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. Temperature Conversion & Interpretation: A patient's body temperature is 102°F. Convert this to °C and assess if it indicates a fever.

• A. 37�C (Normal)
• B. 39�C (Low-grade fever)
• C. 39�C (Fever)
• D. 42�C (Hyperthermia)

Correct answer: C

Rationale: Rationale: 1. To convert Fahrenheit to Celsius, you can use the formula: °C = (°F - 32) x 5/9. 2. Given that the patient's body temperature is 102°F, we can calculate the equivalent temperature in Celsius: °C = (102 - 32) x 5/9 °C = 70 x 5/9 °C = 350/9 °C ≈ 38.9°C, which can be rounded to 39°C. 3. A body temperature of 39°C is considered to indicate a fever. Normal body temperature typically ranges from 36.1°C to 37.2°C, so a temperature of 39°C is higher than the normal range and suggests a fever. 4. Options A and B are incorrect as they do not reflect the conversion of 102°F to °C

3. What is the name of the phase change from liquid to gas?

• A. Condensation
• B. Sublimation
• C. Evaporation
• D. Melting

Correct answer: C

Rationale: The correct answer is 'Evaporation.' This phase change occurs when a liquid turns into a gas. During evaporation, molecules gain enough energy to break free from the liquid phase and enter the gas phase, without the need for the liquid to reach its boiling point. Choice A, 'Condensation,' is the opposite phase change where gas turns into a liquid. Choice B, 'Sublimation,' is the phase change from solid directly to gas, skipping the liquid phase. Choice D, 'Melting,' is the phase change from solid to liquid.

4. What is the meaning of the word 'elasticity' in the last paragraph?

• A. Something that is able to resist and be flexible
• B. Something that is like plastic
• C. Something that is dynamic and electrifying
• D. Something that is silly

Correct answer: A

Rationale: 'Elasticity' refers to the ability of the arterial walls to resist and be flexible, which affects blood pressure. In the provided extract, it is mentioned that an increase in blood pressure can occur if the arterial walls lose some of their elasticity with age or disease. This demonstrates that elasticity refers to the property of being able to resist and be flexible, supporting choice A as the correct answer. The other choices, B, C, and D, do not accurately reflect the concept of elasticity in the context of arterial walls and blood pressure.

5. Which of the following statements is an opinion related to Barefoot Running?

• A. Running barefoot is natural and advantageous.
• B. The cost of modern running shoes keeps increasing.
• C. Concrete sidewalks are harder than dirt paths.
• D. The arch of the foot gives a spring to the step.

Correct answer: A

Rationale: The statement that "running barefoot is natural and advantageous" reflects a subjective opinion, which cannot be definitively proven or measured objectively. The other statements (B, C, and D) provide factual observations or comparisons that can be validated through evidence, which distinguishes A as the only opinion-based statement.

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