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. If a patient’s condition is upgraded, he is ___________.

• A. getting worse
• B. improving in status
• C. released from the hospital
• D. approved for surgery

Correct answer: B

Rationale: When a patient's condition is upgraded, it means that there has been an improvement in their medical status. This change usually indicates that the patient's health is improving or that they are responding well to treatment. Option A, 'getting worse,' is incorrect as an upgrade signifies a positive change. Option C, 'released from the hospital,' does not directly relate to an upgrade in the patient's condition. Option D, 'approved for surgery,' is unrelated to the patient's current medical status and the concept of an upgrade.

3. Choose the meaning of the word 'sanguinary' in the following sentence: 'Surgery is often a sanguinary procedure.'

• A. Hopeful or cheerful
• B. Involving bloodshed
• C. Difficult and protracted
• D. Tricky and sensitive

Correct answer: B

Rationale: The word 'sanguinary' is derived from the Latin word 'sanguinarius,' meaning bloodthirsty or bloodshed. In the context of the sentence, 'sanguinary' is used to indicate that surgery is a procedure that involves bloodshed. Therefore, the correct answer is B. Choice A ('Hopeful or cheerful') is incorrect because 'sanguinary' does not convey a positive or cheerful meaning. Choice C ('Difficult and protracted') is incorrect as 'sanguinary' specifically relates to blood or bloodshed, not difficulty or prolongation. Choice D ('Tricky and sensitive') is incorrect as 'sanguinary' does not imply trickiness or sensitivity but rather the presence of blood or bloodshed.

4. What does it mean if something is distended?

• A. Shrunken
• B. Swollen
• C. Narrow
• D. Flattened

Correct answer: B

Rationale: When something is described as distended, it means that it is swollen or expanded, not shrunken, narrow, or flattened. In a medical context, distention often refers to an abnormal swelling or enlargement of an organ or structure. 'Shrunken' is incorrect as it means reduced in size, 'narrow' is incorrect as it means not wide, and 'flattened' is incorrect as it means pressed or squeezed flat.

5. Choose the meaning of the word progeny in the following sentence: 'This is a disease that is likely to recur in a patient’s progeny.'

• A. Chest
• B. Hormones
• C. Offspring
• D. Lifetime

Correct answer: C

Rationale: In the given sentence, the word 'progeny' means descendants or offspring. It refers to the children or future generations of the patient. Choice A, 'Chest,' is incorrect as it does not relate to the context of the sentence. Choice B, 'Hormones,' is also incorrect as it is not synonymous with 'progeny.' Choice D, 'Lifetime,' is unrelated to the concept of offspring, making it an incorrect choice.

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