Nursing Elites

1. Which of the following is an example of a weak acid?

• A. Hydrochloric acid (HCl)
• B. Sulfuric acid (H2SO4)
• C. Acetic acid (CH3COOH)
• D. Nitric acid (HNO3)

Correct answer: C

Rationale: Weak acids only partially dissociate in water, releasing a lower concentration of hydrogen ions.

2. Sweat glands help regulate body temperature by:

• A. Producing sebum for lubrication
• B. Constricting blood vessels in the skin (sweating doesn't cause constriction)
• C. Releasing a watery fluid that evaporates for cooling
• D. Thickening the epidermis for insulation

Correct answer: C

Rationale: The correct answer is C. Sweat glands help regulate body temperature by releasing a watery fluid that evaporates for cooling. When the body temperature rises, sweat glands produce sweat, which is mostly composed of water and salts. As this sweat evaporates from the skin's surface, it absorbs heat energy from the body, thus cooling it down. This process is essential for maintaining a stable body temperature during physical exertion or exposure to heat. Options A, B, and D are incorrect as sebum produced by sebaceous glands lubricates the skin, blood vessels dilate rather than constrict during sweating to release heat, and the epidermis does not thicken for insulation related to sweat glands.

3. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

4. What is the function of introns in eukaryotic genes?

• A. They code for protein sequences.
• B. They are involved in gene regulation.
• C. They are removed during mRNA processing.
• D. They are non-functional remnants of ancient DNA.

Correct answer: C

Rationale: Rationale: A) Introns do not code for protein sequences. Exons are the segments of DNA that code for proteins. B) While introns can indirectly influence gene regulation, their primary function is not directly involved in gene regulation. C) Introns are non-coding regions of DNA that are transcribed into pre-mRNA but are removed during mRNA processing through a process called splicing. This allows only the exons to be included in the mature mRNA that will be translated into proteins. D) While introns were once thought to be non-functional remnants of ancient DNA, research has shown that they can have regulatory functions and play a role in gene expression.

5. St. Raphael Medical Center just opened its new Performance Improvement Department. Ms.

• A. Make an interpretation about strengths and weaknesses
• B. Identify the values of the department
• C. Identify structure, process, outcome standards & criteria
• D. Measure actual performances

Correct answer: B

Rationale: The correct answer is B: 'Identify the values of the department.' When a new department is established, it is important to define its core values, beliefs, and principles to guide its operations. This helps create a shared understanding among staff and stakeholders about the department's purpose and priorities. By identifying the values of the Performance Improvement Department at St. Raphael Medical Center, employees can align their actions with the department's mission and goals, fostering a cohesive and effective work environment. Options A, C, and D are not directly related to establishing the foundational values of a new department, making them less relevant in this context.

6. Edema is a condition characterized by swelling caused by a buildup of lymph fluid. What factors can contribute to edema?

• A. Regular exercise
• B. Maintaining a healthy weight
• C. Poor circulation or blockage in the lymphatic system
• D. Proper hydration

Correct answer: C

Rationale: Edema is a condition where there is an abnormal accumulation of fluid in the body tissues, leading to swelling. Poor circulation or blockage in the lymphatic system can contribute to edema by hindering the proper drainage of lymph fluid. When the lymphatic system is not functioning efficiently, it can result in fluid retention and swelling in the affected areas. Regular exercise and maintaining a healthy weight can actually help improve circulation and lymphatic flow, reducing the risk of edema. Proper hydration is important for overall health but specifically does not directly contribute to the development of edema as poor circulation or lymphatic blockages do.

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