Nursing Elites

1. What is another word for unruffled?

• A. Concerned
• B. Wholesome
• C. Tedious
• D. Composed

Correct answer: D

Rationale: Unruffled means calm and not agitated. The word 'composed' also means calm and collected, making it the correct synonym in this context. 'Concerned' (choice A) means worried or anxious, 'wholesome' (choice B) means promoting health and well-being, and 'tedious' (choice C) means boring or monotonous, making them all incorrect choices.

2. The _____ student was not well liked by his peers.

• A. Geniality
• B. Affably
• C. Gregarious
• D. Detestable

Correct answer: D

Rationale: The correct answer is 'Detestable.' In this context, 'detestable' means deserving intense dislike, which fits the sentence describing a student who is not well-liked. 'Geniality' (choice A) means warmth and friendliness, which is the opposite of what is described in the sentence. 'Affably' (choice B) means in a friendly and pleasant manner, which doesn't convey the idea of being disliked. 'Gregarious' (choice C) means sociable and outgoing, which is also not suitable for describing someone who is not well-liked.

3. A note in the patient’s medical record states 'ANTICIPATORY GRIEVING'. Which patient situation below explains this type of grieving?

• A. A patient who has just given birth to twins following a long labor
• B. A patient who will have their left leg amputated below the knee tomorrow
• C. A patient experiencing pain during a physical therapy session
• D. A patient who will be discharged tomorrow after two months of being hospitalized

Correct answer: B

Rationale: The correct answer is B because 'anticipatory grieving' refers to the process of grieving in anticipation of a significant loss or change. In this case, a patient who is expecting a leg amputation tomorrow is experiencing anticipatory grieving as they are grieving the loss of a limb before it actually occurs. Choices A, C, and D do not involve an impending significant loss or change that would lead to anticipatory grieving.

4. 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.

5. If tubes distend, they ___________.

• A. flex
• B. stretch
• C. solidify
• D. collapse

Correct answer: B

Rationale: When tubes distend, they expand or become enlarged, which typically results in stretching rather than flexing, solidifying, or collapsing. Distending tubes imply an increase in size or volume, indicating a stretching or expansion effect. Therefore, the correct answer is 'stretch.' Choice A, 'flex,' is incorrect as flexing refers to bending or curling, not expanding. Choice C, 'solidify,' is incorrect as solidifying refers to becoming solid, which is not related to the expansion of tubes. Choice D, 'collapse,' is incorrect as collapsing refers to falling in or giving way, which is the opposite effect of distending.

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