Nursing Elites

1. If you give a patient medication BID, you give it ___________.

• A. as needed
• B. every two hours
• C. twice daily
• D. with food

Correct answer: C

Rationale: BID stands for 'bis in die' in Latin, which translates to 'twice a day' in English. Therefore, when medication is prescribed to be given BID, it should be administered twice daily. Choice A, 'as needed,' does not correspond to a specific dosing frequency like BID. Choice B, 'every two hours,' indicates a different dosing schedule that is more frequent than BID. Choice D, 'with food,' refers to the administration instructions related to meals and is not the correct interpretation of BID.

2. Select the meaning of the word 'tenuous' in the sentence: 'Patients in this wing often have a tenuous hold on reality.'

• A. Judicious
• B. Deleted
• C. Frantic
• D. Fragile

Correct answer: D

Rationale: In this context, the word 'tenuous' is used to describe a weak or delicate hold on reality. 'Fragile' is the correct choice as it conveys the idea of something being easily broken or damaged, which aligns with the meaning of 'tenuous' in the sentence. Choice A, 'Judicious,' means having good judgment, which is unrelated to the context. Choice B, 'Deleted,' means removed or erased, which is not synonymous with 'tenuous.' Choice C, 'Frantic,' means panicked or desperate, which does not capture the delicate or weak nature implied by 'tenuous.'

3. What is another name for the voice box?

• A. Trachea
• B. Larynx
• C. Pharynx
• D. Esophagus

Correct answer: B

Rationale: The correct answer is B: Larynx. The voice box is commonly known as the larynx, which plays a vital role in producing sound. The trachea (choice A) is the windpipe that carries air to and from the lungs, not the voice box. The pharynx (choice C) is the throat passageway for air and food, distinct from the voice box. The esophagus (choice D) is the tube that carries food and liquids from the throat to the stomach, not related to the voice box. Therefore, the larynx is the specific anatomical structure referred to as the voice box.

4. What action describes what a cat, who is clearly scared of a Rottweiler, will do when the dog enters the room?

• A. Cower
• B. Engender
• C. Enhance
• D. Replicate

Correct answer: A

Rationale: When a cat cowers, it means the cat is crouching down or trying to make itself look smaller in fear or apprehension of something, in this case, the Rottweiler. Hence, the word 'cower' accurately describes what the cat would do when faced with a Rottweiler entering the room. The other choices are incorrect: 'Engender' means to cause or give rise to, 'Enhance' means to improve or increase the quality or value of something, and 'Replicate' means to duplicate or reproduce something.

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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