Nursing Elites

1. If a patient’s condition is deteriorating, he is ___________.

• A. getting worse
• B. improving gradually
• C. resisting medication
• D. failing to eat or drink

Correct answer: A

Rationale: When a patient's condition is deteriorating, it means that their health is declining or worsening. This can involve a range of factors such as worsening symptoms, declining vital signs, or an overall decline in health status. In this context, the phrase 'getting worse' best describes the situation of a patient whose condition is deteriorating. Choices B, C, and D are incorrect because they do not reflect the concept of deterioration in a patient's health. Improving gradually (choice B) indicates a positive trend, resisting medication (choice C) suggests a behavioral response, and failing to eat or drink (choice D) points to a specific issue rather than a general decline in health.

2. What does Medial mean?

• A. Away from the midline
• B. Toward the midline
• C. At the side
• D. Below the body

Correct answer: B

Rationale: Medial means toward the midline of the body. In anatomical terms, 'medial' refers to positions closer to the midline of the body, which divides the body into left and right halves. Choice A is incorrect as it describes 'lateral,' which means away from the midline. Choice C is incorrect as it describes 'lateral' or 'side.' Choice D is incorrect as it describes 'inferior,' which means below or lower in position.

3. The patient fractured the lateral portion of the hip bone, which is known as the _____.

• A. ilium
• B. ileum
• C. icterus
• D. ileus

Correct answer: A

Rationale: The correct answer is A, "ilium." The ilium is the lateral, or outer, portion of the hip bone. Choices B, C, and D are incorrect. Option B, "ileum," refers to a part of the small intestine. Option C, "icterus," is a term for jaundice, a condition related to the liver. Option D, "ileus," is a term for intestinal obstruction, which is unrelated to the hip bone.

4. A paroxysm is a sudden spasm. Another word for this might be ___________.

• A. convulsion
• B. symptom
• C. efficacy
• D. embolism

Correct answer: A

Rationale: The correct answer is A: "convulsion." A paroxysm is defined as a sudden spasm or convulsion. The word "convulsion" specifically refers to a violent and involuntary contraction or spasm of muscles, which aligns perfectly with the description of a paroxysm. On the other hand, choices B, C, and D are incorrect. "Symptom" (B) refers to a manifestation of a condition rather than a physical spasm. "Efficacy" (C) relates to effectiveness or success, not a sudden spasm. "Embolism" (D) refers to the obstruction of a blood vessel, which is unrelated to the concept of a sudden spasm. Therefore, convulsion is the most suitable synonym for a paroxysm in this context.

5. The interns observed the CONTOURS of the patients' rash. What does Contours mean?

• A. Color
• B. Shape
• C. Size
• D. Texture

Correct answer: B

Rationale: The correct answer is B: 'Shape.' Contours refer to the outline or shape of something. In this context, the interns were observing the shape or outline of the patients' rash, not the color, size, or texture. Colors, sizes, and textures are not typically described as contours, making choices A, C, and D incorrect.

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