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 the best description for the word operated in this sentence? Rural communities are increasingly taking ownership of their hospitals, which may be operated by administrative medical groups.

• A. Performing surgery
• B. In effect
• C. Managed and run
• D. Brought about

Correct answer: C

Rationale: In the context of the sentence provided, the word 'operated' is best described as 'managed and run.' This choice accurately reflects the idea that rural communities are taking ownership and control of their hospitals, which may be overseen and operated by administrative medical groups. The word 'operated' here implies the day-to-day management and functioning of the hospitals, making option C the most suitable description in this context. Choices A, B, and D are incorrect as they do not capture the essence of 'operated' in the context of managing and running the hospitals.

3. What is the meaning of pernicious?

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

Correct answer: B

Rationale: The correct answer is B, 'Destructive.' Pernicious means causing great harm or damage. Choice A, 'Harmless,' is the opposite of pernicious. Choice C, 'Infectious,' refers to the ability of a disease to spread. Choice D, 'Helpful,' is also the opposite of pernicious and does not capture the negative connotation associated with the term.

4. What is the best description for the term cathartic?

• A. Infested
• B. Therapeutic
• C. Fatiguing
• D. Supplementing

Correct answer: B

Rationale: The term 'cathartic' is best described as therapeutic because it refers to something that provides emotional release or purification. It helps in relieving emotional tension, which is a therapeutic benefit. 'Infested' means being invaded by pests, 'Fatiguing' means causing tiredness or exhaustion, and 'Supplementing' means adding to or enhancing something, none of which accurately describe the term 'cathartic.'

5. The student observed the tricky procedure with a certain amount of trepidation. What does trepidation mean?

• A. Confidence
• B. Misgivings
• C. Fear
• D. Doubt

Correct answer: B

Rationale: The correct answer is B: Misgivings. Trepidation means a feeling of fear or apprehension. In this context, the student observed the procedure with a certain amount of trepidation, indicating that they were feeling uneasy or fearful. Choices A, C, and D are incorrect. Confidence (choice A) is the opposite of trepidation, as it denotes a feeling of self-assurance. Fear (choice C) is the closest synonym to trepidation, making it an attractive distractor, but it is not the correct answer. Doubt (choice D) is different from trepidation, as doubt refers to a feeling of uncertainty or lack of conviction, not necessarily fear or apprehension.

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