Nursing Elites

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

• A. could have happened
• B. never would have happened
• C. wouldn't have occurred
• D. could happen

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.

2. What word meaning 'once a year' fits best in the sentence: 'The _____ family reunion picnic was held at the Jones farm instead of the county park.'

• A. regular
• B. annual
• C. biennial
• D. holiday

Correct answer: B

Rationale: The word 'annual' refers to something that happens once every year. 'Regular' could mean frequent but doesn't specify a yearly event. 'Biennial' refers to something occurring every two years, while 'holiday' relates to a special day of celebration, not necessarily an annual event.

3. The _____ of this weather was that we all got wet.

• A. result
• B. effect
• C. affect
• D. impact

Correct answer: B

Rationale: In this sentence, 'effect' is the correct term to use as it refers to the outcome or consequence of the weather, which was that everyone got wet. 'Effect' is a noun that indicates the result of a particular action or situation. Choice A 'result' is incorrect because it refers to the outcome of an action, not the outcome of weather. Choice C 'affect' is incorrect as it is used as a verb to show influence or make a difference. Choice D 'impact' is incorrect because it refers to a strong influence or effect.

4. 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.

5. Choose the meaning of the word 'adverse' in the following sentence: 'Occasionally, this medicine causes an adverse reaction.'

• A. Unfavorable
• B. Contrary
• C. Noticeable
• D. Startling

Correct answer: A

Rationale: The word 'adverse' in the sentence is most closely aligned with the meaning of 'unfavorable.' An adverse reaction to a medicine signifies a negative or harmful response, which supports the definition of unfavorable. Choice B, 'Contrary,' does not accurately capture the negative connotation associated with 'adverse.' Choice C, 'Noticeable,' does not reflect the meaning in the context provided. Choice D, 'Startling,' suggests a more sudden or surprising nature, which is not the primary meaning of 'adverse' in this context.

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