Nursing Elites

1. What does it mean if a patient is lethargic?

• A. Active
• B. Exhausted
• C. Confused
• D. Restless

Correct answer: B

Rationale: Lethargic means feeling exhausted or sluggish. Being lethargic is the opposite of being active (choice A), confused (choice C), or restless (choice D). When a patient is lethargic, they lack energy and may appear tired or sluggish.

2. Select the meaning of the word 'tenuous' in the sentence: 'Patients in this wing often have a tenuous hold on reality.'

• A. Judicious
• B. Deleted
• C. Frantic
• D. Fragile

Correct answer: D

Rationale: In this context, the word 'tenuous' is used to describe a weak or delicate hold on reality. 'Fragile' is the correct choice as it conveys the idea of something being easily broken or damaged, which aligns with the meaning of 'tenuous' in the sentence. Choice A, 'Judicious,' means having good judgment, which is unrelated to the context. Choice B, 'Deleted,' means removed or erased, which is not synonymous with 'tenuous.' Choice C, 'Frantic,' means panicked or desperate, which does not capture the delicate or weak nature implied by 'tenuous.'

3. A tuberculin skin test should be read within 24 hours of administration.

• A. of
• B. before
• C. after
• D. during

Correct answer: A

Rationale: The correct preposition to use after 'within 24 hours' in this context is 'of.' Therefore, the tuberculin skin test should be read within 24 hours of administration. The other choices ('before,' 'after,' 'during') do not correctly convey the relationship between the timing of reading the test and the administration.

4. When you add sugar to it, your cup of coffee becomes not only sweet but also _____.

• A. fattening
• B. healthy
• C. rich
• D. flavorful

Correct answer: A

Rationale: When sugar is added to coffee, it not only becomes sweet but also 'fattening' due to the extra calories added. The term 'fattening' specifically refers to the potential weight gain associated with consuming sugary drinks. Choices B, C, and D do not accurately describe the impact of adding sugar to coffee. 'Healthy' is incorrect because adding sugar typically does not make a beverage healthier. 'Rich' and 'flavorful' may suggest taste qualities but do not address the caloric impact of sugar.

5. 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.

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