Nursing Elites

1. The Ramifications of a course of treatment are that treatment's ______

• A. Effectiveness
• B. Consequences
• C. Complications
• D. Outcomes

Correct answer: B

Rationale: The correct answer is 'B: Consequences.' Ramifications refer to the consequences of a particular course of action or treatment. In this context, 'Effectiveness' (Choice A) is not the most appropriate term as ramifications are more about the results or outcomes beyond just effectiveness. 'Complications' (Choice C) are adverse effects or issues that arise, not necessarily the overall consequences. 'Outcomes' (Choice D) is close in meaning but not as synonymous with ramifications as 'Consequences' is.

2. A paroxysm is a sudden spasm. Another word for this might be

• A. Symptom
• B. Convulsion
• C. Efficacy
• D. Embolism

Correct answer: B

Rationale: The correct answer is B, 'Convulsion.' A paroxysm and a convulsion both refer to sudden, involuntary spasms. This makes 'Convulsion' the most suitable synonym. 'Symptom' (Choice A) refers to an indication of a condition but not a spasm. 'Efficacy' (Choice C) refers to the ability to produce a desired or intended result, unrelated to spasms. 'Embolism' (Choice D) refers to an obstruction in a blood vessel, not a sudden spasm.

3. The doctor said he wanted to try other things before attempting an __________ procedure.

• A. Internal
• B. Painful
• C. Experimental
• D. Expensive

Correct answer: C

Rationale: The term 'invasive' refers to a procedure that involves entering the body, usually with a medical instrument or device. In the context provided, the doctor wants to try other non-invasive or less invasive options before resorting to an invasive procedure. 'Experimental' means untested or not yet proven to be effective, which aligns with the idea of exploring alternative methods before considering a more invasive approach. Choices A, B, and D are incorrect because they do not relate to the context of trying alternative procedures that are different from invasive ones.

4. Nurse Junko and _______ will review the patient’s chart.

• A. She
• B. Them
• C. Me
• D. Him

Correct answer: A

Rationale: The correct answer is 'A: She.' In this sentence, 'She' is the correct pronoun to use as the subject since it refers to Nurse Junko, who is one of the individuals performing the action. 'Them' (choice B), 'Me' (choice C), and 'Him' (choice D) are incorrect as they do not match the subject of the sentence, which is Nurse Junko.

5. A note in the patient’s medical record states 'ANTICIPATORY GRIEVING'. Which patient situation 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: The correct answer is B because 'anticipatory grieving' refers to the process of grieving in anticipation of a significant loss or change. In this case, a patient who is expecting a leg amputation tomorrow is experiencing anticipatory grieving as they are grieving the loss of a limb before it actually occurs. Choices A, C, and D do not involve an impending significant loss or change that would lead to anticipatory grieving.

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