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. Which verb form correctly completes the sentence? 'The shopper was angry when he realized he could have ___ it cheaper at the other store.'

• A. Get
• B. Could have got
• C. Could have gotten
• D. Might have get

Correct answer: C

Rationale: The correct answer is 'C) Could have gotten.' In this sentence, the verb form 'gotten' is the correct past participle form of 'get,' indicating a missed opportunity in the past. Choice A is incorrect because 'get' is the base form of the verb, not the past participle. Choice B is incorrect as 'got' is the past tense, not the past participle. Choice D is incorrect because 'get' is the base form, and 'might have get' is not the correct structure for this sentence.

3. Choose the meaning of the word 'tremulous' in the following sentence: 'The patient held out a tremulous hand and grasped the paperwork.'

• A. Wrinkled and wizened
• B. Pale and lifeless
• C. Clenched and arthritic
• D. Quivering and weak

Correct answer: D

Rationale: In this sentence, the word 'tremulous' is used to describe the patient's hand. When someone's hand is described as tremulous, it means it is quivering or shaking, indicating weakness or distress. Therefore, the correct meaning of 'tremulous' in this context is quivering and weak. Choices A, B, and C are incorrect because they do not capture the specific meaning of 'tremulous' in this context. 'Wrinkled and wizened' refers to being old and withered, 'pale and lifeless' describes a lack of color and vitality, and 'clenched and arthritic' implies a tight grip and joint inflammation, none of which accurately represent the trembling or shaking nature of a tremulous hand.

4. If a patient’s condition is deteriorating, he is ___________.

• A. getting worse
• B. improving gradually
• C. resisting medication
• D. failing to eat or drink

Correct answer: A

Rationale: When a patient's condition is deteriorating, it means that their health is declining or worsening. This can involve a range of factors such as worsening symptoms, declining vital signs, or an overall decline in health status. In this context, the phrase 'getting worse' best describes the situation of a patient whose condition is deteriorating. Choices B, C, and D are incorrect because they do not reflect the concept of deterioration in a patient's health. Improving gradually (choice B) indicates a positive trend, resisting medication (choice C) suggests a behavioral response, and failing to eat or drink (choice D) points to a specific issue rather than a general decline in health.

5. The bad smell made him __________.

• A. Gag
• B. Enjoy
• C. Remember
• D. Attach

Correct answer: A

Rationale: The bad smell would likely make him gag, which is a physical reaction to an unpleasant odor. Gagging is a common response to strong or foul smells as the body seeks to expel the offending odor. Enjoy, Remember, and Attach do not accurately reflect a likely reaction to a bad smell.

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