Nursing Elites

1. The mail carrier's job is to put the _____ in every mailbox on the block.

• A. letter
• B. envelope
• C. package
• D. documents

Correct answer: B

Rationale: The correct answer is B: 'envelope.' The mail carrier typically delivers envelopes containing mail to every mailbox on the block. Envelopes are commonly used to protect and contain letters, making them the most suitable choice in this context. Choices A, C, and D are incorrect because while the mail carrier may deliver letters, packages, or documents, the most common item placed in mailboxes is an envelope containing mail.

2. The nurse noted in the chart, 'The patient is lethargic.' How was the patient behaving?

• A. Pacing the halls
• B. Difficult to arouse
• C. Shaking uncontrollably
• D. Not responding to pain

Correct answer: B

Rationale: The correct answer is B: 'Difficult to arouse.' 'Lethargic' is a medical term used to describe a state of drowsiness or lack of energy, making the patient difficult to arouse. Choices A, C, and D describe different behaviors that are not indicative of lethargy. A patient who is pacing the halls is more likely to be agitated, while shaking uncontrollably may suggest tremors or seizures. Not responding to pain indicates a lack of reaction to painful stimuli but does not directly reflect being lethargic.

3. The quality, safety, and efficacy of the new medicines are not known. What does efficacy mean?

• A. Cost
• B. Effectiveness
• C. Quality
• D. Usage

Correct answer: B

Rationale: Efficacy refers to how effective something is. In this context, it refers to the effectiveness of the new medicines. 'Cost' (Choice A) is incorrect as it relates to the price of something, not its effectiveness. 'Quality' (Choice C) is incorrect as it refers to the standard or degree of excellence. 'Usage' (Choice D) is incorrect as it refers to how something is used, not its effectiveness.

4. If illegal operators are posing as licensed pharmacists, what are they doing?

• A. Modeling
• B. Inquiring
• C. Positioning
• D. Pretending

Correct answer: D

Rationale: If illegal operators are posing as licensed pharmacists, they are pretending to be licensed pharmacists when they are not. This deceptive behavior is misleading and potentially dangerous for consumers seeking legitimate medical advice and products. Choice A, modeling, implies imitating behavior or appearance, which is not the case here. Choice B, inquiring, suggests seeking information or asking questions, which is not the correct behavior in this context. Choice C, positioning, refers to arranging or placing things in a particular way, which is not relevant to the situation described in the question.

5. If a patient's condition is deteriorating, what is happening?

• A. They are improving
• B. They are getting worse
• C. They are stable
• D. They are recovering

Correct answer: B

Rationale: When a patient's condition is deteriorating, it means they are getting worse. This indicates a decline or worsening in their health status, requiring immediate attention or intervention. Choice A is incorrect because 'improving' means the opposite of deteriorating. Choice C is incorrect as 'stable' means there is no significant change. Choice D is incorrect as 'recovering' means getting better, which is the opposite of deteriorating.

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