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. A patient who is lethargic may seem _____?

• A. Energetic
• B. Exhausted
• C. Confused
• D. Restless

Correct answer: B

Rationale: The correct answer is B: 'Exhausted.' Lethargic describes a state of feeling sluggish, tired, and lacking energy, which aligns with being exhausted. Choice A, 'Energetic,' is the opposite of lethargic and does not fit the description. Choice C, 'Confused,' refers to a state of disorientation rather than physical tiredness. Choice D, 'Restless,' implies a state of agitation or inability to relax, which contrasts with the typical presentation of someone who is lethargic.

3. Which word means TO THINK ABOUT SOMETHING BEFORE MAKING A DECISION?

• A. Imply
• B. Transgress
• C. Allay
• D. Ruminate

Correct answer: D

Rationale: The word 'ruminate' means to think deeply about something before making a decision. It specifically implies reflecting or pondering carefully on a matter, indicating a thoughtful consideration process. Choices A, B, and C are incorrect. 'Imply' means to suggest indirectly, 'transgress' means to go beyond limits or boundaries, and 'allay' means to diminish or put to rest feelings of fear or suspicion. These words do not convey the concept of thoughtful contemplation before making a decision.

4. Select the meaning of the underlined word in the following sentence. In children with high fevers, the use of aspirin is contraindicated.

• A. Banned
• B. Inadvisable
• C. Anticipated
• D. Expedient

Correct answer: B

Rationale: The word 'contraindicated' means not recommended or inadvisable in this context. It suggests that using aspirin for children with high fevers is not a good idea or is not suitable. The other options (A. Banned, C. Anticipated, D. Expedient) do not accurately convey the meaning of the word 'contraindicated' in this sentence. 'Banned' implies a prohibition, 'Anticipated' means expected, and 'Expedient' means convenient or practical, none of which capture the intended meaning of 'contraindicated.'

5. The physician started to perform the operation, but the patient was not yet completely _____ anesthesia.

• A. under
• B. within
• C. with
• D. over

Correct answer: A

Rationale: The correct answer is 'under' as it is commonly used to describe the state of being affected by anesthesia. The patient is 'under' anesthesia, not 'within,' 'with,' or 'over' it. 'Within' typically refers to being inside something, 'with' indicates being accompanied by something, and 'over' suggests being above or on top of something. Therefore, in the context of the sentence, 'under' is the most appropriate choice.

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