Nursing Elites

1. What is the scientific term for the involuntary rhythmic contraction and relaxation of the heart muscle?

• A. Peristalsis
• B. Myogenesis
• C. Myocardial contractility
• D. Systole and diastole

Correct answer: D

Rationale: The correct answer is D: Systole and diastole. Systole refers to the phase of the heartbeat when the heart muscle contracts and pumps blood out, while diastole is the phase when the heart muscle relaxes and fills with blood. This rhythmic contraction and relaxation of the heart muscle is crucial for maintaining blood circulation throughout the body. Peristalsis (option A) is the involuntary constriction and relaxation of the muscles of the gastrointestinal tract that pushes contents forward. Myogenesis (option B) is the formation of muscle tissue. Myocardial contractility (option C) refers to the ability of the heart muscle to contract. Therefore, the most appropriate term for the described process is systole and diastole.

2. Which sentence uses the phrase "by the way" correctly?

• A. By the way, I forgot to tell you I won the lottery!
• B. He finished his report, by the way, it was very well-written.
• C. I have some news for you, by the way.
• D. By the way, the movie starts at 8 pm.

Correct answer: C

Rationale: Option C introduces additional information that is not directly related to the previous sentence, making it a natural use of "by the way."

3. Which hormone is responsible for stimulating the development of sex organs and secondary sex characteristics during puberty?

• A. Growth hormone
• B. Testosterone (in males) and Estrogen (in females
• C. Insulin
• D. Thyroid hormone

Correct answer: B

Rationale: The correct answer is B: Testosterone (in males) and Estrogen (in females). During puberty, the release of these sex hormones plays a crucial role in the development of sex organs and secondary sex characteristics. Testosterone is responsible for male characteristics like facial hair, deepening of the voice, and muscle growth, while Estrogen contributes to female features such as breast development and the widening of hips. Growth hormone primarily regulates overall growth and development, while Insulin is involved in glucose metabolism and Thyroid hormone controls metabolism and energy levels. Therefore, the correct choice is B as Testosterone and Estrogen are specifically responsible for the changes seen during puberty.

4. She decides to have a decentralized staffing system. Which of the following is an advantage

• A. greater control of activities
• B. Conserves time
• C. Compatible with computerization
• D. Promotes better interpersonal relationship

Correct answer: A

Rationale: The correct answer is A: 'greater control of activities.' Having a decentralized staffing system allows for the delegation of decision-making to lower levels of the organization, which can result in greater control over activities. This can lead to quicker responses to issues and better alignment with specific departmental needs. Options B, C, and D do not directly relate to the advantage of a decentralized staffing system. While conserving time, compatibility with computerization, and promoting better interpersonal relationships are important considerations in staffing decisions, they do not specifically align with the advantage of greater control that a decentralized system provides.

5. Functional nursing has some advantages, which one is an EXCEPTION?

• A. Psychological and sociological needs are emphasized.
• B. Great control of work activities.
• C. Most economical way of delivering nursing services.
• D. Workers feel secure in dependent role

Correct answer: B

Rationale: Functional nursing is a task-oriented approach where each nurse is assigned specific duties, leading to efficient task completion but often resulting in a lack of holistic care. While functional nursing may provide great control over work activities and can be cost-effective due to specialization, it does not emphasize psychological and sociological needs, which is a significant disadvantage. Additionally, the dependent role that workers feel in functional nursing can lead to disempowerment and hinder professional growth and autonomy. Therefore, option A, 'Psychological and sociological needs are emphasized,' is the exception among the advantages of functional nursing.

6. Which of the following is NOT a major component of a healthy blood pressure reading?

• A. Systolic pressure (peak pressure during ventricular contraction).
• B. Diastolic pressure (pressure within arteries during ventricular relaxation).
• C. Pulse pressure (difference between systolic and diastolic pressure).
• D. Blood oxygen saturation While blood oxygen levels are crucial for overall health, they are not directly reflected in a blood pressure reading.

Correct answer: A

Rationale: The correct answer is A. Systolic pressure is a major component of a healthy blood pressure reading as it represents the peak pressure in the arteries during ventricular contraction. Diastolic pressure, representing the pressure in the arteries during ventricular relaxation, is also a key component. Pulse pressure, the difference between systolic and diastolic pressure, provides additional information about the cardiovascular system. Blood oxygen saturation, while important for overall health, is not directly measured in a blood pressure reading. Therefore, it is not a major component of a healthy blood pressure reading.

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