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. Which verb form correctly completes the sentence? 'The shopper was angry when he realized he could have ___ it cheaper at the other store.'

• A. Get
• B. Could have got
• C. Could have gotten
• D. Might have get

Correct answer: C

Rationale: The correct answer is 'C) Could have gotten.' In this sentence, the verb form 'gotten' is the correct past participle form of 'get,' indicating a missed opportunity in the past. Choice A is incorrect because 'get' is the base form of the verb, not the past participle. Choice B is incorrect as 'got' is the past tense, not the past participle. Choice D is incorrect because 'get' is the base form, and 'might have get' is not the correct structure for this sentence.

3. Choose the meaning of the word 'coterie' in the following sentence: 'Julia and her coterie are often out at local clubs until the wee hours.'

• A. A close group of friends
• B. An extended family
• C. An engaged person
• D. A manager or director

Correct answer: A

Rationale: In this context, the word 'coterie' refers to a small group of people who share similar interests or activities, typically a close-knit circle of friends. The other choices are incorrect. 'An extended family' refers to relatives beyond the nuclear family, 'an engaged person' is someone committed to be married, and 'a manager or director' are job roles unrelated to the context of the sentence.

4. 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.

5. Which verb form best completes the sentence?

• A. Going
• B. Go
• C. Have
• D. Having

Correct answer: D

Rationale: The correct answer is 'Having.' In the sentence 'I am looking forward to having my birthday party next week,' 'having' is the correct present participle form of the verb 'have' to indicate an anticipated event. Choice A 'Going' is incorrect as it does not match the structure of the sentence. Choice B 'Go' is incorrect as it is the base form of the verb and does not fit grammatically. Choice C 'Have' is incorrect as it is the base form and does not convey the future action in the sentence.

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