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. Her mother asked her what she would do after she _____.

• A. graduated
• B. completes
• C. finishes
• D. finished

Correct answer: A

Rationale: The correct answer is 'graduated.' In reported speech, the verb tense often shifts back, so 'graduated' (past tense) is the appropriate choice here. 'Completes' (present tense), 'finishes' (present tense), and 'finished' (past tense) are incorrect as they do not match the reported speech context where the verb tense typically shifts back. Therefore, 'graduated' is the most suitable choice to complete the sentence.

3. If a nurse is CIRCUMSPECT with patient records, what is she doing?

• A. Acting carelessly
• B. Guarded
• C. Reckless
• D. Neglecting

Correct answer: B

Rationale: The correct answer is B: 'Guarded.' Circumspect means to be cautious or guarded. In this context, being circumspect with patient records implies being careful and cautious in handling them, maintaining confidentiality and privacy. Choices A, C, and D are incorrect because circumspect does not mean acting carelessly, reckless, or neglecting; instead, it suggests being watchful and discreet.

4. A symptom that is transitory is ___________.

• A. short-lived
• B. damaging
• C. fluctuating
• D. degenerating

Correct answer: A

Rationale: A symptom that is transitory is short-lived. It appears temporarily and does not persist for an extended period of time. This term indicates that the symptom is not permanent or continuous but rather temporary or fleeting.\nChoice B, damaging, is incorrect as transitory refers to the duration of the symptom, not its impact. Choice C, fluctuating, is incorrect as it implies the symptom varies in intensity, not necessarily in duration. Choice D, degenerating, is incorrect as it suggests a worsening or deteriorating condition, which is not implied by transitory.

5. The abbreviation DTs on a patient’s chart stands for ___________.

• A. deep tendon reflex
• B. descending thorax
• C. delirium tremens
• D. dextrose in water

Correct answer: C

Rationale: The abbreviation DTs on a patient's chart stands for delirium tremens, which is a severe form of alcohol withdrawal. Symptoms of delirium tremens include confusion, hallucinations, severe agitation, seizures, and autonomic instability. This condition requires prompt medical treatment to prevent serious complications. Choices A, B, and D are incorrect. Deep tendon reflex (A) refers to the reflex response elicited by tapping a tendon with a reflex hammer, descending thorax (B) is not a recognized medical term, and dextrose in water (D) is a solution used for various medical purposes but is not represented by the abbreviation DTs.

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