Nursing Elites

1. 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.

2. What is the name of the monthly cycle in females that prepares the body for potential pregnancy?

• A. Ovulation cycle
• B. Menstrual cycle
• C. Implantation cycle
• D. Gestation cycle

Correct answer: B

Rationale: The correct answer is B: Menstrual cycle. The menstrual cycle is the monthly process in females where the lining of the uterus thickens in preparation for a potential pregnancy. If pregnancy does not occur, the lining sheds, resulting in menstruation. Ovulation is a key event within the menstrual cycle where an egg is released from the ovary, typically around the midpoint of the cycle. Implantation refers to the attachment of a fertilized egg to the uterus, which occurs after ovulation and fertilization. Gestation cycle refers to the period of pregnancy from conception to birth. Therefore, the menstrual cycle best describes the monthly process that prepares the body for potential pregnancy.

3. Which of the following statements is NOT true about performance appraisal?

• A. Informing the staff about the specific impressions of their work help improve their
• B. A verbal appraisal is an acceptable substitute for a written report
• C. Patients are the best source of information regarding personnel appraisal.
• D. The outcome of performance appraisal rests primarily with the staff.

Correct answer: A

Rationale: Option A is the correct answer because informing staff about specific impressions of their work can be subjective and may not always lead to improvement. Performance appraisal should be based on objective criteria and feedback. Verbal appraisals can lack documentation and clarity, making a written report a more reliable form of evaluation. Patients may provide valuable input on staff interactions, but they may not have the full context to assess job performance comprehensively. The outcome of performance appraisal should involve both the staff and the appraiser, as it is a collaborative process to identify strengths and areas for development.

4. The word "obscurity" can be replaced with which of the following without changing the meaning?

• A. Prominence
• B. Seclusion
• C. Destruction
• D. Transformation

Correct answer: B

Rationale: Both "obscurity" and "seclusion" imply being hidden or unknown. Prominence, destruction, and transformation do not convey the same meaning.

5. Certain medications can suppress the immune system to treat autoimmune diseases or prevent organ rejection after transplants. What is a potential risk associated with immunosuppressive drugs?

• A. Increased risk of developing allergies
• B. Increased susceptibility to infections
• C. Both a and b
• D. Neither a nor b

Correct answer: C

Rationale: The correct answer is C: 'Both a and b.' Immunocompromised individuals, who take immunosuppressive drugs, are at an increased risk of developing allergies due to the altered immune response. Additionally, these drugs suppress the immune system's ability to fight off infections, making individuals more susceptible to various pathogens. Therefore, both increased risk of developing allergies and increased susceptibility to infections are potential risks associated with immunosuppressive drugs, making option C the correct choice.

6. What is the process of converting ammonia, a byproduct of protein digestion, into a less toxic form?

• A. Deamination
• B. Transamination
• C. Decarboxylation
• D. Hydrolysis

Correct answer: A

Rationale: Rationale: Deamination is the process of removing an amino group from a molecule, such as converting ammonia (NH3) into a less toxic form like urea. Ammonia is a byproduct of protein digestion and needs to be converted into a less toxic form to be excreted from the body. Deamination is a key step in this process, which occurs mainly in the liver through the urea cycle. Transamination involves the transfer of an amino group from one molecule to another, not the removal of an amino group as in deamination. Decarboxylation is the removal of a carboxyl group from a molecule, and hydrolysis is the breakdown of a compound by adding water.

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