Nursing Elites

1. What does the quoted word 'impervious' mean in the following sentence?

• A. Coping well
• B. Enjoying
• C. Not affected
• D. Very sensitive

Correct answer: C

Rationale: The correct answer is C: 'Not affected.' In the context provided, 'impervious' means that the client is not affected by pain. Choices A, B, and D are incorrect because they do not accurately capture the meaning of 'impervious' in this context. 'Coping well' implies dealing with pain effectively, 'enjoying' does not reflect being unaffected by pain, and 'very sensitive' is the opposite of what 'impervious' means.

2. Select the meaning of the word 'tenuous' in the sentence: 'Patients in this wing often have a tenuous hold on reality.'

• A. Judicious
• B. Deleted
• C. Frantic
• D. Fragile

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.'

3. Select the meaning of the word 'reflex' in the sentence: 'The typical patellar reflex takes only 50 milliseconds between the initial tap and the leg extension.'

• A. Replication
• B. Convulsion
• C. Reaction
• D. Stretching

Correct answer: C

Rationale: In the context of the sentence, the word 'reflex' indicates a quick, automatic response by the body to a stimulus. The patellar reflex, also known as the knee-jerk reflex, involves the leg extending in response to a tap on the patellar tendon. Therefore, the word 'reaction' aligns closely with the nature of the patellar reflex in terms of a rapid and involuntary response. Choices A, B, and D are incorrect: 'Replication' does not capture the concept of a bodily response, 'convulsion' implies a sudden and uncontrollable movement which is not specific to the nature of the patellar reflex, and 'stretching' does not encompass the automatic and rapid nature of a reflex action.

4. Choose the meaning of the word 'contusions' in the following sentence: 'Contusions or scratches may be treated on-site.'

• A. Breaks
• B. Disorientation
• C. Bruises
• D. Abrasions

Correct answer: C

Rationale: The correct answer is C: 'Bruises.' In the context of the sentence provided, 'contusions' refers to injuries that cause discoloration or bruising of the skin without breaking the skin. The word 'contusions' is synonymous with bruises, not breaks (choice A), disorientation (choice B), or abrasions (choice D). Therefore, in the sentence, contusions or scratches are mentioned as potential injuries that may require treatment on-site.

5. Which word is spelled incorrectly? 'The physician recommended a low-sodium diet for the patient.'

• A. patient
• B. physician
• C. sodium
• D. recommended

Correct answer: A

Rationale: The correct answer is A: 'patient.' The correct spelling should be 'patient.' 'Physician,' 'sodium,' and 'recommended' are all spelled correctly. 'Physician' refers to a medical doctor, 'sodium' is a chemical element, and 'recommended' is the past tense of the verb 'recommend.' Therefore, the misspelled word in the sentence is 'patient.'

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