Nursing Elites

1. The patient fractured the lateral portion of the hip bone, which is known as the _____.

• A. ilium
• B. ileum
• C. icterus
• D. ileus

Correct answer: A

Rationale: The correct answer is A, "ilium." The ilium is the lateral, or outer, portion of the hip bone. Choices B, C, and D are incorrect. Option B, "ileum," refers to a part of the small intestine. Option C, "icterus," is a term for jaundice, a condition related to the liver. Option D, "ileus," is a term for intestinal obstruction, which is unrelated to the hip bone.

2. Select the meaning of the word 'reflex' in the sentence: 'The typical patellar reflex takes only 50 milliseconds between the initial tap and the leg extension.'

• A. Replication
• B. Convulsion
• C. Reaction
• D. Stretching

Correct answer: C

Rationale: In the context of the sentence, the word 'reflex' indicates a quick, automatic response by the body to a stimulus. The patellar reflex, also known as the knee-jerk reflex, involves the leg extending in response to a tap on the patellar tendon. Therefore, the word 'reaction' aligns closely with the nature of the patellar reflex in terms of a rapid and involuntary response. Choices A, B, and D are incorrect: 'Replication' does not capture the concept of a bodily response, 'convulsion' implies a sudden and uncontrollable movement which is not specific to the nature of the patellar reflex, and 'stretching' does not encompass the automatic and rapid nature of a reflex action.

3. A note in the patients' medical record states anticipatory grieving, which patient situations below explains this type of grieving?

• A. A patient who has just given birth to twins following a long labor
• B. A patient who will have their left leg amputated below the knee tomorrow
• C. A patient experiencing pain during a physical therapy session
• D. A patient who will be discharged tomorrow after two months of being hospitalized

Correct answer: B

Rationale: Anticipatory grieving occurs when an individual experiences the emotional response to the anticipated loss before it occurs. In this case, the patient who will have their left leg amputated below the knee tomorrow is facing a significant loss and is likely to be experiencing anticipatory grieving. This situation involves anticipating the physical and emotional challenges that will come with the loss of a body part, leading to emotional distress and grief before the actual amputation takes place. Choices A, C, and D do not involve an impending significant loss that would typically trigger anticipatory grieving. Giving birth, experiencing pain during physical therapy, and being discharged from the hospital, while potentially stressful situations, do not inherently involve the anticipation of a significant loss.

4. Which term refers to the surgical removal of an organ's contents?

• A. Excretion
• B. Evisceration
• C. Incision
• D. Reduction

Correct answer: B

Rationale: The correct answer is B, 'Evisceration.' Evisceration specifically means the surgical removal of an organ's contents. Choice A, 'Excretion,' is the process of eliminating waste products from the body and is not related to surgical procedures. Choice C, 'Incision,' refers to the act of cutting into the body, commonly done in surgeries but not specifically related to removing organ contents. Choice D, 'Reduction,' generally means to make something smaller or lessen its size, which is not the term used for the surgical removal of an organ's contents.

5. Precipitous is best defined as being ____?

• A. Slow
• B. Swift
• C. Gradual
• D. Delayed

Correct answer: B

Rationale: The correct answer is B: 'Swift.' Precipitous is used to describe something that is steep, sheer, or done suddenly and without careful consideration. For example, a precipitous drop in the stock market. 'Slow' (Choice A), 'Gradual' (Choice C), and 'Delayed' (Choice D) do not align with the meaning of precipitous and are therefore incorrect.

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