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. The accident _____ if the motorist had obeyed the speed limit sign.

Correct answer: B

Rationale: The correct answer is 'never would have happened.' This choice correctly expresses the hypothetical outcome that did not occur due to the motorist obeying the speed limit sign. The phrase 'never would have happened' is the most suitable option in this context as it indicates a past event that was prevented by following a certain condition. Choice A ('could have happened') is incorrect as it does not convey the same level of certainty and definiteness as 'never would have happened.' Choice C ('wouldn't have occurred') is close but lacks the emphasis on the event not taking place at all. Choice D ('could happen') is in the present tense and does not fit the context of a past hypothetical situation.

3. Select the meaning of the word 'untoward' in the sentence: 'His untoward actions during the admission process created a problem for the nurse.'

Correct answer: C

Rationale: The correct answer is C: 'Unseemly.' In this context, 'untoward' refers to actions that are improper or inappropriate. Choice A, 'Violent,' does not accurately reflect the meaning of 'untoward' in the context of the sentence. Choice B, 'Casual,' is unrelated to the negative connotation of 'untoward.' Choice D, 'Capricious,' suggests unpredictability rather than the negative behavior implied by 'untoward.' Therefore, 'Unseemly' is the most appropriate meaning in this context.

4. What does Ominous mean?

Correct answer: B

Rationale: Ominous means giving the impression that something bad or unpleasant is going to happen; threatening; inauspicious. This choice is correct as it accurately reflects the meaning of the term 'Ominous.' Choices A, C, and D are incorrect because they all suggest a lack of importance, danger, or threat, which is opposite to the actual meaning of 'Ominous.'

5. Which word correctly completes the sentence? 'I ___ the package on the table.'

Correct answer: C

Rationale: The correct answer is 'C: Laid.' 'Laid' is the correct past tense form of 'lay,' which means to put something down. 'Layed' in choice A is incorrect as the past tense of 'lay' is 'laid,' not 'layed.' Choice B, 'Drop,' is incorrect as it does not fit the context of placing something on the table. Choice D, 'Lay,' is the base form of the verb and does not fit the sentence in the past tense.

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