Nursing Elites

1. Select the meaning of the word 'tenuous' in the sentence: 'Patients in this wing often have a tenuous hold on reality.'

• A. Judicious
• B. Deleted
• C. Frantic
• D. Fragile

Correct answer: D

Rationale: In this context, the word 'tenuous' is used to describe a weak or delicate hold on reality. 'Fragile' is the correct choice as it conveys the idea of something being easily broken or damaged, which aligns with the meaning of 'tenuous' in the sentence. Choice A, 'Judicious,' means having good judgment, which is unrelated to the context. Choice B, 'Deleted,' means removed or erased, which is not synonymous with 'tenuous.' Choice C, 'Frantic,' means panicked or desperate, which does not capture the delicate or weak nature implied by 'tenuous.'

2. An alarm that is strident is ___________.

• A. shrill
• B. muted
• C. constant
• D. resonant

Correct answer: A

Rationale: A strident alarm is loud, harsh, and piercing. The word 'shrill' specifically denotes a high-pitched and piercing sound, which aligns well with the characteristics of a strident alarm. Therefore, 'shrill' is the most suitable answer in this context. Choices B, C, and D are incorrect because a strident alarm is not quiet (muted), unchanging (constant), or deep and full (resonant), but rather loud and harsh.

3. A patient who is heedless is ___________.

• A. unlucky
• B. careless
• C. no longer in care
• D. hard of hearing

Correct answer: B

Rationale: Someone who is heedless is not paying attention or being cautious. Therefore, a patient who is heedless can be described as careless, as they may not be taking proper care or paying attention to important things that affect their well-being. Choice A, 'unlucky,' is incorrect as being heedless is not related to luck. Choice C, 'no longer in care,' is incorrect as it does not accurately reflect the meaning of heedless. Choice D, 'hard of hearing,' is unrelated to the concept of being heedless.

4. What is the meaning of impugn?

• A. To instill with
• B. To instruct about
• C. To dispute the truth of
• D. To lament or complain about

Correct answer: C

Rationale: The word 'impugn' means to challenge or attack the truth, integrity, validity, or honesty of something. It is not related to instilling (A), instructing (B), lamenting, or complaining (D). Impugn specifically involves questioning the accuracy or validity of a statement or argument, making choice C the correct answer.

5. Select the meaning of the underlined word in the following sentence. In children with high fevers, the use of aspirin is contraindicated.

• A. Banned
• B. Inadvisable
• C. Anticipated
• D. Expedient

Correct answer: B

Rationale: The word 'contraindicated' means not recommended or inadvisable in this context. It suggests that using aspirin for children with high fevers is not a good idea or is not suitable. The other options (A. Banned, C. Anticipated, D. Expedient) do not accurately convey the meaning of the word 'contraindicated' in this sentence. 'Banned' implies a prohibition, 'Anticipated' means expected, and 'Expedient' means convenient or practical, none of which capture the intended meaning of 'contraindicated.'

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