Nursing Elites

1. What is a Contraindication?

• A. A reason to perform an action
• B. A reason something should not be done
• C. A warning of a possible side effect
• D. A reason something is advised

Correct answer: B

Rationale: A contraindication is a specific situation in which a drug, procedure, or treatment should not be used because it may be harmful. Choice A is incorrect because a contraindication advises against performing an action. Choice C is incorrect as it refers to a precaution regarding side effects rather than a reason not to proceed. Choice D is incorrect because a contraindication does not advise the use of something.

2. 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.

3. When a body part has atrophied, it has ____?

• A. Enlarged
• B. Withered
• C. Swollen
• D. Damaged

Correct answer: B

Rationale: The correct answer is B: 'Withered.' When a body part atrophies, it shrinks or wastes away. This term is associated with a decrease in muscle mass or tissue due to various reasons like lack of use or injury. Choices A, C, and D are incorrect because atrophy does not refer to enlargement, swelling, or damage, but rather to wasting away or shrinking.

4. Choose the meaning of the word 'supplement' in the following sentence: 'Calcium pills may be used to supplement your diet.'

• A. Replace
• B. Add to
• C. Reflect
• D. Parallel

Correct answer: B

Rationale: In the context of the sentence, the word 'supplement' is used to mean adding something extra to enhance or complete the diet. Therefore, the meaning of the word is 'add to.' Choice A ('Replace') is incorrect because 'supplement' does not mean to substitute or exchange. Choice C ('Reflect') is incorrect because 'supplement' does not mean to mirror or show. Choice D ('Parallel') is incorrect because 'supplement' does not mean to correspond or be similar in a particular way.

5. He tried to remember the names of all the people who were there that night.

• A. that
• B. who
• C. which
• D. whom

Correct answer: B

Rationale: In this context, 'who' is the correct relative pronoun to refer to people. 'That' is used for things, 'which' is used for animals or things, and 'whom' is an object pronoun, not needed in this sentence. Therefore, 'who' is the most appropriate choice.

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