Nursing Elites

1. When a blockage forms in a coronary artery, reducing blood flow to the heart muscle, this condition is called:

• A. Atherosclerosis
• B. Myocardial infarction
• C. Angina pectoris
• D. Heart murmur

Correct answer: C

Rationale: The correct answer is C: "Angina pectoris." Angina pectoris is the condition that occurs when there is a blockage in a coronary artery, leading to reduced blood flow to the heart muscle. This decreased blood flow can cause chest pain or discomfort, typically during physical exertion or stress. Atherosclerosis (option A) is the buildup of plaque in the artery walls, which can lead to blockages. Myocardial infarction (option B) refers to a heart attack, which occurs when there is a complete blockage in a coronary artery resulting in damage to the heart muscle. A heart murmur (option D) is an abnormal sound heard during the heartbeat, not directly related to a blockage in a coronary artery. Therefore, the correct term for a blockage in a coronary artery that reduces blood flow to the heart muscle is angina pectoris.

2. What is the process by which damaged muscle tissue repairs and rebuilds itself?

• A. Degeneration
• B. Regeneration
• C. Hyperplasia
• D. Metaplasia

Correct answer: B

Rationale: The correct answer is B: "Regeneration." Regeneration is the process by which damaged muscle tissue repairs and rebuilds itself by replacing the damaged cells with new, healthy cells. Degeneration refers to the deterioration of tissue, not the repair process. Hyperplasia is the increase in cell number, and metaplasia is the transformation of one cell type into another, neither of which directly relate to the repair process of damaged muscle tissue. Therefore, the most appropriate term for the described process is regeneration.

3. 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.

4. Identify the comprehensive protection for the brain.

• A. Skull
• B. Meninges (Membranes)
• C. Cerebrospinal fluid
• D. All of the above

Correct answer: D

Rationale: Rationale: A) The skull provides a hard, protective covering for the brain, shielding it from external trauma and injury. B) The meninges are three layers of membranes (dura mater, arachnoid mater, and pia mater) that surround the brain and spinal cord, providing additional protection and cushioning. C) Cerebrospinal fluid is a clear, colorless fluid that surrounds the brain and spinal cord, acting as a shock absorber and providing nutrients to the central nervous system. Together, the skull, meninges, and cerebrospinal fluid work in conjunction to provide comprehensive protection for the brain, making option D the correct answer.

5. What is the best way to punctuate the dialogue "Are you coming?" she asked. "Maybe," I replied.

• A. "Are you coming?" she asked? "Maybe," I replied.
• B. "Are you coming?" she asked. "Maybe," I replied.
• C. "Are you coming?" she asked, "Maybe," I replied.
• D. "Are you coming?" she asked, "Maybe," I replied.

Correct answer: B

Rationale: Each speaker's words need quotation marks, and the question mark should go inside the closing quotation mark of the question.

6. Histamine, released during an allergic reaction, causes symptoms like:

• A. Fever and fatigue
• B. Runny nose and itchiness
• C. Muscle aches and joint pain
• D. Cough and shortness of breath

Correct answer: B

Rationale: The correct answer is B: 'Runny nose and itchiness.' Histamine is a chemical released by the body during an allergic reaction. It causes various symptoms such as itching, sneezing, runny nose, and watery eyes. These symptoms are commonly associated with allergic reactions like hay fever or hives. Fever and fatigue (option A) are not directly caused by histamine release. Muscle aches and joint pain (option C) are not typical symptoms of histamine release during an allergic reaction. Cough and shortness of breath (option D) are more commonly associated with asthma or respiratory allergies rather than histamine release.

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