Nursing Elites

1. The abbreviation LBW on an infant’s chart refers to the baby’s ___________.

• A. genetic makeup
• B. feeding schedule
• C. Babinski response
• D. weight at birth

Correct answer: D

Rationale: The abbreviation LBW stands for 'Low Birth Weight,' which specifically refers to the weight of the infant at birth. It is an important indicator of the baby's health and development, with low birth weight infants often requiring special medical attention and care. Choices A, B, and C are incorrect because LBW does not relate to genetic makeup, feeding schedule, or Babinski response; rather, it is a term used to describe infants who are born weighing less than normal, which can have implications for their health and require additional monitoring and support.

2. The charge nurse overheard the nursing assistant discussing the private details of a client's medical condition with a personnel friend in the hospital _____.

• A. cafeteria
• B. office
• C. room
• D. hall

Correct answer: A

Rationale: The correct answer is 'cafeteria.' Cafeterias are common areas in hospitals where staff may have conversations, but discussing private client details in this public setting is a violation of patient privacy. Choices B, C, and D are incorrect because an office, room, or hall would be more suitable and private places for discussing sensitive patient information.

3. 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.

4. Choose the meaning of the word vent in the following sentence: 'A tube is used to vent the gases to the outside.'

• A. Block
• B. Trade
• C. Emit
• D. Inhale

Correct answer: C

Rationale: In this sentence, the word 'vent' means to allow the gases to escape or be emitted to the outside. 'Block' is incorrect because it means to obstruct or close off. 'Trade' is incorrect as it refers to the exchange of goods or services. 'Inhale' is incorrect as it means to breathe in, which is the opposite of venting gases out.

5. Which word is NOT CORRECTLY USED in the sentence? Confidentiality should be observed at all times, so the nurse should not discuss clients when the conversation can be overheard.

• A. Be observed
• B. By
• C. Can be
• D. Should not

Correct answer: A

Rationale: The correct answer is A. In the sentence, 'be observed' should be changed to 'should be observed' for proper grammar. 'Should be observed' is the correct way to indicate the necessity of maintaining confidentiality. Choice B, 'by,' is used correctly as a preposition. Choice C, 'can be,' is also used correctly in the sentence. Choice D, 'should not,' is correctly used to indicate what the nurse ought not to do.

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