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. If a patient’s condition is deteriorating, he is ___________.

• A. getting worse
• B. improving gradually
• C. resisting medication
• D. failing to eat or drink

Correct answer: A

Rationale: When a patient's condition is deteriorating, it means that their health is declining or worsening. This can involve a range of factors such as worsening symptoms, declining vital signs, or an overall decline in health status. In this context, the phrase 'getting worse' best describes the situation of a patient whose condition is deteriorating. Choices B, C, and D are incorrect because they do not reflect the concept of deterioration in a patient's health. Improving gradually (choice B) indicates a positive trend, resisting medication (choice C) suggests a behavioral response, and failing to eat or drink (choice D) points to a specific issue rather than a general decline in health.

3. The healthcare provider asked about the patient's CONDITION.

• A. A place in society
• B. Ability to pay
• C. Whereabouts
• D. Physical state

Correct answer: D

Rationale: In a medical setting, when a healthcare provider asks about a patient's 'condition,' they are typically inquiring about the patient's physical state or health status. This encompasses aspects such as vital signs, symptoms, diagnosis, treatment progress, and overall well-being. 'A place in society,' 'Ability to pay,' and 'Whereabouts' are unrelated to the patient's health status and are not typically what a healthcare provider would ask about in this context. Therefore, the correct answer is 'Physical state,' as it aligns best with the context of healthcare and patient care.

4. If tubes distend, they ___________.

• A. flex
• B. stretch
• C. solidify
• D. collapse

Correct answer: B

Rationale: When tubes distend, they expand or become enlarged, which typically results in stretching rather than flexing, solidifying, or collapsing. Distending tubes imply an increase in size or volume, indicating a stretching or expansion effect. Therefore, the correct answer is 'stretch.' Choice A, 'flex,' is incorrect as flexing refers to bending or curling, not expanding. Choice C, 'solidify,' is incorrect as solidifying refers to becoming solid, which is not related to the expansion of tubes. Choice D, 'collapse,' is incorrect as collapsing refers to falling in or giving way, which is the opposite effect of distending.

5. Which word is used incorrectly? 'Which procedure for giving injections was explained thoroughly to the student nurses.'

• A. procedure
• B. was
• C. explained
• D. thoroughly

Correct answer: B

Rationale: The correct answer is 'B - was.' In the original question, 'were' is incorrectly used as the verb, which should be singular to match the singular subject 'procedure.' The subject 'procedure' requires the singular form 'was' instead of the plural form 'were.' Choices A, C, and D are all used correctly in the sentence.

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