Nursing Elites

1. Which vitamin requires intrinsic factor from the stomach for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: The correct answer is D, Vitamin B12. Vitamin B12 requires intrinsic factor, a glycoprotein produced by the parietal cells in the stomach, for proper absorption in the small intestine. Intrinsic factor binds to B12 and facilitates its absorption in the ileum. Without intrinsic factor, the body cannot effectively absorb Vitamin B12, leading to deficiencies and various health issues. Vitamins A, C, and D do not require intrinsic factor for absorption and have different mechanisms for uptake and utilization within the body.

2. Which structure surrounds individual muscle fibers, providing support and aiding in the transmission of force generated during muscle contraction?

• A. Tendon
• B. Endomysium
• C. Perimysium
• D. Epimysium

Correct answer: b

Rationale: The correct answer is B: Endomysium. Endomysium is the connective tissue layer that surrounds individual muscle fibers within a muscle. It plays a crucial role in supporting the muscle fibers and aiding in the transmission of force generated during muscle contraction. Tendons (option A) connect muscle to bone and do not surround individual muscle fibers. Perimysium (option C) surrounds bundles of muscle fibers, while epimysium (option D) envelops the entire muscle. Therefore, endomysium is specifically responsible for surrounding and supporting individual muscle fibers, making it the most fitting answer.

3. Ms. Valencia develops the standards to be followed. Among the following standards, which is

• A. The patients verbalized satisfaction of the nursing care received
• B. Rotation of duty will be done every four weeks for all patient care personnel.
• C. All patients shall have their weights taken recorded
• D. Patients shall answer the evaluation form before discharge

Correct answer: C

Rationale: The correct answer is C because it is a clear and specific standard that can be easily measured and monitored. Weight recording is a fundamental aspect of patient care and is essential for tracking changes in health status. Verbalized satisfaction (option A) is subjective and may not be consistently measurable. Rotation of duty (option B) is important but may not be a standard developed by a nurse manager. Answering an evaluation form before discharge (option D) is important but may not be a standard created by Ms. Valencia for all patients.

4. She takes pride in saying that the hospital has a decentralized structure. Which of the

• A. Flat organization
• B. Participatory approach
• C. Shared governance
• D. Tall organization

Correct answer: B

Rationale: The correct answer is B: 'Participatory approach.' In a decentralized structure, decision-making authority is dispersed throughout the organization rather than being concentrated at the top. A participatory approach involves employees at all levels having a say in decisions that affect their work, fostering collaboration and empowerment. This contrasts with a tall organization, which has many layers of management and a more centralized decision-making process. While shared governance can involve decentralized decision-making, it specifically refers to a model where nurses and other healthcare professionals have a voice in shaping policies and practices within their organization, which is not necessarily the same as a decentralized structure.

5. How did life most likely arise on Earth?

• A. From simple organic molecules in a primordial soup
• B. By spontaneous generation from non-living matter
• C. Through the arrival of extraterrestrial life forms
• D. We still don't know for sure

Correct answer: A

Rationale: Rationale: The most widely accepted scientific theory for the origin of life on Earth is abiogenesis, which suggests that life arose from simple organic molecules in a primordial soup. This theory is supported by experiments such as the Miller-Urey experiment, which demonstrated that the basic building blocks of life could have formed under early Earth conditions. While there are other hypotheses and ongoing research in this field, the primordial soup theory is currently the most plausible explanation for the origin of life on Earth. The other options (B, C, and D) are not supported by scientific evidence or consensus.

6. What property of a substance remains constant regardless of changes in its location in the universe?

• A. Mass
• B. Weight
• C. Density
• D. Volume

Correct answer: a

Rationale: Mass is an intrinsic property of matter and remains constant regardless of its location.

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