Nursing Elites

1. 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.

2. 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.

3. What is the best description of an audit check?

• A. A restraint on appraisals
• B. A payment for inventory
• C. A test of hearing
• D. A review or inspection

Correct answer: D

Rationale: An audit check is a process of reviewing and inspecting financial records, transactions, or processes to ensure accuracy and compliance with established guidelines. It involves examining information systematically and thoroughly to verify its completeness and reliability. Option D, "A review or inspection," best describes an audit check. Choices A, B, and C are incorrect as they do not relate to the process of auditing financial records for accuracy and compliance.

4. Select the word or phrase in the sentence that is not used correctly: 'Her teacher asked her what would she do after she graduated from nursing school.'

• A. She
• B. From
• C. Would
• D. Her

Correct answer: C

Rationale: The correct answer is C. The phrase 'what would she do' is incorrect because in English questions, the word order for modal verbs like 'would' should be 'she would do' instead of 'would she do'. The correct structure should be 'her teacher asked her what she would do after she graduated from nursing school.' Choices A, B, and D are used correctly in the sentence and do not contain any errors.

5. This medication works by inhibiting the action of a certain enzyme. What does inhibiting mean?

• A. Blocking
• B. Hindering
• C. Energizing
• D. Blocking improvement

Correct answer: B

Rationale: The correct answer is 'B: Hindering.' Inhibiting means to hinder or slow down a process. Choices A and D are similar and imply a complete stop of the process rather than just slowing it down. Choice C, 'Energizing,' is the opposite of inhibiting, as it means to provide energy or stimulate rather than hinder.

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