Nursing Elites

1. What does 'inflamed' mean?

• A. Healthy and normal
• B. Reddened, swollen, and often tender
• C. Discolored but not swollen
• D. Hard and stiff

Correct answer: B

Rationale: The term 'inflamed' means being red, swollen, and often tender. It is a common response of the body to injury or infection, involving increased blood flow and immune cell activity. Choice A is incorrect because 'inflamed' does not describe a state of being healthy and normal. Choice C is incorrect as it only mentions discoloration without the characteristic swelling. Choice D is incorrect as 'inflamed' does not imply being hard and stiff.

2. Which word is not spelled correctly in the sentence: 'The physician thought it was unnecessary to explain the procedure.'

• A. physician
• B. unnecessary
• C. explain
• D. procedure

Correct answer: B

Rationale: The word 'unnecessary' is misspelled as 'unecessary' in the sentence. The correct spelling should have double 'n' as in 'unnecessary'. Choice A, C, and D are spelled correctly in the sentence provided.

3. Enzymes can _ reactions.

• A. Catalyze
• B. Inhibit
• C. Stop
• D. None of the above

Correct answer: A

Rationale: Enzymes function as catalysts that promote and accelerate chemical reactions in biological systems. They do this by lowering the activation energy required for the reactions to occur, thereby speeding up the process without being consumed in the reaction. Enzymes facilitate reactions rather than inhibiting or stopping them. Therefore, the correct answer is 'Catalyze.' 'Inhibit' and 'Stop' are incorrect because enzymes do not hinder or halt reactions but rather enhance them.

4. Convert this military time to regular time: 2120 hours.

• A. 9:20 A.M.
• B. 9:20 P.M.
• C. 2:12 A.M.
• D. 2:12 P.M.

Correct answer: B

Rationale: To convert military time to regular time, subtract 12 from the hours if the time is in the afternoon or evening. In this case, 21 - 12 = 9, so 2120 hours is equivalent to 9:20 P.M. Therefore, the correct answer is option B, 9:20 P.M. Choices A, C, and D are incorrect because they do not correctly adjust the military time to regular time format. Choice A shows 9:20 A.M., which is incorrect as the time is in the evening. Choices C and D show times that are not derived from the given military time, making them incorrect as well.

5. When a female patient who does not speak English well requires an interpreter, what would be the most appropriate choice?

• A. A trained interpreter
• B. A male family member
• C. A female family member
• D. A volunteer college student from the foreign language studies department

Correct answer: A

Rationale: To facilitate effective communication between a female patient with limited English proficiency and healthcare providers, the most appropriate choice is a trained interpreter. Trained interpreters, especially those familiar with medical terminology, ensure accurate transmission of information and maintain patient-provider confidentiality. Using a family member, whether male or female, can lead to misunderstandings, breaches of confidentiality, and potential biases. Volunteer college students may lack the necessary skills and experience to handle sensitive medical conversations professionally. Opting for a trained interpreter is crucial to enhance communication quality, promote understanding, and uphold patient care standards.

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