Nursing Elites

1. The accident _____ if the motorist had obeyed the speed limit sign.

• A. could have happened
• B. never would have happened
• C. wouldn't have occurred
• D. could happen

Correct answer: B

Rationale: The correct answer is 'never would have happened.' This choice correctly expresses the hypothetical outcome that did not occur due to the motorist obeying the speed limit sign. The phrase 'never would have happened' is the most suitable option in this context as it indicates a past event that was prevented by following a certain condition. Choice A ('could have happened') is incorrect as it does not convey the same level of certainty and definiteness as 'never would have happened.' Choice C ('wouldn't have occurred') is close but lacks the emphasis on the event not taking place at all. Choice D ('could happen') is in the present tense and does not fit the context of a past hypothetical situation.

2. Precipitous is best defined as being ____?

• A. Slow
• B. Swift
• C. Gradual
• D. Delayed

Correct answer: B

Rationale: The correct answer is B: 'Swift.' Precipitous is used to describe something that is steep, sheer, or done suddenly and without careful consideration. For example, a precipitous drop in the stock market. 'Slow' (Choice A), 'Gradual' (Choice C), and 'Delayed' (Choice D) do not align with the meaning of precipitous and are therefore incorrect.

3. Select the meaning of the underlined word in the following sentence. The interns observed the contour of the patient’s rash.

• A. Shape
• B. Answers
• C. Amount
• D. Extension

Correct answer: A

Rationale: In this context, the word 'contour' refers to the outline or shape of the patient's rash. It indicates the specific form or structure of the rash as observed by the interns. 'Answers,' 'Amount,' and 'Extension' are incorrect choices because they do not accurately reflect the meaning of 'contour' in this sentence.

4. If a patient’s condition is deteriorating, he is ___________.

• A. getting worse
• B. improving gradually
• C. resisting medication
• D. failing to eat or drink

Correct answer: A

Rationale: When a patient's condition is deteriorating, it means that their health is declining or worsening. This can involve a range of factors such as worsening symptoms, declining vital signs, or an overall decline in health status. In this context, the phrase 'getting worse' best describes the situation of a patient whose condition is deteriorating. Choices B, C, and D are incorrect because they do not reflect the concept of deterioration in a patient's health. Improving gradually (choice B) indicates a positive trend, resisting medication (choice C) suggests a behavioral response, and failing to eat or drink (choice D) points to a specific issue rather than a general decline in health.

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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