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. Select the meaning of the word 'reflex' in the sentence: 'The typical patellar reflex takes only 50 milliseconds between the initial tap and the leg extension.'

• A. Replication
• B. Convulsion
• C. Reaction
• D. Stretching

Correct answer: C

Rationale: In the context of the sentence, the word 'reflex' indicates a quick, automatic response by the body to a stimulus. The patellar reflex, also known as the knee-jerk reflex, involves the leg extending in response to a tap on the patellar tendon. Therefore, the word 'reaction' aligns closely with the nature of the patellar reflex in terms of a rapid and involuntary response. Choices A, B, and D are incorrect: 'Replication' does not capture the concept of a bodily response, 'convulsion' implies a sudden and uncontrollable movement which is not specific to the nature of the patellar reflex, and 'stretching' does not encompass the automatic and rapid nature of a reflex action.

3. What is the best meaning of Pernicious?

• A. Harmless
• B. Destructive
• C. Helpful
• D. Harmful

Correct answer: B

Rationale: The correct answer is B, 'Destructive.' Pernicious is an adjective that describes something that is extremely harmful or destructive. Choice A, 'Harmless,' is the opposite of pernicious. Choice C, 'Helpful,' is a positive term and does not align with the meaning of pernicious. Choice D, 'Harmful,' is a similar term to pernicious but lacks the emphasis on the severe and damaging nature of the word.

4. What does the quoted word 'adverse' mean in the following sentence? He complained of the 'adverse' side effects of his new medication.

• A. Undesirable
• B. Frequent
• C. Noticeable
• D. Constant

Correct answer: A

Rationale: The correct answer is A: 'Undesirable.' In this context, 'adverse' means harmful or undesirable, specifically referring to the negative side effects experienced from the medication. Choice B, 'Frequent,' is incorrect as 'adverse' does not imply how often the side effects occur but rather their nature. Choice C, 'Noticeable,' is incorrect as 'adverse' does not necessarily mean that the side effects are easily noticeable, but rather that they are harmful. Choice D, 'Constant,' is incorrect as 'adverse' does not indicate that the side effects are continuous but rather that they are negative.

5. What word meaning 'once a year' fits best in the sentence: 'The _____ family reunion picnic was held at the Jones farm instead of the county park.'

• A. regular
• B. annual
• C. biennial
• D. holiday

Correct answer: B

Rationale: The word 'annual' refers to something that happens once every year. 'Regular' could mean frequent but doesn't specify a yearly event. 'Biennial' refers to something occurring every two years, while 'holiday' relates to a special day of celebration, not necessarily an annual event.

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