Nursing Elites

1. What is the pH of a solution with a hydrogen ion concentration of \(1 \times 10^{-9}\) M?

• A. 5
• B. 7
• C. 9
• D. 11

Correct answer: c

Rationale: The pH is calculated as the negative logarithm (base 10) of the hydrogen ion concentration. In this case, \(-\log(1 \times 10^{-9}) = 9\).

2. One staff suggests that they review the pattern of nursing care that they are using, which is

• A. job description
• B. system used to deliver care
• C. manual of procedure
• D. rules to be followed

Correct answer: B

Rationale: The correct answer is B: 'system used to deliver care.' When a staff member suggests reviewing the pattern of nursing care being used, they are referring to the overall system or method in place for delivering care to patients. This includes the processes, protocols, and techniques used to provide nursing care. It goes beyond just following a job description, manual of procedure, or rules. By evaluating and potentially revising the system used to deliver care, staff can ensure that best practices are in place to provide high-quality and effective care to patients.

3. Which of the following is the MOST common symptom of angina pectoris, a condition related to insufficient blood flow to the heart?

• A. Fever and chills.
• B. Chest pain or discomfort.
• C. Sudden onset of severe shortness of breath
• D. Numbness or tingling in the extremities

Correct answer: B

Rationale: The correct answer is B: Chest pain or discomfort. Angina pectoris is characterized by chest pain or discomfort that occurs when the heart muscle does not receive enough oxygen-rich blood. This pain is often described as a squeezing, pressure, heaviness, or tightness in the chest. While other symptoms like fever, chills, shortness of breath, numbness, or tingling in the extremities can occur in various conditions, chest pain is the hallmark symptom of angina pectoris. It is important to recognize this symptom as it may indicate an underlying heart issue and prompt medical attention is crucial.

4. Which hormone stimulates the release of pancreatic enzymes and bile?

• A. Gastrin
• B. Insulin
• C. Cholecystokinin (CCK)
• D. Glucagon

Correct answer: C

Rationale: The correct answer is C: Cholecystokinin (CCK). Cholecystokinin is a hormone produced by the small intestine in response to the presence of food, especially fats and proteins. It stimulates the release of pancreatic enzymes from the pancreas and bile from the gallbladder to aid in digestion. Gastrin is a hormone that stimulates the release of gastric acid in the stomach. Insulin and glucagon are hormones involved in regulating blood sugar levels, not the release of pancreatic enzymes and bile. Therefore, CCK is the hormone responsible for stimulating the release of pancreatic enzymes and bile in the digestive process.

5. Cystitis is an inflammation of the:

• A. Kidneys
• B. Bladder
• C. Ureters
• D. Urethra

Correct answer: B

Rationale: The correct answer is B: Bladder. Cystitis is an inflammation of the bladder, typically caused by a bacterial infection. Symptoms include frequent and urgent urination, along with pain or discomfort in the pelvic area. The kidneys (option A) are responsible for filtering blood and producing urine, but they are not the site of inflammation in cystitis. The ureters (option C) are the tubes that connect the kidneys to the bladder and are not typically affected by cystitis. The urethra (option D) is the tube that carries urine from the bladder out of the body, but it is not where the inflammation occurs in cystitis.

6. The process of a gas changing directly into a solid is called:

• A. Condensation
• B. Deposition
• C. Sublimation
• D. Evaporation

Correct answer: B

Rationale: This process, also known as sublimation, involves gas particles losing energy and transitioning directly into the solid state.

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