Nursing Elites

1. What is the main function of valence electrons in chemical bonding?

• A. They are responsible for holding the nucleus together.
• B. They are involved in forming bonds with other atoms.
• C. They determine the element's physical properties.
• D. They play no role in chemical reactions.

Correct answer: B

Rationale: They are involved in forming bonds with other atoms. Valence electrons occupy the outermost energy level and are readily involved in attracting other atoms through sharing or transferring electrons, forming chemical bonds.

2. She takes pride in saying that the hospital has a decentralized structure. Which of the

• A. Flat organization
• B. Participatory approach
• C. Shared governance
• D. Tall organization

Correct answer: B

Rationale: The correct answer is B: 'Participatory approach.' In a decentralized structure, decision-making authority is dispersed throughout the organization rather than being concentrated at the top. A participatory approach involves employees at all levels having a say in decisions that affect their work, fostering collaboration and empowerment. This contrasts with a tall organization, which has many layers of management and a more centralized decision-making process. While shared governance can involve decentralized decision-making, it specifically refers to a model where nurses and other healthcare professionals have a voice in shaping policies and practices within their organization, which is not necessarily the same as a decentralized structure.

3. The ability of optical fibers to transmit light signals around bends is primarily due to:

• A. Reflection
• B. Refraction
• C. Diffraction
• D. Polarization

Correct answer: B

Rationale: The correct answer is B: Refraction. Optical fibers transmit light signals around bends primarily through the process of refraction. Refraction occurs when light passes from one medium to another, causing it to change direction. In optical fibers, the core material has a higher refractive index than the cladding, which causes light to be reflected internally along the fiber. This phenomenon allows light signals to travel through the fiber even around bends without significant loss. Reflection (Option A) involves light bouncing off a surface, which is not the main mechanism in optical fibers. Diffraction (Option C) refers to the bending of light waves around obstacles and is not the main reason for light transmission in optical fibers. Polarization (Option D) relates to the orientation of light waves, which is not the primary factor enabling light transmission around bends in optical fibers.

4. Which of the following can weaken the immune system and increase susceptibility to infections?

• A. Regular exercise
• B. Balanced diet
• C. Chronic stress
• D. Adequate sleep

Correct answer: C

Rationale: Chronic stress can weaken the immune system by increasing the production of stress hormones like cortisol, which can suppress immune function over time. Prolonged stress can also lead to inflammation, making the body more vulnerable to infections. It is important to manage stress levels through relaxation techniques, exercise, and seeking support to maintain a healthy immune system.

5. The formula for calculating heart rate is HR = (220 - age) * 0.65. If a patient's heart rate is 136.5, what is their age?

• A. 30
• B. 40
• C. 50
• D. 60

Correct answer: B

Rationale: Rearrange the formula to solve for age: age = 220 - (HR / 0.65). Substitute the heart rate (136.5) to get 40 years old.

6. The liver plays a vital role in digestion. What is one of the main functions of the liver in the digestive system?

• A. Physical breakdown of food
• B. Production of digestive enzymes
• C. Storage and processing of nutrients
• D. Elimination of waste products

Correct answer: C

Rationale: The correct answer is C: 'Storage and processing of nutrients.' The liver is a crucial organ in the digestive system as it performs various functions such as storing nutrients like glucose, vitamins, and minerals, processing nutrients by converting them into usable forms for the body, and regulating their distribution to different parts of the body. While the physical breakdown of food primarily occurs in the mouth and stomach, and the production of digestive enzymes mainly happens in the pancreas and small intestine, the liver's main role is to manage and store the nutrients obtained from the digested food. Therefore, option C is the correct choice for the main function of the liver in the digestive process.

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