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. The quality, safety, and efficacy of the new medicines are not known. What does efficacy mean?

• A. Cost
• B. Effectiveness
• C. Quality
• D. Usage

Correct answer: B

Rationale: Efficacy refers to how effective something is. In this context, it refers to the effectiveness of the new medicines. 'Cost' (Choice A) is incorrect as it relates to the price of something, not its effectiveness. 'Quality' (Choice C) is incorrect as it refers to the standard or degree of excellence. 'Usage' (Choice D) is incorrect as it refers to how something is used, not its effectiveness.

3. What is the correct pronoun to complete the sentence?

• A. Her
• B. Hers
• C. Best
• D. More greatest

Correct answer: A

Rationale: The word 'her' is the correct choice because it serves as the object of the preposition 'at.' In this sentence, 'looked at' requires an object pronoun, making 'her' the appropriate choice. Option B, 'Hers,' indicates possession, which is not needed in this context. Options C and D are not pronouns and do not fit grammatically in the sentence.

4. Select the meaning of the word 'corpulence' in the sentence: 'The patient’s corpulence made him difficult to handle.'

• A. Belligerence
• B. Gassiness
• C. Wariness
• D. Stoutness

Correct answer: D

Rationale: The correct answer is D: 'Stoutness.' The word 'corpulence' refers to the state of being excessively fat or overweight, indicating the patient's stoutness or large size due to excess body weight. Choice A, 'Belligerence,' is incorrect as it means aggressive or hostile behavior, which does not fit the context of the sentence. Choice B, 'Gassiness,' is incorrect as it refers to the state of having excessive gas in the digestive system, which is unrelated to the patient's physical size. Choice C, 'Wariness,' is incorrect as it means cautiousness or being alert, which is not relevant to the patient's physical appearance described in the sentence.

5. What does the term 'residual' refer to in the following sentence? The nurse was asked to record the residual urine in the patient's bladder.

• A. Measurement
• B. What is left
• C. Total volume
• D. Color and clarity

Correct answer: B

Rationale: The term 'residual' refers to what is left after the main part has been taken or used. In this context, 'residual urine' specifically means the urine that remains in the bladder after urination. Choices A, C, and D do not accurately capture the meaning of 'residual' in this sentence. 'Measurement' (A) is too general, 'Total volume' (C) does not specifically pertain to what remains, and 'Color and clarity' (D) is unrelated to the concept of what is left.

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