Nursing Elites

1. Hospitals are finding severe unexpected complications in full-term newborns. Researchers are delving into the problem to find out the causes. In a recent study, Dr. Arnold N. Skjong reported, 'neonatal transfer was the most common complication.' This seems to be especially true in hospitals without higher levels of neonatal care.

• A. Hospitals are finding severe unexpected complications in term newborns.
• B. Researchers are delving into the problem to find out the causes.
• C. Dr. Arnold N. Skjong reported, 'Neonatal transfer was the most common complication.'
• D. This seems to be especially true in hospitals without higher levels of neonatal care.

Correct answer: C

Rationale: The correct answer is C because direct quotations, like the one from Dr. Arnold N. Skjong, require citations because they are taken from another source. Choice A is incorrect as it alters the original term 'full-term newborns' to 'term newborns,' changing the specificity of the information provided. Choice B is not the correct answer as it is a general statement about researchers without directly addressing the specific information provided by Dr. Arnold N. Skjong. Choice D is incorrect as it does not directly address or quote Dr. Arnold N. Skjong's statement about neonatal transfer being the most common complication in hospitals without higher levels of neonatal care.

2. Which of the following sentences uses 'affect' correctly?

• A. The medicine had no effect on him.
• B. The weather will affect our plans.
• C. He has a serious affect disorder.
• D. The effect of the news was shocking.

Correct answer: B

Rationale: The correct usage of 'affect' in a sentence is as a verb meaning to influence something, as in 'The weather will affect our plans.' Choice A is incorrect because 'affect' should be 'effect,' which is a noun representing the result of an action. Choice C is incorrect as 'affect' should be 'effect' to describe a disorder. Choice D is incorrect because 'affect' should be 'effect' to convey the result of the news.

3. Which of the answer choices best combines the following four sentences into two sentences? I'm usually good about keeping track of my keys. I lost them. I spent hours looking for them. I found them in the freezer.

• A. I lost my keys, even though I'm usually good about keeping track of them. I found them in the freezer and spent hours looking for them.
• B. I spent hours looking for my keys and found them in the freezer. I had lost them, even though I'm usually good about keeping track of them.
• C. I'm usually good about keeping track of my keys, but I lost them. After spending hours looking for them, I found them in the freezer.
• D. I'm usually good about keeping track of my keys, but I lost them in the freezer. I had to spend hours looking for them.

Correct answer: C

Rationale: Combining the sentences is most effective when using 'but' to contrast the two ideas. Option C is concise, clear, and provides the best flow, accurately capturing both the contrast 'but I lost them' and the sequence of events 'After spending hours looking for them, I found them in the freezer.' Options A, B, and D do not effectively combine the sentences or maintain the sequence of events and contrast between keeping track of the keys and losing them.

4. Which of the following choices contains an error in verb tense?

• A. She said that she would finish the report yesterday.
• B. We went to the store last week.
• C. They had seen the movie before it was released.
• D. The dogs will play outside when we arrive.

Correct answer: A

Rationale: The correct answer is choice A, 'She said that she would finish the report yesterday.' This sentence contains a verb tense error. The reported speech 'She said' requires the verb 'would' to maintain the past tense. Choices B and D are correct as they use the appropriate verb tenses 'went' and 'will play.' Choice C is also correct as it uses 'was released' to match the past perfect tense 'had seen.'

5. Which of the following suffixes would change the verb 'manage' into an adjective?

• A. -ed
• B. -ible
• C. -able
• D. -er

Correct answer: C

Rationale: The correct suffix to change the verb 'manage' into an adjective is '-able.' When added to 'manage,' it forms the adjective 'manageable,' which means capable of being managed. Choice A ('-ed') is a past participle suffix, not an adjective-forming suffix. Choice B ('-ible') is used to form adjectives meaning 'capable of' but is not the correct choice in this context. Choice D ('-er') is typically used to form agent nouns rather than adjectives.

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