Nursing Elites

1. In the reaction 2H2 + O2 → 2H2O, how many moles of oxygen are required to react completely with 4 moles of hydrogen?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: 2

Rationale: The balanced equation indicates a 1:1 ratio between H2 and O2, so 4 moles of H2 require 4 moles of O2, and 2 moles of H2 require 2 moles of O2.

2. Osteoporosis is a condition leading to weakened bones and increased risk of fractures. Which hormone plays a key role in bone health and is often affected in osteoporosis?

• A. Estrogen
• B. Testosterone
• C. Thyroid hormone
• D. Insulin

Correct answer: A

Rationale: Estrogen plays a crucial role in bone health by promoting the activity of bone-forming cells and inhibiting bone breakdown. In women, estrogen levels decrease significantly during menopause, leading to a higher risk of osteoporosis. This hormone helps maintain bone density and strength, making it essential for preventing bone loss and fractures. Testosterone, while important for overall health, does not have as significant of an impact on bone health as estrogen does. Thyroid hormone and insulin also have roles in the body, but they are not as directly linked to bone health as estrogen. Therefore, the correct answer is A: Estrogen.

3. Frequent, painful urination is a common symptom of:

• A. Diabetes
• B. Urinary tract infection (UTI)
• C. Kidney stones
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Frequent, painful urination can be a symptom of various conditions affecting the urinary system. In diabetes, high blood sugar levels can lead to increased urine production. UTIs often cause painful urination due to the infection in the urinary tract. Kidney stones can also result in frequent and painful urination as they obstruct the flow of urine. Therefore, all three options can present with the common symptom of frequent, painful urination, making 'All of the above' the correct choice.

4. What is the outermost layer of the dermis, rich in collagen and elastin fibers that provide elasticity to the skin?

• A. Papillary layer
• B. Reticular layer
• C. Stratum basale
• D. Stratum corneum

Correct answer: A

Rationale: The correct answer is A: Papillary layer. The papillary layer is the outermost layer of the dermis and is rich in collagen and elastin fibers. These fibers provide elasticity to the skin, helping it maintain its structure and flexibility. The reticular layer, although deeper in the dermis, is not the outermost layer and is primarily responsible for providing strength and support to the skin. The stratum basale and stratum corneum are layers of the epidermis, not the dermis. The stratum basale is the deepest layer of the epidermis where new skin cells are formed, while the stratum corneum is the outermost layer of the epidermis composed of dead skin cells. Understanding the different layers of the skin is essential for comprehending its functions and properties.

5. Sunscreen protects the skin from harmful ultraviolet (UV) rays by

• A. Reflecting UV rays away from the skin
• B. Absorbing UV rays and converting them to heat
• C. Blocking UV rays completely
• D. Stimulating melanin production

Correct answer: B

Rationale: The correct answer is B: Absorbing UV rays and converting them to heat. Sunscreen contains ingredients that act as filters to absorb UV radiation before it reaches the skin. These filters then convert the UV rays into a less harmful form of energy, usually heat, which is then released from the body. This process helps prevent UV radiation from damaging the skin cells and causing sunburn or long-term skin damage. Reflecting UV rays away from the skin (A) and blocking UV rays completely (C) are not accurate functions of sunscreen. Additionally, stimulating melanin production (D) is not a direct way in which sunscreen protects the skin from UV rays.

6. Kathleen knows that one of her staff is experiencing burnout. Which of the following is the

• A. Advise her staff to go on vacation.
• B. Ignore her observations; it will be resolved even without intervention
• C. Remind her to show loyalty to the institution.
• D. Let the staff ventilate her feelings and ask how she can be of help.

Correct answer: C

Rationale: The correct answer is C: 'Remind her to show loyalty to the institution.' When an employee is experiencing burnout, it is important for the supervisor to address the issue with compassion and support. Reminding the staff member to show loyalty to the institution can help them feel valued and appreciated, which can contribute to their overall well-being. This response emphasizes the importance of fostering a positive work environment and promoting a sense of belonging. Options A and B do not address the root cause of burnout and may not effectively support the staff member. Option D, while encouraging communication, does not address the loyalty aspect which can be crucial in improving morale and reducing burnout.

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