Nursing Elites

1. During exercise, heart rate increases to deliver more oxygen to the body's tissues. What other cardiovascular response also increases?

• A. Blood pressure decreases
• B. Blood vessel diameter narrows
• C. Blood flow to muscles increases
• D. Blood viscosity thickens

Correct answer: A

Rationale: The correct answer is A: 'Blood pressure decreases.' When the heart rate increases during exercise to deliver more oxygen to the body's tissues, the blood pressure also tends to decrease. This is due to the enhanced efficiency of the heart in pumping blood, resulting in a lower pressure exerted on the blood vessel walls. In contrast, options B and D are incorrect as blood vessel diameter typically widens (dilates) during exercise to facilitate increased blood flow, and blood viscosity does not usually thicken during exercise. Option C is a distractor as blood flow to muscles indeed increases during exercise to meet the higher demand for oxygen and nutrients.

2. Which of the following is NOT a route of transmission for a sexually transmitted infection (STI)?

• A. Unprotected sexual contact
• B. Sharing contaminated needles
• C. Deep kissing
• D. Mother to child during childbirth

Correct answer: C

Rationale: Rationale: A) Unprotected sexual contact is a common route of transmission for sexually transmitted infections (STIs) as many STIs are spread through genital, anal, or oral sex without the use of barrier protection such as condoms. B) Sharing contaminated needles can also transmit STIs such as HIV and hepatitis B and C, especially among individuals who inject drugs. C) Deep kissing, while it can transmit certain infections like herpes simplex virus (HSV-1) or cytomegalovirus (CMV), is not a common route of transmission for most STIs. D) Mother to child transmission during childbirth can occur with certain STIs such as HIV, syphilis, and herpes, where the infection can be passed from the mother to the baby during delivery. Therefore, deep kissing (option C) is the correct answer as it is not a typical route of transmission for most STIs.

3. 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.

4. Which of the following is NOT a common symptom of lactose intolerance?

• A. Gas
• B. Bloating
• C. Diarrhea
• D. Nausea

Correct answer: D

Rationale: Rationale: A) Gas: Gas is a common symptom of lactose intolerance. When lactose is not properly digested, it can ferment in the colon, leading to the production of gas. B) Bloating: Bloating is another common symptom of lactose intolerance. The buildup of gas in the digestive system can cause bloating and discomfort. C) Diarrhea: Diarrhea is a common symptom of lactose intolerance. When lactose is not broken down in the small intestine, it can draw excess water into the colon, resulting in diarrhea. D) Nausea: Nausea is not a common symptom of lactose intolerance. While some individuals may experience mild stomach discomfort or cramps, nausea is not typically associated with lactose intolerance.

5. Which of these pairs represents an example of convergent evolution?

• A. Humans and chimpanzees
• B. Bats and birds
• C. Dolphins and sharks
• D. Snakes and earthworms

Correct answer: B

Rationale: Rationale: Convergent evolution refers to the process by which different species independently evolve similar traits or characteristics due to similar environmental pressures. In the case of bats and birds, both have evolved wings for flight despite not sharing a recent common ancestor with wings. Bats are mammals, while birds are avians, yet they both have wings adapted for flight, which is a classic example of convergent evolution. A) Humans and chimpanzees share a common ancestor and have not independently evolved similar traits. C) Dolphins and sharks are not closely related, and their similarities are due to adaptations to their aquatic environment rather than convergent evolution. D) Snakes and earthworms belong to different classes (reptiles and annelids, respectively) and do not share recent common ancestors, making their similarities not a result of convergent evolution.

6. What enzyme plays a key role in breaking down carbohydrates in the small intestine?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: C

Rationale: Amylase, produced by the pancreas and salivary glands, breaks down carbohydrates into simple sugars like glucose.

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