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. What does it mean if a patient is lethargic?

Correct answer: B

Rationale: Lethargic means feeling exhausted or sluggish. Being lethargic is the opposite of being active (choice A), confused (choice C), or restless (choice D). When a patient is lethargic, they lack energy and may appear tired or sluggish.

3. What does Latent mean?

Correct answer: B

Rationale: The correct answer is B: 'Present but not active or visible.' Latent refers to something that is existing but not yet developed or manifest. Choice A, 'Easily seen,' is incorrect as latent implies the opposite - not easily seen. Choice C, 'Quick to react,' is incorrect as latent does not imply a quick reaction but rather a hidden or dormant state. Choice D, 'Actively growing,' is incorrect as latent suggests the opposite - not actively growing but rather inactive or concealed.

4. Select the meaning of the word 'tumult' in the sentence: 'The tumult in the emergency room seemed to last a long time.'

Correct answer: D

Rationale: In this sentence, the word 'tumult' is used to describe a state of confusion, disorder, and chaos in the emergency room. 'Commotion' is the closest synonym to this meaning, making it the correct choice from the list provided. Choice A, 'Siren,' does not capture the meaning of chaos and disorder. Choice B, 'Distress,' refers more to a state of extreme anxiety or suffering rather than the commotion described. Choice C, 'Suffering,' is not the best fit as the word 'tumult' in this context does not specifically imply suffering, but rather a noisy and chaotic situation.

5. He had already finished studying at a(n) _____ when he was called to join the army.

Correct answer: A

Rationale: In the context provided, the correct answer is 'university.' The term 'university' is used to refer to higher education institutions that offer undergraduate and postgraduate degrees. While 'academy,' 'college,' and 'institute' are also types of educational institutions, 'university' is the most fitting choice here as it best aligns with the idea of completing higher education before joining the army.

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