Nursing Elites

1. Which condition is characterized by inflammation of the inner lining of the stomach?

• A. Gastroesophageal reflux disease (GERD)
• B. Diverticulitis
• C. Ulcerative colitis
• D. Gastritis

Correct answer: D

Rationale: The correct answer is D, gastritis. Gastritis refers to the inflammation of the inner lining of the stomach, which can be caused by various factors such as excessive alcohol consumption, prolonged use of NSAIDs, or bacterial infections like H. pylori. Gastroesophageal reflux disease (GERD) is characterized by the backflow of stomach acid into the esophagus, not inflammation of the stomach lining. Diverticulitis is inflammation of small pouches that can develop in the colon, while ulcerative colitis is inflammation in the large intestine. Therefore, gastritis best fits the description of inflammation in the inner lining of the stomach.

2. She checks the documentary requirements for the applicants for staff nurse position. Which

• A. Certificate of previous employment
• B. Record of related learning experience (RLE)
• C. Membership to accredited professional organization
• D. Professional identification card

Correct answer: C

Rationale: The correct answer is C: 'Membership to accredited professional organization.' When hiring staff nurses, verifying their membership to an accredited professional organization is crucial as it ensures that the applicant is recognized and affiliated with a reputable body in the nursing field. This membership signifies adherence to professional standards and ongoing education and development. While the other options are important in assessing a candidate's qualifications, membership to an accredited professional organization directly relates to the professional standing and commitment to the nursing profession, making it a key documentary requirement for the staff nurse position.

3. The feedback loop is a crucial concept in endocrine regulation. In a negative feedback loop, high levels of a hormone can:

• A. Further stimulate the release of the same hormone
• B. Inhibit the release of the hormone or its production
• C. Have no effect on the hormone's regulation
• D. Increase the need for another hormone entirely

Correct answer: B

Rationale: In a negative feedback loop, high levels of a hormone signal the body to stop producing more of that hormone in order to maintain homeostasis. This is a self-regulating mechanism to prevent excessive levels of the hormone. Option B is correct because in this scenario, the high levels of the hormone will inhibit its further release or production. This feedback loop helps ensure that hormone levels stay within a narrow range, preventing overstimulation or imbalance in the endocrine system. Options A, C, and D are incorrect as they do not align with the concept of negative feedback regulation in endocrine systems.

4. What is the function of ribosomes?

• A. Packaging and transporting proteins
• B. Storing genetic material
• C. Controlling cell division
• D. Synthesizing proteins

Correct answer: D

Rationale: The correct answer is D: 'Synthesizing proteins.' Ribosomes are the cellular organelles responsible for protein synthesis. They read the mRNA and assemble amino acids into proteins according to the genetic information encoded in the mRNA. This process is crucial for building and maintaining cellular structures, enzymes, and various other proteins essential for the functioning of the cell. Options A, B, and C do not accurately describe the primary function of ribosomes, making them incorrect choices for this question.

5. The innate immune system provides a non-specific first line of defense. What are some physical barriers that contribute to the innate immune system?

• A. Antibodies
• B. Phagocytes
• C. Skin and mucous membranes
• D. Memory B cells

Correct answer: C

Rationale: The correct answer is C: "Skin and mucous membranes." The innate immune system consists of physical barriers, such as the skin and mucous membranes, that act as the first line of defense against pathogens. These barriers prevent pathogens from entering the body and play a crucial role in protecting against infections. Antibodies (option A) are part of the adaptive immune response, not the innate immune system. Phagocytes (option B) are cells that engulf and destroy pathogens, which are part of the innate immune system. Memory B cells (option D) are specific to the adaptive immune response and are not considered part of the innate immunity that provides the initial, non-specific defense.

6. Antidiuretic hormone (ADH) helps the kidneys regulate:

• A. Acid-base balance
• B. Blood pressure
• C. Urine output by controlling water reabsorption
• D. All of the above

Correct answer: C

Rationale: The correct answer is C: 'Urine output by controlling water reabsorption.' Antidiuretic hormone (ADH) is released by the pituitary gland and acts on the kidneys to regulate water reabsorption. When ADH levels are high, the kidneys reabsorb more water, leading to concentrated urine and decreased urine output. This helps maintain the body's water balance and prevent dehydration. While ADH indirectly influences blood pressure by regulating blood volume, its primary function is to control water balance, not acid-base balance. Therefore, the correct answer is C.

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