Nursing Elites

1. Choose the meaning of the word 'winnowed' in the following sentence: 'One by one, the applicants were winnowed out of the group.'

• A. Escorted
• B. Separated
• C. Elevated
• D. Summoned

Correct answer: B

Rationale: In this context, the word 'winnowed' means to separate or eliminate less desirable individuals from a larger group, indicating that the applicants were being sifted out or singled out in this process. Therefore, the most appropriate meaning among the choices provided is 'separated.' 'Escorted' (Choice A) implies being accompanied or guided, which is not the intended meaning. 'Elevated' (Choice C) means raised or lifted, which does not fit the context. 'Summoned' (Choice D) suggests being called or requested to attend, which is also not the correct meaning in this context.

2. When patients are being counseled, what is happening?

• A. They are being discharged
• B. They are being advised
• C. They are being neglected
• D. They are being comforted

Correct answer: B

Rationale: When patients are being counseled, they are being advised or guided. Counseling involves providing support, guidance, and advice to help patients cope with their challenges. Choice A is incorrect because counseling is not about discharging patients. Choice C is incorrect because counseling is the opposite of neglect; it is actively providing support. Choice D is incorrect because while comfort may be a part of counseling, the primary focus is on providing guidance and advice to address issues, not just comfort.

3. _______ having trouble with _______ new dog.

• A. There, their
• B. Their, there
• C. They’re, their
• D. Their, they’re

Correct answer: C

Rationale: In this sentence, the correct choices are 'They’re' and 'their.' 'They’re' is a contraction of 'they are,' which fits the context of the sentence as it suggests ownership of the dog. 'Their' is a possessive pronoun showing ownership. Choice A is incorrect as 'there' refers to a place and doesn't make sense in this context. Choice B is incorrect as the possessive pronoun 'their' should come before the noun 'dog'. Choice D is incorrect as 'they’re' should be used before the verb 'having trouble' to form a contraction for 'they are'.

4. The interns observed the CONTOURS of the patients' rash. What does Contours mean?

• A. Color
• B. Shape
• C. Size
• D. Texture

Correct answer: B

Rationale: The correct answer is B: 'Shape.' Contours refer to the outline or shape of something. In this context, the interns were observing the shape or outline of the patients' rash, not the color, size, or texture. Colors, sizes, and textures are not typically described as contours, making choices A, C, and D incorrect.

5. The abbreviation DTs on a patient’s chart stands for ___________.

• A. deep tendon reflex
• B. descending thorax
• C. delirium tremens
• D. dextrose in water

Correct answer: C

Rationale: The abbreviation DTs on a patient's chart stands for delirium tremens, which is a severe form of alcohol withdrawal. Symptoms of delirium tremens include confusion, hallucinations, severe agitation, seizures, and autonomic instability. This condition requires prompt medical treatment to prevent serious complications. Choices A, B, and D are incorrect. Deep tendon reflex (A) refers to the reflex response elicited by tapping a tendon with a reflex hammer, descending thorax (B) is not a recognized medical term, and dextrose in water (D) is a solution used for various medical purposes but is not represented by the abbreviation DTs.

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