Nursing Elites

1. Which word best defines the term 'accountable' as used in the following sentence? 'The night nursing staff is accountable for those records.'

• A. Receptive
• B. Notorious
• C. Responsible
• D. Preoccupied with

Correct answer: C

Rationale: The correct answer is C, 'Responsible.' In this context, 'accountable' means being held answerable or responsible for something. The night nursing staff is responsible for maintaining and managing those records. Choice A, 'Receptive,' does not accurately capture the meaning of 'accountable' in this context. Being receptive means being open to new ideas or suggestions, which is not the intended meaning here. Choice B, 'Notorious,' is incorrect as it means famous or well-known for something negative, which is not related to being accountable or responsible. Choice D, 'Preoccupied with,' is also incorrect. 'Preoccupied with' means being excessively concerned or worried about something, which does not align with the meaning of 'accountable' in this sentence.

2. What is another word for paltry?

• A. Insignificant
• B. Punitive
• C. Prolonged
• D. Economical

Correct answer: A

Rationale: The correct answer is A, 'Insignificant.' Paltry and insignificant are synonymous terms that denote something as unimportant, trivial, or of little value. Choice B, 'Punitive,' means inflicting or intended as punishment, which is unrelated to the meaning of paltry. Choice C, 'Prolonged,' means continuing for a long time, which is not a synonym for paltry. Choice D, 'Economical,' means giving good value or service in relation to the amount of money, which is not synonymous with paltry.

3. A sore with disintegration of tissue might be called an ___________.

• A. allergy
• B. erythema
• C. alopecia
• D. ulcer

Correct answer: D

Rationale: A sore with disintegration of tissue is typically referred to as an ulcer. Ulcers are open sores or wounds that can develop on the skin's surface or within the body. They can vary in size and depth and are commonly associated with conditions such as pressure ulcers, peptic ulcers, and venous ulcers. Ulcers result from the breakdown of tissue, leading to a loss of the skin or mucous membrane in that area. Choices A, B, and C are incorrect. Allergy refers to a hypersensitivity reaction, erythema is redness of the skin, and alopecia is hair loss. These conditions do not specifically involve the disintegration of tissue as seen in an ulcer.

4. What does the quoted word 'occluded' mean in the following sentence? The nurse reported that the patient's circulation to that foot was 'occluded'.

• A. Normal
• B. Impaired
• C. Inadequate
• D. Obstructed

Correct answer: D

Rationale: The correct answer is D, 'Obstructed.' 'Occluded' means blocked or obstructed, indicating that the circulation to the foot was hindered. Choices A, B, and C are incorrect because 'occluded' does not mean normal, impaired, or inadequate but rather obstructed.

5. A paroxysm is a sudden spasm. Another word for this might be ___________.

• A. convulsion
• B. symptom
• C. efficacy
• D. embolism

Correct answer: A

Rationale: The correct answer is A: "convulsion." A paroxysm is defined as a sudden spasm or convulsion. The word "convulsion" specifically refers to a violent and involuntary contraction or spasm of muscles, which aligns perfectly with the description of a paroxysm. On the other hand, choices B, C, and D are incorrect. "Symptom" (B) refers to a manifestation of a condition rather than a physical spasm. "Efficacy" (C) relates to effectiveness or success, not a sudden spasm. "Embolism" (D) refers to the obstruction of a blood vessel, which is unrelated to the concept of a sudden spasm. Therefore, convulsion is the most suitable synonym for a paroxysm in this context.

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