Nursing Elites

1. If a patient’s condition is deteriorating, he is ___________.

• A. getting worse
• B. improving gradually
• C. resisting medication
• D. failing to eat or drink

Correct answer: A

Rationale: When a patient's condition is deteriorating, it means that their health is declining or worsening. This can involve a range of factors such as worsening symptoms, declining vital signs, or an overall decline in health status. In this context, the phrase 'getting worse' best describes the situation of a patient whose condition is deteriorating. Choices B, C, and D are incorrect because they do not reflect the concept of deterioration in a patient's health. Improving gradually (choice B) indicates a positive trend, resisting medication (choice C) suggests a behavioral response, and failing to eat or drink (choice D) points to a specific issue rather than a general decline in health.

2. What is the best description for the word efficacy in the following sentence? The quality, safety, and efficacy of counterfeit medicines are not known.

• A. Effectiveness
• B. Significance
• C. Corollary
• D. Conclusion

Correct answer: A

Rationale: In the context of the sentence provided, efficacy refers to the ability of counterfeit medicines to produce the intended or desired effect. Efficacy is closely related to effectiveness, which is the correct description in this context. 'Significance' (Choice B), 'Corollary' (Choice C), and 'Conclusion' (Choice D) do not accurately capture the meaning of efficacy in this context.

3. If the sound of the bells could be heard in the entire community, then they could be heard __________.

• A. Thorough
• B. Thought
• C. Through
• D. Throughout

Correct answer: D

Rationale: The word 'throughout' means in every part of a place or thing. In this context, if the sound of the bells could be heard in the entire community, then it implies that the sound could be heard throughout the community, making 'Throughout' the most appropriate answer. Choice A 'Thorough' means complete or absolute, which does not fit the context of the sentence. Choice B 'Thought' is a past tense form of the verb 'think,' which is grammatically incorrect in this sentence. Choice C 'Through' is a preposition and does not convey the intended meaning of being heard in every part of the community.

4. Choose the meaning of the word 'tremulous' in the following sentence: 'The patient held out a tremulous hand and grasped the paperwork.'

• A. Wrinkled and wizened
• B. Pale and lifeless
• C. Clenched and arthritic
• D. Quivering and weak

Correct answer: D

Rationale: In this sentence, the word 'tremulous' is used to describe the patient's hand. When someone's hand is described as tremulous, it means it is quivering or shaking, indicating weakness or distress. Therefore, the correct meaning of 'tremulous' in this context is quivering and weak. Choices A, B, and C are incorrect because they do not capture the specific meaning of 'tremulous' in this context. 'Wrinkled and wizened' refers to being old and withered, 'pale and lifeless' describes a lack of color and vitality, and 'clenched and arthritic' implies a tight grip and joint inflammation, none of which accurately represent the trembling or shaking nature of a tremulous hand.

5. Choose the meaning of the word 'persistent' in the following sentence: 'The elderly patient has been fighting a persistent cold.'

• A. Typical
• B. Harmless
• C. Without cure
• D. Lasting a long time

Correct answer: D

Rationale: In the sentence provided, the word 'persistent' is used to describe the cold, indicating that it has been lasting for a long time without going away easily. This choice emphasizes the prolonged nature of the cold. Choices A, B, and C are incorrect because 'persistent' does not mean 'typical,' 'harmless,' or 'without cure' in this context. The key is to focus on the word's meaning in relation to the duration of the cold.

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