Nursing Elites

1. Select the phrase or clause that is misplaced in the sentence. The children and their parents handed water in tiny cups to the runners.

• A. and their parents
• B. handed water in tiny cups
• C. to the runners
• D. in tiny cups

Correct answer: C

Rationale: In the sentence, 'The children and their parents handed water in tiny cups to the runners,' the phrase 'to the runners' is misplaced. Placing it at the end of the sentence can create a clearer and more direct connection between the action of handing water in tiny cups and the recipients, the runners. Rearranging the sentence in this way enhances its clarity and coherence. Choice A ('and their parents') is correctly positioned as it connects 'the children' with 'their parents.' Choice B ('handed water in tiny cups') is the main action being performed and is appropriately placed. Choice D ('in tiny cups') appropriately describes how the water was handed. Therefore, the correct answer is C.

2. Which hormone is produced by the adrenal cortex?

• A. Insulin
• B. Cortisol
• C. Thyroxine
• D. Glucagon

Correct answer: B

Rationale: The correct answer is B, Cortisol. Cortisol is the hormone produced by the adrenal cortex. It plays a crucial role in regulating metabolism, immune response, and managing stress. Insulin is produced by the pancreas, thyroxine by the thyroid gland, and glucagon by the pancreas. Therefore, choices A, C, and D are incorrect as they are not hormones produced by the adrenal cortex.

3. The physician ordered 20 mg of Tylenol per kg of body weight; on hand is 80 mg per tablet. The child weighs 44 lb. How many tablets will you give?

• A. 5 tablets
• B. 5.5 tablets
• C. 4.5 tablets
• D. 3 tablets

Correct answer: A

Rationale: First, convert the child's weight from pounds to kilograms: 44 lb ÷ 2.2 = 20 kg. Next, calculate the required dosage: 20 kg × 20 mg/kg = 400 mg. Since each tablet contains 80 mg, divide the total dosage by the dosage per tablet: 400 mg ÷ 80 mg/tablet = 5 tablets. Therefore, the correct answer is 5 tablets. Choice B is incorrect because it does not account for the actual number of tablets needed. Choice C is incorrect as it is an underestimation of the required tablets. Choice D is incorrect as it is an underestimation of the required tablets.

4. 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.

5. When conducting an interview in an outpatient clinic using a computer to record data, what is the best use of the computer in this situation? Select all that apply.

• A. Collect the patient's data in a direct, face-to-face manner.
• B. Enter all the data as the patient states it.
• C. Ask the patient to wait as the data is entered.
• D. Type the data into the computer after establishing a connection.

Correct answer: A

Rationale: A. Collect the patient's data in a direct, face-to-face manner: When conducting an interview in an outpatient clinic, it is essential to engage with the patient face-to-face to establish a rapport, gather their narrative, and ensure accurate data collection. Entering all the data as the patient states it (choice B) may lead to missing important details or misinterpretation. Asking the patient to wait as the data is entered (choice C) can create a disconnect in communication and reduce patient engagement. Typing the data into the computer after establishing a connection (choice D) is not ideal as it is important to collect data actively while interacting with the patient.

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