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. What does the word BILATERAL mean?

• A. 2-sided
• B. Straight
• C. Symmetrical
• D. On one side

Correct answer: A

Rationale: The word 'bilateral' means having or relating to two sides. It is often used to describe something that occurs on both sides, such as bilateral symmetry in which an object is symmetrical on two sides. Choice B, 'Straight,' does not capture the meaning of bilateral. Choice C, 'Symmetrical,' while related, does not specifically convey the idea of something pertaining to two sides. Choice D, 'On one side,' is the opposite of what bilateral means.

3. In medicine, to be resistant is to be ___________.

• A. unwilling
• B. unaffected by
• C. opposed to
• D. accepting of

Correct answer: B

Rationale: In medicine, when a microorganism or pathogen is described as resistant, it means that it is not affected by the drug or treatment being used against it. Resistance can develop due to various factors, making the pathogen no longer susceptible to the effects of the treatment. Therefore, the correct answer is 'unaffected by.' The other choices are incorrect: 'unwilling' and 'opposed to' do not accurately describe the concept of resistance in medicine, and 'accepting of' is the opposite of what resistance represents in this context.

4. Based on the principles of asepsis, the nurse should consider a sterile packet below waist level to be _____.

• A. contaminated
• B. sterilized
• C. clean
• D. untouched

Correct answer: A

Rationale: In aseptic techniques, maintaining the sterility of items is crucial. Placing a sterile packet below waist level exposes it to potential contamination from non-sterile surfaces or objects. Therefore, the correct term to describe the sterile packet in this situation is 'contaminated.' 'Sterilized' (choice B) is incorrect as it implies the packet has undergone a sterilization process, which may not be the case if it is now considered contaminated. 'Clean' (choice C) is incorrect because although the packet was initially sterile, placing it below waist level compromises its cleanliness. 'Untouched' (choice D) is incorrect as the packet has been touched or exposed to non-sterile areas, leading to potential contamination.

5. Select the meaning of the word 'amalgamate' in the sentence: 'If the companies amalgamate, some employees may lose their jobs.'

• A. Disband
• B. Move
• C. Merge
• D. Regroup

Correct answer: C

Rationale: The word 'amalgamate' in the sentence indicates that if the companies come together, combine, or unite as one entity, which aligns with the meaning of 'merge.' Amalgamation often refers to the merging or combining of two or more entities into one. 'Disband' (Choice A) means to break up or dissolve, which is opposite to what happens when companies amalgamate. 'Move' (Choice B) and 'Regroup' (Choice D) are not directly related to the process of companies amalgamating or merging.

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