Nursing Elites

1. Select the word that means 'an undesired problem that is the result of some other event.'

• A. Complication
• B. Complement
• C. Procedures
• D. Implemented

Correct answer: A

Rationale: The correct answer is 'Complication.' A complication refers to a secondary issue or difficulty that arises unexpectedly due to another event. It represents an undesired outcome. Choice 'B: Complement' is incorrect as it means something that enhances or completes, not an undesired problem. Choice 'C: Procedures' is incorrect as it refers to methods or steps, not an undesired problem. Choice 'D: Implemented' is incorrect as it means carried out, not an undesired problem.

2. Select the meaning of the underlined word in the following sentence. He made a posthumous donation to the clinic.

• A. Generous
• B. Immense
• C. Postmortem
• D. Time-honored

Correct answer: C

Rationale: The word 'posthumous' in this sentence means occurring or coming into effect after the person's death. It is related to the word 'postmortem,' which also refers to events or actions happening after death. Given the context of the sentence, the most suitable meaning is 'postmortem.' Choice A, 'generous,' does not accurately reflect the meaning of 'posthumous' in the sentence. Choice B, 'immense,' is unrelated to the concept of something happening after a person's death. Choice D, 'time-honored,' is also not synonymous with 'posthumous' and does not fit the context of the sentence.

3. What is the total perimeter of a playground fence that has a rectangular section (5m by 3m) attached to a semicircular section with a radius of 2m?

• A. 13m
• B. 16m
• C. 19m
• D. 22m

Correct answer: D

Rationale: To find the total perimeter, we first calculate the perimeter of the semicircle, which is half of a full circle, so the formula is π * radius. For the semicircle with a radius of 2m, the perimeter is approximately 3.14 * 2m = 6.28m. Next, we calculate the perimeter of the rectangular section by adding twice the length and twice the width (2 * length + 2 * width). For the rectangle with dimensions 5m by 3m, the perimeter is 2 * 5m + 2 * 3m = 10m + 6m = 16m. Finally, we sum the perimeters of the semicircle and the rectangle to get the total perimeter: 6.28m + 16m = 22.28m. Rounding to the nearest meter, the total perimeter is approximately 22m. Therefore, the correct answer is 22m. Choices A, B, and C are incorrect as they do not accurately calculate the total perimeter of the playground fence.

4. During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather strip around his neck. Which action by the nurse is appropriate?

• A. Ask the patient about the item and its significance.
• B. Ask the patient to lock the item with other valuables in the hospital's safe.
• C. Tell the patient that a family member should take valuables home.
• D. No action is necessary.

Correct answer: A

Rationale: The appropriate action for the nurse in this situation is to ask the patient about the charm and its significance. This helps the nurse understand the patient's cultural beliefs, personal values, and any potential significance the charm holds for the patient. It also shows respect for the patient's personal belongings. Asking about the charm can help establish rapport and cultural competence in the nurse-patient relationship. Choices B and C do not address the patient's attachment to the charm or provide an opportunity for cultural understanding. Choice D is incorrect as it dismisses the importance of acknowledging and respecting the patient's personal belongings.

5. Which muscle is responsible for breathing?

• A. Diaphragm
• B. Intercostal muscles
• C. Rectus abdominis
• D. Pectoralis major

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for breathing. It is a large, dome-shaped muscle located at the base of the chest cavity. When it contracts, it flattens, increasing the volume of the chest cavity and causing inhalation. When it relaxes, it returns to its dome shape, decreasing the volume of the chest cavity and causing exhalation. The intercostal muscles, located between the ribs, assist the diaphragm in breathing by expanding and contracting the chest cavity. The rectus abdominis and pectoralis major are not directly involved in the process of breathing.

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