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. What are the soft spots on the head of a newborn called?

• A. Fistula
• B. Fontanel
• C. Follicle
• D. Fissure

Correct answer: B

Rationale: The correct answer is B: Fontanel. Fontanels are spaces between the bones of a newborn's skull that allow for brain growth and development. The term 'fistula' (choice A) refers to an abnormal passageway between two organs or between an organ and the body surface, not related to newborn soft spots. 'Follicle' (choice C) is a structure in the skin that contains the hair root, not related to the skull. 'Fissure' (choice D) refers to a narrow opening or crack, which is not the term used for the soft spots on a newborn's head.

3. 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.

4. What does Elevate mean?

• A. To lower
• B. To lift up or place in a higher position
• C. To flatten
• D. To remove

Correct answer: B

Rationale: The correct answer is B: 'To lift up or place in a higher position.' Elevate means to raise something to a higher level or position. Choice A, 'To lower,' is incorrect as it is the opposite of elevate. Choice C, 'To flatten,' is incorrect as it means to make something level or smooth, not to raise it. Choice D, 'To remove,' is also incorrect as it means to take something away, not to lift or raise it.

5. Which phrase correctly completes the sentence? She went to the party ___ her dislike for the host.

• A. Despite of
• B. Even though
• C. Although
• D. In spite of

Correct answer: D

Rationale: The correct phrase to complete the sentence is 'In spite of.' This phrase is used to indicate that an action is taken despite a particular circumstance or feeling. In this case, she went to the party in spite of her dislike for the host, meaning she attended the party regardless of her negative feelings towards the host. Choice A, 'Despite of,' is incorrect as the correct phrase is 'Despite,' without the preposition 'of.' Choice B, 'Even though,' is not the best fit in this context as it does not express the contrast between attending the party and disliking the host as effectively as 'In spite of.' Choice C, 'Although,' is also not the most suitable choice as it is used to introduce a contrast, but 'In spite of' provides a stronger emphasis on the contradiction between attending the party and disliking the host.

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