Nursing Elites

1. What does Cast mean?

• A. A tool used for breaking bones
• B. Hard protective device applied to protect a broken bone
• C. A soft bandage
• D. An instrument used in surgery

Correct answer: B

Rationale: The correct answer is B. A cast is a hard protective device applied to protect a broken bone. Choice A is incorrect as a cast is not a tool used for breaking bones, but rather for supporting and protecting them. Choice C is incorrect as a cast is not a soft bandage but a rigid structure. Choice D is incorrect as a cast is not an instrument used in surgery, but a medical device used for bone support.

2. What is the meaning of Contingent?

• A. Certain
• B. Dependent
• C. Unrelated
• D. Guaranteed

Correct answer: B

Rationale: The correct meaning of 'contingent' is dependent, indicating reliance on something else. Choice A, 'Certain,' is incorrect as it means clearly established or assured, which does not align with the meaning of 'contingent.' Choice C, 'Unrelated,' is also incorrect as it means not connected or associated with, which is a different concept. Choice D, 'Guaranteed,' is not synonymous with 'contingent' as it implies assurance or confirmation, not dependency.

3. The nurse noted in the chart, 'The patient is lethargic.' How was the patient behaving?

• A. Pacing the halls
• B. Difficult to arouse
• C. Shaking uncontrollably
• D. Not responding to pain

Correct answer: B

Rationale: The correct answer is B: 'Difficult to arouse.' 'Lethargic' is a medical term used to describe a state of drowsiness or lack of energy, making the patient difficult to arouse. Choices A, C, and D describe different behaviors that are not indicative of lethargy. A patient who is pacing the halls is more likely to be agitated, while shaking uncontrollably may suggest tremors or seizures. Not responding to pain indicates a lack of reaction to painful stimuli but does not directly reflect being lethargic.

4. If a patient is especially obdurate, she is ___________.

• A. very large
• B. quite stubborn
• C. easily upset
• D. ready to go home

Correct answer: B

Rationale: The correct answer is B: 'quite stubborn.' The word 'obdurate' means stubbornly refusing to change one's opinion or course of action. Therefore, if a patient is especially obdurate, it indicates that she is likely very stubborn in her behavior or beliefs. Choices A, C, and D are incorrect because they do not reflect the meaning of 'obdurate.' Being 'very large' (Choice A), 'easily upset' (Choice C), or 'ready to go home' (Choice D) does not directly relate to being stubborn and unwilling to change.

5. 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.

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