Nursing Elites

1. Choose the meaning of the word 'distended' in the following sentence: 'The patient's distended veins were a cause for worry.'

• A. Bleeding
• B. Enlarged
• C. Pressure
• D. Minuscule

Correct answer: B

Rationale: The term 'distended' means swollen or enlarged. In this context, when the patient's veins are described as distended, it implies that they are expanded or swollen beyond their normal size, which can be a cause for worry due to potential health implications. Choice A ('Bleeding') is incorrect as 'distended' does not refer to bleeding but rather to being swollen. Choice C ('Pressure') is incorrect as 'distended' does not directly imply pressure but rather enlargement. Choice D ('Minuscule') is incorrect as 'distended' means the opposite of minuscule, indicating something enlarged or swollen.

2. The charge nurse overheard the nursing assistant discussing the private details of a client's medical condition with a personnel friend in the hospital _____.

• A. cafeteria
• B. office
• C. room
• D. hall

Correct answer: A

Rationale: The correct answer is 'cafeteria.' Cafeterias are common areas in hospitals where staff may have conversations, but discussing private client details in this public setting is a violation of patient privacy. Choices B, C, and D are incorrect because an office, room, or hall would be more suitable and private places for discussing sensitive patient information.

3. Select the sentence in which 'legal' is used as an adjective.

• A. He is a legal resident of the United States
• B. This is a legal action
• C. That action was legal
• D. He acted in a legal way

Correct answer: A

Rationale: The correct answer is A: 'He is a legal resident of the United States.' In this sentence, 'legal' is used to describe the type of resident he is, making it an adjective. The other choices use 'legal' as part of a noun phrase or an adverbial phrase, not as an adjective. Choice B uses 'legal' to describe the type of action, making it a noun adjunct. Choice C uses 'legal' to describe the legality of the action, making it part of an adjectival phrase. Choice D uses 'legal' to describe the manner in which he acted, making it an adverb.

4. The student observed the tricky procedure with a certain amount of trepidation. What does trepidation mean?

• A. Confidence
• B. Misgivings
• C. Fear
• D. Doubt

Correct answer: B

Rationale: The correct answer is B: Misgivings. Trepidation means a feeling of fear or apprehension. In this context, the student observed the procedure with a certain amount of trepidation, indicating that they were feeling uneasy or fearful. Choices A, C, and D are incorrect. Confidence (choice A) is the opposite of trepidation, as it denotes a feeling of self-assurance. Fear (choice C) is the closest synonym to trepidation, making it an attractive distractor, but it is not the correct answer. Doubt (choice D) is different from trepidation, as doubt refers to a feeling of uncertainty or lack of conviction, not necessarily fear or apprehension.

5. 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.

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