Nursing Elites

1. 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.

2. The _____ student was not well liked by his peers.

• A. Geniality
• B. Affably
• C. Gregarious
• D. Detestable

Correct answer: D

Rationale: The correct answer is 'Detestable.' In this context, 'detestable' means deserving intense dislike, which fits the sentence describing a student who is not well-liked. 'Geniality' (choice A) means warmth and friendliness, which is the opposite of what is described in the sentence. 'Affably' (choice B) means in a friendly and pleasant manner, which doesn't convey the idea of being disliked. 'Gregarious' (choice C) means sociable and outgoing, which is also not suitable for describing someone who is not well-liked.

3. Select the meaning of the word 'occluded' in the sentence: 'The patient had an occluded artery.'

• A. Obstructed
• B. Open
• C. Broken
• D. Cloudy

Correct answer: A

Rationale: 'Occluded' means blocked or obstructed, making 'Obstructed' the correct answer. In the context of a patient having an occluded artery, it implies that the artery is blocked. The other options, 'Open,' 'Broken,' and 'Cloudy,' do not accurately describe a blocked artery.

4. A sore with disintegration of tissue might be called an ___________.

• A. allergy
• B. erythema
• C. alopecia
• D. ulcer

Correct answer: D

Rationale: A sore with disintegration of tissue is typically referred to as an ulcer. Ulcers are open sores or wounds that can develop on the skin's surface or within the body. They can vary in size and depth and are commonly associated with conditions such as pressure ulcers, peptic ulcers, and venous ulcers. Ulcers result from the breakdown of tissue, leading to a loss of the skin or mucous membrane in that area. Choices A, B, and C are incorrect. Allergy refers to a hypersensitivity reaction, erythema is redness of the skin, and alopecia is hair loss. These conditions do not specifically involve the disintegration of tissue as seen in an ulcer.

5. What is the crystalline compound that is a product of protein metabolism known as?

• A. uracil
• B. urine
• C. ureter
• D. urea

Correct answer: D

Rationale: Urea is the correct answer. It is the crystalline compound formed in the liver from the breakdown of proteins, a byproduct of protein metabolism. Urea is excreted by the kidneys in the form of urine, aiding in the elimination of nitrogenous waste from the body. Uracil (Choice A) is a nitrogenous base found in RNA, not a product of protein metabolism. Urine (Choice B) is the liquid waste excreted by the kidneys but not the crystalline compound resulting from protein metabolism. Ureter (Choice C) is a duct that carries urine from the kidneys to the bladder, not the compound produced from protein metabolism.

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