Nursing Elites

1. What does the word 'principally' mean?

• A. Mostly
• B. Clearly
• C. In our opinion
• D. Royally

Correct answer: A

Rationale: The correct answer is A: 'Mostly.' The word 'principally' means mainly or mostly. It is used to describe something that is primarily or predominantly true in a given context. Choice B, 'Clearly,' is incorrect as it does not reflect the primary meaning of the word. Choice C, 'In our opinion,' is incorrect as it does not capture the essence of 'principally.' Choice D, 'Royally,' is incorrect as it does not align with the definition of the word.

2. The patients are under 'quarantine'. What does this mean?

• A. Confinement away from the general population
• B. A specialist’s care
• C. Experimental drug therapy
• D. Imprisonment in a rehabilitation unit

Correct answer: A

Rationale: The correct answer is A: 'Confinement away from the general population.' Quarantine refers to keeping someone isolated from the general population to prevent the spread of disease. Choice B, 'A specialist’s care,' is incorrect as it refers to medical treatment by a specialist, not isolation. Choice C, 'Experimental drug therapy,' is incorrect as it involves the administration of new drugs for research purposes, not isolation. Choice D, 'Imprisonment in a rehabilitation unit,' is incorrect as it implies being detained in a rehabilitation facility, not isolation for health reasons.

3. Which sentence uses 'etc.' grammatically correct?

• A. The list included diseases such as flu, measles, etc.
• B. The list included flu, measles, etc., and other items.
• C. The list included flu, measles, etc., diseases, and other items.
• D. The list included, flu, etc., measles, diseases, and other items.

Correct answer: A

Rationale: The correct usage of 'etc.' should follow a comma when concluding a list. Option A correctly places 'etc.' at the end of a logical list with a comma before it, following grammatical rules. In option B, a comma should be placed after 'etc.' before introducing 'and other items.' Options C and D either misplace commas or incorrectly use 'etc.' within the list.

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. Select the correct definition of the word 'prognosis' in the sentence: 'The doctor’s prognosis gave the patient reason to feel optimistic.'

• A. Instructions
• B. Estimate
• C. Behavior
• D. Outcome statement

Correct answer: D

Rationale: In the context provided, 'prognosis' refers to a doctor's prediction or statement about the likely outcome of a disease or condition. This makes 'Outcome statement' the correct choice. 'Instructions' (A) are not related to prognosis. 'Estimate' (B) is a rough calculation or approximation, not a prediction of an outcome. 'Behavior' (C) refers to actions, conduct, or manner of an individual, which is not the meaning of 'prognosis' in this sentence.

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