Nursing Elites

1. During a healthy heartbeat, the P wave on an ECG represents

• A. The repolarization of the ventricles.
• B. The electrical conduction through the AV node.
• C. The contraction phase of the ventricles (systole)
• D. The depolarization of the atria.

Correct answer: D

Rationale: The correct answer is D: The P wave on an ECG represents the depolarization of the atria. During a healthy heartbeat, the P wave is the first positive deflection seen on the ECG and reflects the initiation of the electrical impulse in the atria, leading to atrial contraction. It is followed by the QRS complex, which represents the depolarization of the ventricles. Options A, B, and C are incorrect because the P wave specifically corresponds to atrial depolarization, not repolarization of the ventricles, electrical conduction through the AV node, or ventricular contraction. Understanding the sequence of electrical events in the heart as represented on an ECG is crucial for interpreting cardiac function and identifying potential abnormalities.

2. A new material is claimed to be stronger than steel. You design an experiment to test this claim. What is the MOST important control variable?

• A. The size of the material samples.
• B. The temperature at which the test is conducted.
• C. The force applied to the material.
• D. The color of the material.

Correct answer: A

Rationale: The size of the material samples is the most important control variable because it ensures that the comparison between the new material and steel is fair and accurate. By keeping the size consistent, any differences in strength can be attributed to the material composition rather than variations in sample size. Controlling for size helps eliminate confounding variables and increases the reliability of the experiment results. Temperature, force applied, and color are not as critical for directly testing the strength comparison between the new material and steel.

3. Which sentence avoids a comma splice?

• A. The wind howled, the branches swayed, and rain lashed against the windows.
• B. He packed his bags, he checked the weather forecast, and then hit the road.
• C. The movie was entertaining, it was also thought-provoking.
• D. Tired and hungry, she stopped for a quick bite at the cafe.

Correct answer: C

Rationale: Option C uses a semicolon to separate two independent clauses, avoiding a comma splice.

4. As a manager, she focuses her energy on both the quality of services rendered to the patients

• A. Country club management
• B. Organization man management
• C. Team management
• D. Authority-obedience management

Correct answer: B

Rationale: The correct answer is 'B: Organization man management.' This type of management focuses on maintaining the efficiency and structure of an organization. In this scenario, the manager's emphasis on the quality of services aligns with the principles of organization man management, which prioritizes the coordination of tasks and resources to achieve optimal results within the organization. This contrasts with 'Country club management,' which emphasizes employee satisfaction over task accomplishment; 'Team management,' which focuses on collaboration and teamwork; and 'Authority-obedience management,' which centers on strict hierarchical control. Therefore, the most appropriate choice is 'B: Organization man management.'

5. A medication order is for 250 micrograms of a drug to be administered subcutaneously. The available syringe measures in milliliters. How many milliliters should the nurse draw up?

• A. 0.00025 milliliters
• B. 0.0025 milliliters
• C. 0.025 milliliters
• D. 0.25 milliliters

Correct answer: B

Rationale: First convert micrograms to milliliters, knowing 1000 micrograms equal 1 milliliter. Divide the desired dosage (250 micrograms) by the conversion factor (1000 micrograms/milliliter) to find the volume needed: 250 micrograms / 1000 micrograms/milliliter = 0.00025 milliliters. However, drawing such a small volume might be inaccurate, so round to the nearest practical measurement, which is 0.0025 milliliters.

6. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: The correct answer is A: Schwann cells. Schwann cells are a type of glial cell in the peripheral nervous system that produce the myelin sheath around axons. Myelin sheath is essential for the rapid conduction of nerve impulses and provides insulation and protection to nerve fibers. Astrocytes are glial cells that provide support and maintain homeostasis in the central nervous system, but they do not produce myelin. Neurons are the main functional units of the nervous system responsible for transmitting nerve impulses. Oligodendrocytes are another type of glial cell in the central nervous system that produce myelin sheath around axons in that region, not in the peripheral nervous system where Schwann cells are responsible for myelination.

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