Nursing Elites

1. Select the meaning of the word 'dilation' in the sentence: 'The laboring mother was at 50% dilation.'

• A. Blood pressure
• B. Cervical opening
• C. Birth process
• D. Exhumation

Correct answer: B

Rationale: In the context provided, 'dilation' refers to the widening or opening of the cervix during labor as the woman progresses towards childbirth. Choice A, 'Blood pressure,' is incorrect as dilation does not relate to blood pressure. Choice C, 'Birth process,' is too broad and does not specifically define the term 'dilation.' Choice D, 'Exhumation,' is unrelated and does not fit the context of the sentence.

2. Choose the meaning of the word inhibiting in the following sentence: 'This medication works by inhibiting the action of a certain enzyme.'

• A. Occupying
• B. Speeding
• C. Hindering
• D. Enhancing

Correct answer: C

Rationale: Inhibiting means to prevent, restrain, or impede. In the context of the sentence, inhibiting the action of a certain enzyme refers to hindering or slowing down the enzyme's activity. Choice A ('Occupying') is incorrect as inhibiting does not mean taking up space. Choice B ('Speeding') is incorrect as inhibiting does not mean to accelerate. Choice D ('Enhancing') is incorrect as inhibiting is the opposite of enhancing.

3. If a nurse is CIRCUMSPECT with patient records, what is she doing?

• A. Acting carelessly
• B. Guarded
• C. Reckless
• D. Neglecting

Correct answer: B

Rationale: The correct answer is B: 'Guarded.' Circumspect means to be cautious or guarded. In this context, being circumspect with patient records implies being careful and cautious in handling them, maintaining confidentiality and privacy. Choices A, C, and D are incorrect because circumspect does not mean acting carelessly, reckless, or neglecting; instead, it suggests being watchful and discreet.

4. If they _____ that the weather was going to be so bad, they wouldn't have gone to the beach.

• A. knew
• B. had known
• C. knew
• D. could have known

Correct answer: B

Rationale: The correct answer is 'B: had known.' In this conditional sentence, the past perfect tense is required to indicate that knowing about the weather should have happened before going to the beach. 'Knew' (choice A and C) is in the simple past tense, which doesn't convey the sequence of events accurately. 'Could have known' (choice D) is incorrect as it implies a possibility of knowing in the past, but it doesn't fit the context of the sentence where the emphasis is on prior knowledge before going to the beach.

5. What is the best description for the term doleful?

• A. Unwell
• B. Deprived
• C. Conceited
• D. Downcast

Correct answer: D

Rationale: The term 'doleful' is best described as feeling or expressing sorrow or sadness. 'Downcast' aligns with this meaning as it refers to having a dejected or low spirit, which matches the nature of doleful. Options A, B, and C do not directly relate to the sense of sadness or sorrow that doleful conveys. 'Unwell' means in poor health, 'deprived' means lacking something essential, and 'conceited' means having an excessively favorable opinion of oneself, none of which capture the essence of doleful.

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