Nursing Elites

1. If a patient's condition is deteriorating, he is ______.

• A. Improving
• B. Getting worse
• C. Stabilizing
• D. Reversing

Correct answer: B

Rationale: The correct answer is 'B: Getting worse.' When a patient's condition is deteriorating, it means that their health is declining or worsening. Choices A, C, and D are incorrect because improving, stabilizing, and reversing all indicate positive changes or holding steady, which are the opposite of deteriorating.

2. Select the meaning of the word 'reflex' in the sentence: 'The typical patellar reflex takes only 50 milliseconds between the initial tap and the leg extension.'

• A. Replication
• B. Convulsion
• C. Reaction
• D. Stretching

Correct answer: C

Rationale: In the context of the sentence, the word 'reflex' indicates a quick, automatic response by the body to a stimulus. The patellar reflex, also known as the knee-jerk reflex, involves the leg extending in response to a tap on the patellar tendon. Therefore, the word 'reaction' aligns closely with the nature of the patellar reflex in terms of a rapid and involuntary response. Choices A, B, and D are incorrect: 'Replication' does not capture the concept of a bodily response, 'convulsion' implies a sudden and uncontrollable movement which is not specific to the nature of the patellar reflex, and 'stretching' does not encompass the automatic and rapid nature of a reflex action.

3. Which verb is defined as to bring about; cause to happen; to accomplish; to make?

• A. Affect
• B. Accept
• C. Expect
• D. Effect

Correct answer: D

Rationale: The correct answer is D, 'effect.' The verb 'effect' is defined as to bring about, cause to happen, accomplish, or make. It describes the action of making something happen or producing a result. Choices A, B, and C are incorrect because 'affect' means to influence, 'accept' means to receive willingly, and 'expect' means to anticipate. Therefore, the correct choice is D, 'effect.'

4. Based on the principles of asepsis, the nurse should consider a sterile packet below waist level to be _____.

• A. contaminated
• B. sterilized
• C. clean
• D. untouched

Correct answer: A

Rationale: In aseptic techniques, maintaining the sterility of items is crucial. Placing a sterile packet below waist level exposes it to potential contamination from non-sterile surfaces or objects. Therefore, the correct term to describe the sterile packet in this situation is 'contaminated.' 'Sterilized' (choice B) is incorrect as it implies the packet has undergone a sterilization process, which may not be the case if it is now considered contaminated. 'Clean' (choice C) is incorrect because although the packet was initially sterile, placing it below waist level compromises its cleanliness. 'Untouched' (choice D) is incorrect as the packet has been touched or exposed to non-sterile areas, leading to potential contamination.

5. Select the meaning of the underlined word in the following sentence. The interns observed the contour of the patient’s rash.

• A. Shape
• B. Answers
• C. Amount
• D. Extension

Correct answer: A

Rationale: In this context, the word 'contour' refers to the outline or shape of the patient's rash. It indicates the specific form or structure of the rash as observed by the interns. 'Answers,' 'Amount,' and 'Extension' are incorrect choices because they do not accurately reflect the meaning of 'contour' in this sentence.

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