Nursing Elites

1. 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.

2. When an individual is under stress, hormones are released. Which of the following is not one of the locations in which hormones are released when under stress?

• A. Posterior pituitary
• B. Hypothalamus
• C. Adrenal cortex
• D. Parathyroid

Correct answer: D

Rationale: During stress, hormones are released from the adrenal cortex, posterior pituitary, and hypothalamus to help the body respond. The parathyroid gland, however, is not typically involved in the stress response by releasing hormones. The posterior pituitary releases hormones like oxytocin and vasopressin, the hypothalamus secretes corticotropin-releasing hormone (CRH) and vasopressin, while the adrenal cortex releases cortisol and aldosterone in response to stress. Therefore, the correct answer is 'Parathyroid.'

3. Which word is used incorrectly in the following sentence? She is already an adjunct at a college in Raleigh, the capital of North Carolina.

• A. already
• B. adjunct
• C. college
• D. capital

Correct answer: C

Rationale: The word 'college' is used incorrectly in the sentence. The correct term to use in this context would be 'capital,' not 'college.' 'Capital' refers to the city that serves as the seat of government, while 'college' refers to an educational institution. The sentence should read: 'She is already an adjunct at a capital in Raleigh, the capital of North Carolina.' Choices A, B, and D are all used appropriately in the sentence.

4. Select the meaning of the word 'distended' in the sentence: 'Wracked by abdominal pain, the victim of food poisoning moaned and rubbed his distended belly.'

• A. concave
• B. sore
• C. swollen
• D. empty

Correct answer: C

Rationale: The correct answer is C: 'swollen.' In the context provided, 'distended' refers to the victim's belly being enlarged or bloated due to abdominal pain. This matches the description of the victim moaning and rubbing his belly, indicating discomfort from swelling. Choices A, B, and D are incorrect. 'Concave' means having an inward curve, opposite to the intended meaning. 'Sore' means experiencing pain or discomfort, which is not directly related to the physical enlargement described in the sentence. 'Empty' means containing nothing, which contrasts with the idea of the belly being visibly enlarged or bloated.

5. Why do gardeners sometimes use salt to get rid of slugs?

• A. The salt moves from the exterior into the slug’s body.
• B. The salt causes water in the slug to move outward.
• C. The salt and slug slime merge to form a new compound.
• D. The salt’s corrosiveness breaks down the slug’s cell walls.

Correct answer: D

Rationale: Gardeners use salt to get rid of slugs because salt is corrosive and breaks down the slug's cell walls. When the slug comes into contact with salt, the salt draws moisture out of the slug's body, causing dehydration and ultimately leading to the slug's death. Choices A, B, and C are incorrect because the primary mechanism of salt in eliminating slugs is its corrosive action on the slug's body, not the movement of salt into the slug's body, outward movement of water in the slug, or merging with slug slime to form a new compound.

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