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 'parameters' in the sentence: 'The parameters of medical ethics require the nurse to report suspected child abuse.'

• A. Laws
• B. Limits
• C. Common sense
• D. Structure

Correct answer: B

Rationale: In the context of the sentence provided, 'parameters' refer to the limits or boundaries set by medical ethics that dictate the nurse's actions. This term does not directly relate to laws (choice A), common sense (choice C), or structure (choice D) in this context. The correct answer is 'B - Limits,' as it aligns with the idea of boundaries or restrictions within which the nurse must operate according to medical ethics.

3. Select the meaning of the word 'precipitous' in the sentence: 'The precipitous change was considered a good thing.'

• A. Difficult
• B. Abrupt
• C. Gentle
• D. Unanticipated

Correct answer: B

Rationale: The correct answer is 'B: Abrupt.' In this context, 'precipitous' is used to describe a change that occurs suddenly or abruptly. Choice A ('Difficult') is incorrect as it does not capture the sudden nature of the change. Choice C ('Gentle') is incorrect as it conveys the opposite meaning of 'precipitous.' Choice D ('Unanticipated') is incorrect as it focuses on the element of surprise rather than the suddenness of the change.

4. What does 'Impaired' mean?

• A. Increased capability
• B. Diminished or lacking usual quality
• C. Hyperactive
• D. Stronger than usual

Correct answer: B

Rationale: The term 'Impaired' means diminished or lacking usual quality. This choice is correct as it accurately reflects the meaning of the word. Choices A, C, and D are incorrect. Choice A, 'Increased capability,' is the opposite of impaired. Choice C, 'Hyperactive,' refers to excessive activity rather than a lack of usual quality. Choice D, 'Stronger than usual,' does not capture the meaning of impaired.

5. What does 'deteriorating' mean?

• A. Improving
• B. Worsening
• C. Staying the same
• D. Fluctuating

Correct answer: B

Rationale: The correct answer is B, 'Worsening.' Deteriorating refers to something getting worse over time, not improving (choice A), staying the same (choice C), or fluctuating (choice D).

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