Nursing Elites

1. Select the meaning of the underlined word in the following sentence. In children with high fevers, the use of aspirin is contraindicated.

• A. Banned
• B. Inadvisable
• C. Anticipated
• D. Expedient

Correct answer: B

Rationale: The word 'contraindicated' means not recommended or inadvisable in this context. It suggests that using aspirin for children with high fevers is not a good idea or is not suitable. The other options (A. Banned, C. Anticipated, D. Expedient) do not accurately convey the meaning of the word 'contraindicated' in this sentence. 'Banned' implies a prohibition, 'Anticipated' means expected, and 'Expedient' means convenient or practical, none of which capture the intended meaning of 'contraindicated.'

2. What does it mean if a patient is lethargic?

• A. Active
• B. Exhausted
• C. Confused
• D. Restless

Correct answer: B

Rationale: Lethargic means feeling exhausted or sluggish. Being lethargic is the opposite of being active (choice A), confused (choice C), or restless (choice D). When a patient is lethargic, they lack energy and may appear tired or sluggish.

3. What are the soft spots on the head of a newborn called?

• A. Fistula
• B. Fontanel
• C. Follicle
• D. Fissure

Correct answer: B

Rationale: The correct answer is 'Fontanel.' Fontanels are the soft spots on a newborn's head where the skull bones have not yet fused together, allowing for some flexibility during birth and rapid brain growth in early infancy. 'Fistula' is a medical term for an abnormal connection between two body parts. 'Follicle' refers to a small cavity in the skin from which hair grows. 'Fissure' is a narrow opening or crack, not related to the soft spots on a newborn's head.

4. Identify the euphemism in the following passage: 'Today we gather to remember Thomas the Cat. He was the cutest kitten around. Now that he's gone to the giant catnip patch in the sky, he'll be missed by everyone.'

• A. Giant catnip patch in the sky
• B. The cutest kitten around
• C. He'll be missed by everyone
• D. Today we gather to remember

Correct answer: A

Rationale: The correct answer is 'A: Giant catnip patch in the sky.' This phrase is a euphemism for death, as it softens the reality of Thomas the Cat's passing. Choice B, 'The cutest kitten around,' is a compliment and not a euphemism. Choice C, 'He'll be missed by everyone,' is a straightforward statement without a euphemistic element. Choice D, 'Today we gather to remember,' is a typical opening statement for a memorial gathering and is not a euphemism.

5. 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.

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