Nursing Elites

1. 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.

2. After robbing the bank, _____.

• A. the thief fled
• B. he escaped
• C. they hid
• D. they fled

Correct answer: A

Rationale: After robbing the bank, 'the thief fled' is the correct choice as it logically follows the action of robbing a bank. The singular pronoun 'he' in choice B is not appropriate as 'the thief' is singular. Choices C and D use 'they,' which is a plural pronoun and does not agree with 'the thief,' making them grammatically incorrect.

3. Choose the meaning of the word 'sanguinary' in the following sentence: 'Surgery is often a sanguinary procedure.'

• A. Hopeful or cheerful
• B. Involving bloodshed
• C. Difficult and protracted
• D. Tricky and sensitive

Correct answer: B

Rationale: The word 'sanguinary' is derived from the Latin word 'sanguinarius,' meaning bloodthirsty or bloodshed. In the context of the sentence, 'sanguinary' is used to indicate that surgery is a procedure that involves bloodshed. Therefore, the correct answer is B. Choice A ('Hopeful or cheerful') is incorrect because 'sanguinary' does not convey a positive or cheerful meaning. Choice C ('Difficult and protracted') is incorrect as 'sanguinary' specifically relates to blood or bloodshed, not difficulty or prolongation. Choice D ('Tricky and sensitive') is incorrect as 'sanguinary' does not imply trickiness or sensitivity but rather the presence of blood or bloodshed.

4. Select the meaning of the word 'undulate' in the sentence: 'Each shiver made his muscles undulate beneath his skin.'

• A. Ripple
• B. Shake
• C. Flatten
• D. Unknot

Correct answer: A

Rationale: In this context, 'undulate' means to move in a smooth, wave-like motion. An undulation of muscles is a subtle, continuous rippling or rolling movement, making 'ripple' the most appropriate synonym in this sentence. 'Shake' (Choice B) is incorrect as it implies a more abrupt and irregular movement. 'Flatten' (Choice C) and 'Unknot' (Choice D) are unrelated to the smooth, wave-like motion described in the sentence.

5. As the leader of a group, the charge nurse is open to new ideas and thoughts of the group. The charge nurse encourages the group to participate in making decisions. This type of leadership is called:

• A. Laissez-faire
• B. Autocratic
• C. Democratic
• D. Direct

Correct answer: C

Rationale: The correct answer is 'Democratic.' A 'Democratic' leadership style involves the leader being open to new ideas and thoughts from the group and encourages group participation in decision-making. This style promotes collaboration, communication, and inclusivity in decision-making processes. 'Laissez-faire' leadership is characterized by a hands-off approach with minimal guidance or direction. 'Autocratic' leadership is where the leader makes decisions without much input from the group. 'Direct' leadership is not a widely recognized leadership style in this context.

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