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. A symptom that is exacerbated is ____?

• A. Improving
• B. Made worse
• C. Stayed the same
• D. Ameliorated

Correct answer: B

Rationale: The correct answer is 'B) Made worse.' Exacerbated means to make a condition more severe or intense. Therefore, if a symptom is exacerbated, it is getting worse, not improving (choice A), staying the same (choice C), or ameliorated (choice D), which means to improve or make better.

3. The most important things in my life are making money, traveling abroad, and _____.

• A. living well
• B. to live well
• C. to be happy
• D. enjoying life

Correct answer: A

Rationale: The correct answer is 'living well.' The sentence lists actions using '-ing' forms (making, traveling, and living), so 'living well' maintains parallel structure. Choice B ('to live well') breaks this structure by introducing an infinitive form. Choice C ('to be happy') introduces a new action not in parallel with the others. Choice D ('enjoying life') changes the structure and focuses on a different action not consistent with the previous activities listed.

4. The accident _____ if the motorist had obeyed the speed limit sign.

• A. could have happened
• B. never would have happened
• C. wouldn't have occurred
• D. could happen

Correct answer: B

Rationale: The correct answer is 'never would have happened.' This choice correctly expresses the hypothetical outcome that did not occur due to the motorist obeying the speed limit sign. The phrase 'never would have happened' is the most suitable option in this context as it indicates a past event that was prevented by following a certain condition. Choice A ('could have happened') is incorrect as it does not convey the same level of certainty and definiteness as 'never would have happened.' Choice C ('wouldn't have occurred') is close but lacks the emphasis on the event not taking place at all. Choice D ('could happen') is in the present tense and does not fit the context of a past hypothetical situation.

5. Which sentence uses 'etc.' grammatically correct?

• A. The list included diseases such as flu, measles, etc.
• B. The list included flu, measles, etc., and other items.
• C. The list included flu, measles, etc., diseases, and other items.
• D. The list included, flu, etc., measles, diseases, and other items.

Correct answer: A

Rationale: The correct usage of 'etc.' should follow a comma when concluding a list. Option A correctly places 'etc.' at the end of a logical list with a comma before it, following grammatical rules. In option B, a comma should be placed after 'etc.' before introducing 'and other items.' Options C and D either misplace commas or incorrectly use 'etc.' within the list.

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