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 is the meaning of NEBULOUS?

• A. Clear
• B. Vague
• C. Precise
• D. Obvious

Correct answer: B

Rationale: The correct answer is B, 'Vague.' Nebulous means something that is vague or unclear. Choice A, 'Clear,' is incorrect as it represents the opposite meaning of nebulous. Choice C, 'Precise,' is incorrect as it denotes clarity and exactness, which is the opposite of nebulous. Choice D, 'Obvious,' is also incorrect as it implies something that is easily understood or seen, unlike nebulous which refers to something unclear or hazy.

3. He tried to remember the names of all the people who were there that night.

• A. Whom
• B. That
• C. Which
• D. Whose

Correct answer: B

Rationale: The word 'that' is the correct relative pronoun to use in this context to refer to the people who were present that night. 'Whom' is used for objects of a verb or preposition, 'which' is used for things, and 'whose' is a possessive pronoun.

4. Select the correct definition of the word 'prognosis' in the sentence: 'The doctor’s prognosis gave the patient reason to feel optimistic.'

• A. Instructions
• B. Estimate
• C. Behavior
• D. Outcome statement

Correct answer: D

Rationale: In the context provided, 'prognosis' refers to a doctor's prediction or statement about the likely outcome of a disease or condition. This makes 'Outcome statement' the correct choice. 'Instructions' (A) are not related to prognosis. 'Estimate' (B) is a rough calculation or approximation, not a prediction of an outcome. 'Behavior' (C) refers to actions, conduct, or manner of an individual, which is not the meaning of 'prognosis' in this sentence.

5. Choose the meaning of the word 'tremulous' in the following sentence: 'The patient held out a tremulous hand and grasped the paperwork.'

• A. Wrinkled and wizened
• B. Pale and lifeless
• C. Clenched and arthritic
• D. Quivering and weak

Correct answer: D

Rationale: In this sentence, the word 'tremulous' is used to describe the patient's hand. When someone's hand is described as tremulous, it means it is quivering or shaking, indicating weakness or distress. Therefore, the correct meaning of 'tremulous' in this context is quivering and weak. Choices A, B, and C are incorrect because they do not capture the specific meaning of 'tremulous' in this context. 'Wrinkled and wizened' refers to being old and withered, 'pale and lifeless' describes a lack of color and vitality, and 'clenched and arthritic' implies a tight grip and joint inflammation, none of which accurately represent the trembling or shaking nature of a tremulous hand.

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