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. What is another word for putrefy?

• A. Discharge
• B. Harden
• C. Panic
• D. Rot

Correct answer: D

Rationale: Another word for putrefy is 'rot.' Putrefy means to decay or decompose, especially through the action of bacteria. Similarly, rot refers to the process of decaying or decomposing, making it a synonymous term in this context. Choices A, B, and C are incorrect. 'Discharge' means to release or let out, 'harden' means to make or become hard, and 'panic' refers to sudden uncontrollable fear or anxiety, none of which are synonymous with putrefy.

3. What is the meaning of qualms?

• A. Misgivings
• B. Habits
• C. Serenity
• D. Dispatches

Correct answer: A

Rationale: Qualms refer to feelings of doubt, hesitation, or uneasiness about something. They are typically used to describe a person's reservations or concerns about a decision or action. This aligns with the meaning of 'misgivings,' making it the correct choice in this context. Choices B, C, and D are incorrect. 'Habits' refer to regular tendencies or practices, 'Serenity' refers to a state of calm or peace, and 'Dispatches' refer to sending off to a destination or taking care of a task promptly, none of which capture the meaning of 'qualms.'

4. Which verb correctly completes the sentence? After throwing their sleeping bags into the backseat of their car, they ___ more than 400 miles to reach their destination.

• A. Driving
• B. Having driven
• C. Drove
• D. Had drove

Correct answer: C

Rationale: In this sentence, the action of driving more than 400 miles is a past action that already took place after they threw their sleeping bags into the backseat. 'Drove' is the correct past tense form of the verb to match this past action. Choice A, 'Driving,' is in the present participle form and does not correctly indicate the completion of the action in the past. Choice B, 'Having driven,' is in the present perfect form and does not fit the sequence of events in the sentence. Choice D, 'Had drove,' is incorrect due to the incorrect use of 'had' with the past form of 'drive.' Therefore, the most appropriate choice is 'Drove.'

5. A paroxysm is a sudden spasm. Another word for this might be ___________.

• A. convulsion
• B. symptom
• C. efficacy
• D. embolism

Correct answer: A

Rationale: The correct answer is A: "convulsion." A paroxysm is defined as a sudden spasm or convulsion. The word "convulsion" specifically refers to a violent and involuntary contraction or spasm of muscles, which aligns perfectly with the description of a paroxysm. On the other hand, choices B, C, and D are incorrect. "Symptom" (B) refers to a manifestation of a condition rather than a physical spasm. "Efficacy" (C) relates to effectiveness or success, not a sudden spasm. "Embolism" (D) refers to the obstruction of a blood vessel, which is unrelated to the concept of a sudden spasm. Therefore, convulsion is the most suitable synonym for a paroxysm in this context.

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