Nursing Elites

1. Choose the meaning of the word 'winnowed' in the following sentence: 'One by one, the applicants were winnowed out of the group.'

• A. Escorted
• B. Separated
• C. Elevated
• D. Summoned

Correct answer: B

Rationale: In this context, the word 'winnowed' means to separate or eliminate less desirable individuals from a larger group, indicating that the applicants were being sifted out or singled out in this process. Therefore, the most appropriate meaning among the choices provided is 'separated.' 'Escorted' (Choice A) implies being accompanied or guided, which is not the intended meaning. 'Elevated' (Choice C) means raised or lifted, which does not fit the context. 'Summoned' (Choice D) suggests being called or requested to attend, which is also not the correct meaning in this context.

2. Did the interns contravene the doctor's orders?

• A. Follow
• B. Disregard
• C. Exceed
• D. Respect

Correct answer: B

Rationale: The correct answer is 'B: Disregard.' Contravene means to violate or disregard rules or orders. In this context, the question is asking whether the interns went against or disobeyed the doctor's orders. Choices 'A: Follow,' 'C: Exceed,' and 'D: Respect' do not align with the meaning of contravene in this context. Following, exceeding, or respecting the doctor's orders would mean the interns did not contravene them.

3. Choose the meaning of the word 'puerilism' in the following sentence: 'Older patients with dementia may show signs of puerilism.'

• A. Congeniality
• B. Depression
• C. Irritability
• D. Childishness

Correct answer: D

Rationale: Correct! Puerilism refers to behaving in a childish or immature manner. In the context of older patients with dementia showing signs of puerilism, it suggests they may exhibit behaviors associated with acting like a child. Choice A, 'Congeniality,' is incorrect as it means friendliness or pleasantness. Choice B, 'Depression,' is incorrect as it refers to a state of low mood. Choice C, 'Irritability,' is incorrect as it means easily annoyed or provoked, which is different from behaving childishly.

4. If a patient’s condition is deteriorating, he is ___________.

• A. getting worse
• B. improving gradually
• C. resisting medication
• D. failing to eat or drink

Correct answer: A

Rationale: When a patient's condition is deteriorating, it means that their health is declining or worsening. This can involve a range of factors such as worsening symptoms, declining vital signs, or an overall decline in health status. In this context, the phrase 'getting worse' best describes the situation of a patient whose condition is deteriorating. Choices B, C, and D are incorrect because they do not reflect the concept of deterioration in a patient's health. Improving gradually (choice B) indicates a positive trend, resisting medication (choice C) suggests a behavioral response, and failing to eat or drink (choice D) points to a specific issue rather than a general decline in health.

5. What does Cast mean?

• A. A tool used for breaking bones
• B. Hard protective device applied to protect a broken bone
• C. A soft bandage
• D. An instrument used in surgery

Correct answer: B

Rationale: The correct answer is B. A cast is a hard protective device applied to protect a broken bone. Choice A is incorrect as a cast is not a tool used for breaking bones, but rather for supporting and protecting them. Choice C is incorrect as a cast is not a soft bandage but a rigid structure. Choice D is incorrect as a cast is not an instrument used in surgery, but a medical device used for bone support.

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