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. What does the term 'Sallow' mean in reference to skin?

• A. Has a reddish tint
• B. Has a yellowish tint
• C. Has a bluish tint
• D. Has a greenish tint

Correct answer: B

Rationale: Sallow skin refers to skin that has a yellowish tint. The term 'sallow' specifically describes a complexion that appears somewhat yellowish or unhealthy. Choice A, 'Has a reddish tint,' is incorrect as sallow skin is not reddish. Choice C, 'Has a bluish tint,' is incorrect as sallow skin is not bluish. Choice D, 'Has a greenish tint,' is incorrect as sallow skin is not greenish.

3. The abbreviation DTs on a patient’s chart stands for ___________.

• A. deep tendon reflex
• B. descending thorax
• C. delirium tremens
• D. dextrose in water

Correct answer: C

Rationale: The abbreviation DTs on a patient's chart stands for delirium tremens, which is a severe form of alcohol withdrawal. Symptoms of delirium tremens include confusion, hallucinations, severe agitation, seizures, and autonomic instability. This condition requires prompt medical treatment to prevent serious complications. Choices A, B, and D are incorrect. Deep tendon reflex (A) refers to the reflex response elicited by tapping a tendon with a reflex hammer, descending thorax (B) is not a recognized medical term, and dextrose in water (D) is a solution used for various medical purposes but is not represented by the abbreviation DTs.

4. The bad smell made him __________.

• A. Gag
• B. Enjoy
• C. Remember
• D. Attach

Correct answer: A

Rationale: The bad smell would likely make him gag, which is a physical reaction to an unpleasant odor. Gagging is a common response to strong or foul smells as the body seeks to expel the offending odor. Enjoy, Remember, and Attach do not accurately reflect a likely reaction to a bad smell.

5. What is the meaning of the word 'insidious' in the sentence 'The 'insidious' disease was well established before becoming apparent'?

• A. Sudden
• B. Suffer
• C. Gradual
• D. Graduate

Correct answer: C

Rationale: The correct answer is C: 'Gradual.' In the context provided, 'insidious' describes a disease that develops slowly and harmfully over time, without being easily noticed. Choices A, B, and D are incorrect. 'Sudden' (choice A) means something happening quickly or unexpectedly, 'Suffer' (choice B) means to experience pain or hardship, and 'Graduate' (choice D) means to successfully complete a process or course of study, none of which capture the intended meaning of 'insidious' in this context.

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