Nursing Elites

1. A paroxysm is a sudden spasm. Another word for this might be

• A. Symptom
• B. Convulsion
• C. Efficacy
• D. Embolism

Correct answer: B

Rationale: The correct answer is B, 'Convulsion.' A paroxysm and a convulsion both refer to sudden, involuntary spasms. This makes 'Convulsion' the most suitable synonym. 'Symptom' (Choice A) refers to an indication of a condition but not a spasm. 'Efficacy' (Choice C) refers to the ability to produce a desired or intended result, unrelated to spasms. 'Embolism' (Choice D) refers to an obstruction in a blood vessel, not a sudden spasm.

2. If a patient is especially obdurate, she is ___________.

• A. very large
• B. quite stubborn
• C. easily upset
• D. ready to go home

Correct answer: B

Rationale: The correct answer is B: 'quite stubborn.' The word 'obdurate' means stubbornly refusing to change one's opinion or course of action. Therefore, if a patient is especially obdurate, it indicates that she is likely very stubborn in her behavior or beliefs. Choices A, C, and D are incorrect because they do not reflect the meaning of 'obdurate.' Being 'very large' (Choice A), 'easily upset' (Choice C), or 'ready to go home' (Choice D) does not directly relate to being stubborn and unwilling to change.

3. In which sentence is the form 'fast' used as an adverb?

• A. The fast car drove over the bridge
• B. The car drove fast over the bridge
• C. The runner was fast
• D. He runs fast

Correct answer: D

Rationale: The sentence 'He runs fast' uses 'fast' correctly as an adverb. An adverb is used to describe a verb and in this case, 'fast' is describing how 'he runs.' Choices A, B, and C use 'fast' as an adjective, not an adverb. In choice A, 'fast' is describing the car, in choice B it is describing how the car drove, and in choice C it is describing the runner.

4. The mail carrier's job is to put the _____ in every mailbox on the block.

• A. letter
• B. envelope
• C. package
• D. documents

Correct answer: B

Rationale: The correct answer is B: 'envelope.' The mail carrier typically delivers envelopes containing mail to every mailbox on the block. Envelopes are commonly used to protect and contain letters, making them the most suitable choice in this context. Choices A, C, and D are incorrect because while the mail carrier may deliver letters, packages, or documents, the most common item placed in mailboxes is an envelope containing mail.

5. What does 'Impaired' mean?

• A. Increased capability
• B. Diminished or lacking usual quality
• C. Hyperactive
• D. Stronger than usual

Correct answer: B

Rationale: The term 'Impaired' means diminished or lacking usual quality. This choice is correct as it accurately reflects the meaning of the word. Choices A, C, and D are incorrect. Choice A, 'Increased capability,' is the opposite of impaired. Choice C, 'Hyperactive,' refers to excessive activity rather than a lack of usual quality. Choice D, 'Stronger than usual,' does not capture the meaning of impaired.

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