Nursing Elites

1. The formula for calculating heart rate is HR = (220 - age) * 0.65. If a patient's heart rate is 136.5, what is their age?

• A. 30
• B. 40
• C. 50
• D. 60

Correct answer: B

Rationale: Rearrange the formula to solve for age: age = 220 - (HR / 0.65). Substitute the heart rate (136.5) to get 40 years old.

2. The liver plays a vital role in digestion. What is one of the main functions of the liver in the digestive system?

• A. Physical breakdown of food
• B. Production of digestive enzymes
• C. Storage and processing of nutrients
• D. Elimination of waste products

Correct answer: C

Rationale: The correct answer is C: 'Storage and processing of nutrients.' The liver is a crucial organ in the digestive system as it performs various functions such as storing nutrients like glucose, vitamins, and minerals, processing nutrients by converting them into usable forms for the body, and regulating their distribution to different parts of the body. While the physical breakdown of food primarily occurs in the mouth and stomach, and the production of digestive enzymes mainly happens in the pancreas and small intestine, the liver's main role is to manage and store the nutrients obtained from the digested food. Therefore, option C is the correct choice for the main function of the liver in the digestive process.

3. Which organ plays a significant role in immune cell production and maturation?

• A. Liver
• B. Kidneys
• C. Bone marrow
• D. Spleen

Correct answer: C

Rationale: The correct answer is C: Bone marrow. The bone marrow is the primary site for the production and maturation of immune cells, including white blood cells, which are crucial for the body's immune response. Stem cells in the bone marrow differentiate into various types of immune cells, such as T cells, B cells, and natural killer cells, which play essential roles in fighting infections and diseases. While the liver and kidneys have other important functions in the body, such as filtering toxins and metabolizing substances, they are not directly involved in immune cell production and maturation. The spleen acts as a reservoir for blood and is involved in filtering blood and storing red blood cells but is not the primary site for immune cell production.

4. Julius orients his staff on the patterns of reporting relationship throughout the organization.

• A. Span of control
• B. Hierarchy
• C. Esprit d’ corps
• D. Unity of direction

Correct answer: B

Rationale: The correct answer is B: Hierarchy. Hierarchy refers to the structure of authority and responsibility within an organization, including the levels of management and the reporting relationships. In this scenario, Julius is orienting his staff on the patterns of reporting relationships, which is a key aspect of hierarchy. Span of control refers to the number of employees a manager can effectively supervise, esprit de corps pertains to team spirit and unity among employees, and unity of direction relates to ensuring all activities are focused on the same objectives. Therefore, the most appropriate term for Julius's action is hierarchy.

5. Which sentence uses comma splices incorrectly?

• A. The baker kneaded the dough, flour dusted her apron, and the oven warmed up.
• B. The mountains, shrouded in mist, seemed to disappear into the clouds.
• C. He arrived late, having forgotten his keys, and the meeting had already started.
• D. The movie, despite its flaws, was surprisingly enjoyable.

Correct answer: C

Rationale: Option (c) incorrectly combines two independent clauses with only a comma. A semicolon or conjunction is needed

6. The spleen, an organ associated with the lymphatic system, plays a crucial role in:

• A. Regulating blood sugar levels
• B. Filtering blood and destroying old red blood cells
• C. Producing digestive enzymes
• D. Secreting hormones

Correct answer: B

Rationale: The correct answer is B: 'Filtering blood and destroying old red blood cells.' The spleen is part of the lymphatic system and acts as a blood filter, removing old or damaged red blood cells and helping to fight infections. It does not play a role in regulating blood sugar levels (A), producing digestive enzymes (C), or secreting hormones (D). Understanding the function of the spleen in filtering blood and removing old red blood cells is crucial for grasping its role in maintaining overall health and immunity.

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