Nursing Elites

1. The meteorologist had forecast rain, ____________ Sheila brought her umbrella to work.

• A. Nor
• B. Yet
• C. Because
• D. So

Correct answer: C

Rationale: The sentence implies a cause-and-effect relationship, so 'because' is the appropriate conjunction. 'Nor' is used in negative constructions, 'Yet' indicates contrast, and 'So' is used to show a consequence, none of which fit the context of the sentence.

2. A note in the patient’s medical record states 'ANTICIPATORY GRIEVING'. Which patient situation 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: The correct answer is B because 'anticipatory grieving' refers to the process of grieving in anticipation of a significant loss or change. In this case, a patient who is expecting a leg amputation tomorrow is experiencing anticipatory grieving as they are grieving the loss of a limb before it actually occurs. Choices A, C, and D do not involve an impending significant loss or change that would lead to anticipatory grieving.

3. 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.

4. A truculent patient is ______

• A. Friendly
• B. Argumentative
• C. Cooperative
• D. Passive

Correct answer: B

Rationale: A truculent patient is characterized by being argumentative or hostile. This type of patient tends to be confrontational and uncooperative, often displaying aggressive behavior. Choice A, 'Friendly,' is incorrect as truculent patients are not known for their friendliness. Choice C, 'Cooperative,' is also incorrect as truculent patients are the opposite of cooperative. Choice D, 'Passive,' is incorrect because truculent patients are not passive but rather assertive and combative.

5. Identify the dependent clause in this sentence: 'The mother dog left her bed as soon as the puppies were ____.'

• A. slept
• B. sleeping
• C. awake
• D. sleep

Correct answer: B

Rationale: The correct answer is 'B: sleeping.' In the sentence, 'as soon as the puppies were sleeping' functions as the dependent clause. A dependent clause is a group of words that contains a subject and a verb but cannot stand alone as a sentence. Choices A, C, and D do not form a dependent clause in the sentence provided. 'Slept' (A) is a verb in the past tense, 'awake' (C) is an adjective, and 'sleep' (D) is a noun. Therefore, 'sleeping' (B) is the only choice that correctly forms the dependent clause in this sentence.

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