Nursing Elites

1. What does Lateral mean?

• A. Near the midline
• B. Away from the midline
• C. At the top of the body
• D. On the side

Correct answer: D

Rationale: The correct answer is D: 'On the side.' Lateral means situated on the side or away from the midline. Choices A, B, and C are incorrect because lateral specifically refers to a position that is situated away from the midline, not near it, at the top of the body, or on the side.

2. What does the quoted word 'occluded' mean in the following sentence? The nurse reported that the patient's circulation to that foot was 'occluded'.

• A. Normal
• B. Impaired
• C. Inadequate
• D. Obstructed

Correct answer: D

Rationale: The correct answer is D, 'Obstructed.' 'Occluded' means blocked or obstructed, indicating that the circulation to the foot was hindered. Choices A, B, and C are incorrect because 'occluded' does not mean normal, impaired, or inadequate but rather obstructed.

3. What is the meaning of Absorption?

• A. Movement of nutrients from the digestive tube into the bloodstream
• B. Secretion of enzymes into the stomach
• C. Absorption of water from the intestines
• D. Excretion of waste from the body

Correct answer: A

Rationale: The correct answer is A: 'Movement of nutrients from the digestive tube into the bloodstream.' Absorption specifically refers to the process where nutrients are taken up by the body from the digestive tract into the bloodstream for utilization. Choices B, C, and D are incorrect. Choice B refers to the secretion of enzymes into the stomach, choice C refers to the absorption of water from the intestines, and choice D refers to the excretion of waste from the body, which are not the definitions of absorption.

4. 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.

5. Choose the meaning of the word 'puerilism' in the following sentence: 'Older patients with dementia may show signs of puerilism.'

• A. Congeniality
• B. Depression
• C. Irritability
• D. Childishness

Correct answer: D

Rationale: Correct! Puerilism refers to behaving in a childish or immature manner. In the context of older patients with dementia showing signs of puerilism, it suggests they may exhibit behaviors associated with acting like a child. Choice A, 'Congeniality,' is incorrect as it means friendliness or pleasantness. Choice B, 'Depression,' is incorrect as it refers to a state of low mood. Choice C, 'Irritability,' is incorrect as it means easily annoyed or provoked, which is different from behaving childishly.

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