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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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. The ETIOLOGY of the flu epidemic of 1918 remains unknown to this day.

Correct answer: C

Rationale: The term 'etiology' refers to the cause or origins of a disease. In this context, the question is asking for the underlying reason or cause of the flu epidemic of 1918. Therefore, the correct answer is C. 'Etiology.' Choice A, 'Pathology,' is incorrect as it refers to the study of diseases rather than the cause itself. Choice B, 'Transmission,' is incorrect as it relates to how a disease spreads rather than its cause. Choice D, 'Mortality rate,' is incorrect as it refers to the number of deaths caused by a disease rather than the cause of the disease itself.

3. An alarm that is strident is ___________.

Correct answer: A

Rationale: A strident alarm is loud, harsh, and piercing. The word 'shrill' specifically denotes a high-pitched and piercing sound, which aligns well with the characteristics of a strident alarm. Therefore, 'shrill' is the most suitable answer in this context. Choices B, C, and D are incorrect because a strident alarm is not quiet (muted), unchanging (constant), or deep and full (resonant), but rather loud and harsh.

4. What does 'Impending' mean?

Correct answer: B

Rationale: The correct answer is B: 'Likely to occur soon.' 'Impending' is used to describe something that is about to happen or is looming in the near future. Choices A, C, and D are incorrect because 'Impending' does not indicate that something is unlikely, certain to never occur, or likely to never occur.

5. What does Endogenous mean?

Correct answer: B

Rationale: The correct answer is B: 'Produced within the body.' Endogenous refers to substances or processes that originate or are produced within an organism or system. Choices A, C, and D are incorrect. Choice A, 'Produced outside the body,' is the opposite of endogenous. Choice C, 'Taken from an external source,' describes exogenous rather than endogenous. Choice D, 'Linked to environmental factors,' is not a direct definition of endogenous.

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