Nursing Elites

1. What is the meaning of impugn?

• A. To instill with
• B. To instruct about
• C. To dispute the truth of
• D. To lament or complain about

Correct answer: C

Rationale: The word 'impugn' means to challenge or attack the truth, integrity, validity, or honesty of something. It is not related to instilling (A), instructing (B), lamenting, or complaining (D). Impugn specifically involves questioning the accuracy or validity of a statement or argument, making choice C the correct answer.

2. 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.

3. If a patient has SALLOW skin, what is true?

• A. Her skin has a yellow tint
• B. Her skin has a blue tint
• C. Her skin has a red tint
• D. Her skin has a green tint

Correct answer: A

Rationale: Sallow skin is a term used to describe skin that appears yellowish in color. This discoloration can be due to various factors, such as an underlying health condition, poor circulation, or certain medications. Observing sallow skin can be an important clinical indicator that prompts further investigation into the patient's overall health status. Choice B, blue tint, is incorrect as sallow skin is not associated with a blue color. Choice C, red tint, and Choice D, green tint, are also incorrect as sallow skin specifically refers to a yellowish complexion, not red or green.

4. Select the meaning of the underlined word in the following sentence. The patient is lying prone next to the monitor.

• A. Face down
• B. Immovable
• C. Face up
• D. Asleep

Correct answer: A

Rationale: The word 'prone' in the sentence 'The patient is lying prone next to the monitor' indicates that the patient is positioned face down. 'Prone' refers to the body position in which the front surface of the body, such as the chest or abdomen, is facing downwards. Therefore, choice A, 'Face down,' is the correct meaning. Choices B, 'Immovable,' C, 'Face up,' and D, 'Asleep,' are incorrect as they do not accurately describe the meaning of 'prone' in the context of the sentence.

5. Which sentence is correct?

• A. The physician wrote a prescription for the needed medicine
• B. The physician wrote a recommendation for the needed medicine
• C. The physician wrote a report for the needed medication
• D. The physician wrote a subscription for the needed medication

Correct answer: A

Rationale: A prescription is a written order from a physician or other licensed health practitioner for the preparation and administration of a medication. In this context, 'prescription' is the correct term for the document written by a physician to authorize the dispensing of medication. The other options (B, C, D) use incorrect terms such as 'recommendation,' 'report,' and 'subscription,' which do not accurately convey the action of a physician prescribing medication. Therefore, choice A is the correct answer as it accurately describes the action taken by the physician.

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