Nursing Elites

1. Choose the meaning of the word 'tremulous' in the following sentence: 'The patient held out a tremulous hand and grasped the paperwork.'

• A. Wrinkled and wizened
• B. Pale and lifeless
• C. Clenched and arthritic
• D. Quivering and weak

Correct answer: D

Rationale: In this sentence, the word 'tremulous' is used to describe the patient's hand. When someone's hand is described as tremulous, it means it is quivering or shaking, indicating weakness or distress. Therefore, the correct meaning of 'tremulous' in this context is quivering and weak. Choices A, B, and C are incorrect because they do not capture the specific meaning of 'tremulous' in this context. 'Wrinkled and wizened' refers to being old and withered, 'pale and lifeless' describes a lack of color and vitality, and 'clenched and arthritic' implies a tight grip and joint inflammation, none of which accurately represent the trembling or shaking nature of a tremulous hand.

2. Select the meaning of the word 'holistic' in the sentence: 'Dr. Grant ignored Mary's particular symptoms, instead administering a holistic treatment.'

• A. insensitive
• B. ignorant
• C. specialized
• D. concerned with the whole

Correct answer: D

Rationale: In this context, 'holistic' means concerned with the whole person, considering physical, mental, and social factors, rather than just addressing specific symptoms. Therefore, the correct answer is D. Choices A, B, and C are incorrect because 'holistic' does not mean insensitive, ignorant, or specialized in this context.

3. Choose the meaning of the word 'sanguinary' in the following sentence: 'Surgery is often a sanguinary procedure.'

• A. Hopeful or cheerful
• B. Involving bloodshed
• C. Difficult and protracted
• D. Tricky and sensitive

Correct answer: B

Rationale: The word 'sanguinary' is derived from the Latin word 'sanguinarius,' meaning bloodthirsty or bloodshed. In the context of the sentence, 'sanguinary' is used to indicate that surgery is a procedure that involves bloodshed. Therefore, the correct answer is B. Choice A ('Hopeful or cheerful') is incorrect because 'sanguinary' does not convey a positive or cheerful meaning. Choice C ('Difficult and protracted') is incorrect as 'sanguinary' specifically relates to blood or bloodshed, not difficulty or prolongation. Choice D ('Tricky and sensitive') is incorrect as 'sanguinary' does not imply trickiness or sensitivity but rather the presence of blood or bloodshed.

4. The most important things in my life are making money, traveling abroad, and _____.

• A. living well
• B. to live well
• C. to be happy
• D. enjoying life

Correct answer: A

Rationale: The correct answer is 'living well.' The sentence lists actions using '-ing' forms (making, traveling, and living), so 'living well' maintains parallel structure. Choice B ('to live well') breaks this structure by introducing an infinitive form. Choice C ('to be happy') introduces a new action not in parallel with the others. Choice D ('enjoying life') changes the structure and focuses on a different action not consistent with the previous activities listed.

5. The quality, safety, and efficacy of the new medicines are not known. What does efficacy mean?

• A. Cost
• B. Effectiveness
• C. Quality
• D. Usage

Correct answer: B

Rationale: Efficacy refers to how effective something is. In this context, it refers to the effectiveness of the new medicines. 'Cost' (Choice A) is incorrect as it relates to the price of something, not its effectiveness. 'Quality' (Choice C) is incorrect as it refers to the standard or degree of excellence. 'Usage' (Choice D) is incorrect as it refers to how something is used, not its effectiveness.

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