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. Choose the meaning of the word 'adverse' in the following sentence: 'Occasionally, this medicine causes an adverse reaction.'

• A. Unfavorable
• B. Contrary
• C. Noticeable
• D. Startling

Correct answer: A

Rationale: The word 'adverse' in the sentence is most closely aligned with the meaning of 'unfavorable.' An adverse reaction to a medicine signifies a negative or harmful response, which supports the definition of unfavorable. Choice B, 'Contrary,' does not accurately capture the negative connotation associated with 'adverse.' Choice C, 'Noticeable,' does not reflect the meaning in the context provided. Choice D, 'Startling,' suggests a more sudden or surprising nature, which is not the primary meaning of 'adverse' in this context.

3. The abbreviation PDR refers to a ___________.

• A. drug
• B. procedure
• C. book
• D. muscle group

Correct answer: A

Rationale: The abbreviation PDR stands for Physician's Desk Reference, which is a widely used book containing information about prescription drugs, including their uses, side effects, and dosages. Therefore, the abbreviation PDR is associated with drugs. Choices B, C, and D are incorrect because PDR specifically relates to drugs and not procedures, books, or muscle groups.

4. Select the meaning of the word 'exogenous' in the sentence: 'Exogenous factors will affect the patient’s well-being.'

• A. Produced outside the body
• B. Produced within the body
• C. Produced by the kidneys
• D. Hereditary

Correct answer: A

Rationale: The correct answer is A: 'Produced outside the body.' In the given sentence, 'exogenous' is used to refer to factors that originate externally, such as environmental influences. Choice B, 'Produced within the body,' is incorrect as it describes endogenous factors. Choice C, 'Produced by the kidneys,' is incorrect as it specifies a specific organ rather than the general concept of external origin. Choice D, 'Hereditary,' is incorrect as it relates to genetic inheritance, which is not the meaning of 'exogenous.'

5. Which word in the sentence needs to be corrected for proper grammar?

• A. About it
• B. A
• C. With
• D. Made

Correct answer: B

Rationale: The word 'A' should be corrected to 'an' in the sentence. The sentence should read, 'The nurse made an error with the medication, so the doctor made notes about it in the patient's file.' The article 'an' is used before a noun beginning with a vowel sound, like 'error' in this case. Choices A, C, and D are grammatically correct in the sentence and do not need to be altered.

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