complete the sentence.

3. Which sentence is correct?

• A. The physician wrote a prescription for the needed medicine
• B. The physician wrote a recommendation for the needed medicine
• C. The physician wrote a report for the needed medication
• D. The physician wrote a subscription for the needed medication

Correct answer: A

Rationale: A prescription is a written order from a physician or other licensed health practitioner for the preparation and administration of a medication. In this context, 'prescription' is the correct term for the document written by a physician to authorize the dispensing of medication. The other options (B, C, D) use incorrect terms such as 'recommendation,' 'report,' and 'subscription,' which do not accurately convey the action of a physician prescribing medication. Therefore, choice A is the correct answer as it accurately describes the action taken by the physician.

4. Which term is descriptive of a small child just learning to walk?

• A. Obese
• B. Toddler
• C. Geriatric
• D. Hale

Correct answer: B

Rationale: The correct answer is 'B: Toddler.' A toddler is a young child typically between the ages of one and three who is just learning to walk. 'Obese' (choice A) refers to excess body fat, 'Geriatric' (choice C) pertains to elderly individuals, and 'Hale' (choice D) means strong and healthy, none of which are descriptive of a small child learning to walk.

5. A note in the patients' medical record states anticipatory grieving, which patient situations 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: Anticipatory grieving occurs when an individual experiences the emotional response to the anticipated loss before it occurs. In this case, the patient who will have their left leg amputated below the knee tomorrow is facing a significant loss and is likely to be experiencing anticipatory grieving. This situation involves anticipating the physical and emotional challenges that will come with the loss of a body part, leading to emotional distress and grief before the actual amputation takes place. Choices A, C, and D do not involve an impending significant loss that would typically trigger anticipatory grieving. Giving birth, experiencing pain during physical therapy, and being discharged from the hospital, while potentially stressful situations, do not inherently involve the anticipation of a significant loss.

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