Nursing Elites

1. Which of the following is NOT a risk factor for developing atherosclerosis?

• A. High blood pressure
• B. High levels of LDL cholesterol
• C. Regular physical activity
• D. Smoking

Correct answer: C

Rationale: Regular physical activity is NOT a risk factor for developing atherosclerosis. In fact, engaging in regular physical activity can help reduce the risk of developing atherosclerosis by improving cardiovascular health, lowering blood pressure, and reducing LDL cholesterol levels. High blood pressure, high levels of LDL cholesterol, and smoking are all known risk factors for atherosclerosis. High blood pressure can damage blood vessels, making them more susceptible to plaque buildup. High levels of LDL cholesterol can lead to the accumulation of plaque in the arteries, narrowing the passageways and increasing the risk of atherosclerosis. Smoking is harmful to blood vessels, promoting inflammation and the formation of plaque. Therefore, regular physical activity is actually a protective factor against atherosclerosis rather than a risk factor.

2. The part of the brain responsible for balance and coordination is the:

• A. Cerebellum
• B. Cerebrum
• C. Hypothalamus
• D. Thalamus

Correct answer: A

Rationale: The correct answer is A: Cerebellum. The cerebellum is the part of the brain responsible for balance and coordination. It receives information from the sensory systems, spinal cord, and other parts of the brain to coordinate voluntary movements such as posture, balance, and speech. The cerebrum (option B) is responsible for higher brain functions such as thinking and decision-making. The hypothalamus (option C) is involved in regulating basic biological needs such as hunger and thirst. The thalamus (option D) acts as a relay station for sensory information. Therefore, the cerebellum is the specific part of the brain that plays a crucial role in maintaining balance and coordination.

3. The human immunodeficiency virus (HIV) targets and destroys which type of immune cell?

• A. Neutrophils
• B. Macrophages
• C. Helper T cells
• D. Memory B cells

Correct answer: A

Rationale: The correct answer is C: Helper T cells. HIV targets and destroys Helper T cells, which are a crucial component of the immune system responsible for coordinating the immune response. Neutrophils and macrophages are also important immune cells, but they are not the primary target of HIV. Memory B cells are responsible for mounting a rapid response upon re-exposure to a pathogen but are not the main target of HIV. Thus, HIV primarily affects Helper T cells, leading to the weakening of the immune system and the development of acquired immunodeficiency syndrome (AIDS).

4. Which part of the brain is responsible for regulating heart rate, breathing, and swallowing?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Thalamus

Correct answer: C

Rationale: The correct answer is C: Medulla oblongata. The medulla oblongata is located at the base of the brainstem and is responsible for regulating essential functions such as heart rate, breathing, and swallowing. It contains vital control centers for these automatic processes, making it a critical part of the brain for maintaining life. The cerebrum is primarily involved in higher brain functions such as thinking and voluntary movement, while the cerebellum helps with coordination and balance. The thalamus acts as a relay station for sensory information. Therefore, the medulla oblongata is the most appropriate choice for regulating these basic physiological functions.

5. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

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

Correct answer: D

Rationale: The correct answer is D: Trypsin. Trypsin is an enzyme produced by the pancreas and secreted into the small intestine where it plays a key role in breaking down proteins into smaller peptides and amino acids. Pepsin is produced in the stomach and specifically acts on protein, not in the small intestine. Lipase is an enzyme that breaks down fats, not proteins. Amylase is an enzyme that breaks down carbohydrates, not proteins. Therefore, Trypsin is the enzyme responsible for breaking down proteins into amino acids in the small intestine.

6. The following are basic steps in the controlling process of the department. Which of the

• A. Measure actual performance
• B. Set nursing standards and criteria
• C. Compare results of performance to standards and objectives
• D. Identify possible courses of action

Correct answer: A

Rationale: The correct answer is A: 'Measure actual performance.' In the controlling process of a department, measuring actual performance is a crucial step to assess how well the department is performing compared to set standards and objectives. By measuring actual performance, managers can identify any deviations from the established criteria and take necessary corrective actions. Setting nursing standards and criteria (option B) is typically done before the controlling process begins, to provide a benchmark for measuring performance. Comparing results of performance to standards and objectives (option C) is done after measuring actual performance. Identifying possible courses of action (option D) is part of the corrective action phase that follows measuring actual performance. Therefore, option A is the most appropriate step in the controlling process of a department.

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