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. To critique something is to ___________.

• A. appraise it
• B. condemn it
• C. extol it
• D. berate it

Correct answer: B

Rationale: To critique something means to evaluate and judge it, often pointing out its faults or shortcomings. Condemning something implies expressing strong disapproval or criticism of it, which aligns closely with the concept of critiquing. 'Appraise' means to assess the value or quality of something, which is not necessarily negative. 'Extol' means to praise highly, which is the opposite of critiquing. 'Berate' means to scold or criticize someone angrily, which is not the same as objectively evaluating something as in critiquing. Therefore, 'condemn it' is the most suitable choice among the given options.

3. Which word in the sentence needs to be corrected for proper grammar?

• A. About it
• B. A
• C. With
• D. Made

Correct answer: B

Rationale: The word 'A' should be corrected to 'an' in the sentence. The sentence should read, 'The nurse made an error with the medication, so the doctor made notes about it in the patient's file.' The article 'an' is used before a noun beginning with a vowel sound, like 'error' in this case. Choices A, C, and D are grammatically correct in the sentence and do not need to be altered.

4. If a patient is especially obdurate, she is ___________.

• A. very large
• B. quite stubborn
• C. easily upset
• D. ready to go home

Correct answer: B

Rationale: The correct answer is B: 'quite stubborn.' The word 'obdurate' means stubbornly refusing to change one's opinion or course of action. Therefore, if a patient is especially obdurate, it indicates that she is likely very stubborn in her behavior or beliefs. Choices A, C, and D are incorrect because they do not reflect the meaning of 'obdurate.' Being 'very large' (Choice A), 'easily upset' (Choice C), or 'ready to go home' (Choice D) does not directly relate to being stubborn and unwilling to change.

5. Choose the meaning of the word 'contravene' in the following sentence: 'Did the interns contravene the doctor’s orders?'

• A. Comply with
• B. Misjudge
• C. Comprehend
• D. Disregard

Correct answer: D

Rationale: The word 'contravene' in this sentence means to go against or disobey. Therefore, the correct meaning is closest to 'disregard.' The interns did not follow or comply with the doctor's orders, indicating that they contravened them. 'Comply with' (Choice A) is the opposite of 'contravene,' 'misjudge' (Choice B) and 'comprehend' (Choice C) do not accurately reflect the meaning of 'contravene' in this context.

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