select the meaning of the underlined word in the sentence patients in this wing often have a tenuous hold on reality
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Nursing Elites

HESI A2

HESI A2 Vocabulary 2023

1. Select the meaning of the word 'tenuous' in the sentence: 'Patients in this wing often have a tenuous hold on reality.'

Correct answer: D

Rationale: In this context, the word 'tenuous' is used to describe a weak or delicate hold on reality. 'Fragile' is the correct choice as it conveys the idea of something being easily broken or damaged, which aligns with the meaning of 'tenuous' in the sentence. Choice A, 'Judicious,' means having good judgment, which is unrelated to the context. Choice B, 'Deleted,' means removed or erased, which is not synonymous with 'tenuous.' Choice C, 'Frantic,' means panicked or desperate, which does not capture the delicate or weak nature implied by 'tenuous.'

2. Choose the meaning of the word progeny in the following sentence: 'This is a disease that is likely to recur in a patient’s progeny.'

Correct answer: C

Rationale: In the given sentence, the word 'progeny' means descendants or offspring. It refers to the children or future generations of the patient. Choice A, 'Chest,' is incorrect as it does not relate to the context of the sentence. Choice B, 'Hormones,' is also incorrect as it is not synonymous with 'progeny.' Choice D, 'Lifetime,' is unrelated to the concept of offspring, making it an incorrect choice.

3. Select the meaning of the word 'exogenous' in the sentence: 'Exogenous factors will affect the patient’s well-being.'

Correct answer: A

Rationale: The correct answer is A: 'Produced outside the body.' In the given sentence, 'exogenous' is used to refer to factors that originate externally, such as environmental influences. Choice B, 'Produced within the body,' is incorrect as it describes endogenous factors. Choice C, 'Produced by the kidneys,' is incorrect as it specifies a specific organ rather than the general concept of external origin. Choice D, 'Hereditary,' is incorrect as it relates to genetic inheritance, which is not the meaning of 'exogenous.'

4. Another word for CONSISTENCY is?

Correct answer: C

Rationale: Consistency refers to the quality of staying the same in behavior or level. Thickness is a synonym for consistency as it implies a state of being dense, compact, or solid throughout, which aligns with the idea of staying the same. Conversely, appearance, volatility, and color do not directly relate to the concept of consistency. 'Appearance' refers to how something looks, 'volatility' refers to how easily something changes, and 'color' refers to the hue or shade of something, none of which capture the essence of consistency.

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

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.

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