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. The ankle bone may be called the ___________.

• A. talus
• B. talon
• C. fascia
• D. fascine

Correct answer: A

Rationale: The ankle bone is commonly known as the talus, which is a prominent bone in the human foot that forms the lower part of the ankle joint. It plays a crucial role in supporting body weight and allowing the foot to move in various directions. The terms talon and fascine are not accurate when referring to the ankle bone. Talon usually refers to the claw of a bird or animal, while fascine is a bundle of sticks used in construction or military engineering. Fascia, on the other hand, is a band of connective tissue and not a bone.

3. A patient who is lethargic may seem _____?

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

Correct answer: B

Rationale: The correct answer is B: 'Exhausted.' Lethargic describes a state of feeling sluggish, tired, and lacking energy, which aligns with being exhausted. Choice A, 'Energetic,' is the opposite of lethargic and does not fit the description. Choice C, 'Confused,' refers to a state of disorientation rather than physical tiredness. Choice D, 'Restless,' implies a state of agitation or inability to relax, which contrasts with the typical presentation of someone who is lethargic.

4. If a nurse is CIRCUMSPECT with patient records, what is she doing?

• A. Acting carelessly
• B. Guarded
• C. Reckless
• D. Neglecting

Correct answer: B

Rationale: The correct answer is B: 'Guarded.' Circumspect means to be cautious or guarded. In this context, being circumspect with patient records implies being careful and cautious in handling them, maintaining confidentiality and privacy. Choices A, C, and D are incorrect because circumspect does not mean acting carelessly, reckless, or neglecting; instead, it suggests being watchful and discreet.

5. Choose the meaning of the word 'persistent' in the following sentence: 'The elderly patient has been fighting a persistent cold.'

• A. Typical
• B. Harmless
• C. Without cure
• D. Lasting a long time

Correct answer: D

Rationale: In the sentence provided, the word 'persistent' is used to describe the cold, indicating that it has been lasting for a long time without going away easily. This choice emphasizes the prolonged nature of the cold. Choices A, B, and C are incorrect because 'persistent' does not mean 'typical,' 'harmless,' or 'without cure' in this context. The key is to focus on the word's meaning in relation to the duration of the cold.

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