Nursing Elites

1. What does it mean if something is distended?

• A. Shrunken
• B. Swollen
• C. Narrow
• D. Flattened

Correct answer: B

Rationale: When something is described as distended, it means that it is swollen or expanded, not shrunken, narrow, or flattened. In a medical context, distention often refers to an abnormal swelling or enlargement of an organ or structure. 'Shrunken' is incorrect as it means reduced in size, 'narrow' is incorrect as it means not wide, and 'flattened' is incorrect as it means pressed or squeezed flat.

2. Select the meaning of the underlined word in the following sentence. The interns observed the contour of the patient’s rash.

• A. Shape
• B. Answers
• C. Amount
• D. Extension

Correct answer: A

Rationale: In this context, the word 'contour' refers to the outline or shape of the patient's rash. It indicates the specific form or structure of the rash as observed by the interns. 'Answers,' 'Amount,' and 'Extension' are incorrect choices because they do not accurately reflect the meaning of 'contour' in this sentence.

3. Select the meaning of the word 'undulate' in the sentence: 'Each shiver made his muscles undulate beneath his skin.'

• A. Ripple
• B. Shake
• C. Flatten
• D. Unknot

Correct answer: A

Rationale: In this context, 'undulate' means to move in a smooth, wave-like motion. An undulation of muscles is a subtle, continuous rippling or rolling movement, making 'ripple' the most appropriate synonym in this sentence. 'Shake' (Choice B) is incorrect as it implies a more abrupt and irregular movement. 'Flatten' (Choice C) and 'Unknot' (Choice D) are unrelated to the smooth, wave-like motion described in the sentence.

4. 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.'

5. What does 'Impaired' mean?

• A. Increased capability
• B. Diminished or lacking usual quality
• C. Hyperactive
• D. Stronger than usual

Correct answer: B

Rationale: The term 'Impaired' means diminished or lacking usual quality. This choice is correct as it accurately reflects the meaning of the word. Choices A, C, and D are incorrect. Choice A, 'Increased capability,' is the opposite of impaired. Choice C, 'Hyperactive,' refers to excessive activity rather than a lack of usual quality. Choice D, 'Stronger than usual,' does not capture the meaning of impaired.

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