Nursing Elites

1. What is the best description for the word efficacy in the following sentence? The quality, safety, and efficacy of counterfeit medicines are not known.

• A. Effectiveness
• B. Significance
• C. Corollary
• D. Conclusion

Correct answer: A

Rationale: In the context of the sentence provided, efficacy refers to the ability of counterfeit medicines to produce the intended or desired effect. Efficacy is closely related to effectiveness, which is the correct description in this context. 'Significance' (Choice B), 'Corollary' (Choice C), and 'Conclusion' (Choice D) do not accurately capture the meaning of efficacy in this context.

2. 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.

3. What does 'defecate' mean?

• A. To retain feces
• B. To expel feces
• C. To eliminate fluid
• D. To excrete mucus

Correct answer: B

Rationale: The correct answer is B: 'To expel feces.' Defecate refers to the act of eliminating solid waste from the body. Choice A, 'To retain feces,' is incorrect as defecation involves getting rid of feces. Choices C and D, 'To eliminate fluid' and 'To excrete mucus,' are also incorrect as they do not accurately define the term 'defecate.'

4. Select the meaning of the underlined word in the following sentence. The children became bellicose after too much time in the moving car.

• A. Beautiful
• B. Selfless
• C. Tolerant
• D. Quarrelsome

Correct answer: D

Rationale: The word 'bellicose' means showing aggression or a willingness to fight. In the context of the sentence, it suggests that the children became argumentative or confrontational after spending too much time in the moving car. Therefore, the correct meaning is 'quarrelsome.' Choices A, B, and C are incorrect because 'bellicose' does not mean beautiful, selfless, or tolerant. It specifically refers to a combative or aggressive behavior, which aligns with 'quarrelsome.'

5. The nurse noted in the chart, 'The patient is lethargic.' How was the patient behaving?

• A. Pacing the halls
• B. Difficult to arouse
• C. Shaking uncontrollably
• D. Not responding to pain

Correct answer: B

Rationale: The correct answer is B: 'Difficult to arouse.' 'Lethargic' is a medical term used to describe a state of drowsiness or lack of energy, making the patient difficult to arouse. Choices A, C, and D describe different behaviors that are not indicative of lethargy. A patient who is pacing the halls is more likely to be agitated, while shaking uncontrollably may suggest tremors or seizures. Not responding to pain indicates a lack of reaction to painful stimuli but does not directly reflect being lethargic.

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