Nursing Elites

1. A keystone species plays a critical role in an ecosystem because its removal would:

• A. Lead to a decrease in competition among other species
• B. Cause a slight increase in primary productivity
• C. Have a minimal impact on the overall ecosystem structure
• D. Disrupt the food web and cause cascading effects on other populations

Correct answer: D

Rationale: Rationale: Keystone species are species that have a disproportionately large effect on their environment relative to their abundance. They play a critical role in maintaining the structure and function of an ecosystem. If a keystone species is removed from an ecosystem, it can disrupt the food web by causing imbalances in predator-prey relationships. This disruption can lead to cascading effects on other populations within the ecosystem, potentially causing population declines or even extinctions. Therefore, the removal of a keystone species would have significant impacts on the overall ecosystem structure, making option D the correct answer.

2. Which hormone primarily triggers ovulation in the female menstrual cycle?

• A. Estrogen
• B. Progesterone
• C. Luteinizing hormone (LH)
• D. Follicle-stimulating hormone (FSH)

Correct answer: C

Rationale: The correct answer is C: Luteinizing hormone (LH). LH is the hormone responsible for triggering ovulation in the female menstrual cycle. During the menstrual cycle, LH surge occurs around day 14, which stimulates the release of a mature egg from the ovary. This surge in LH is crucial for the rupture of the mature follicle and the release of the egg, marking the onset of ovulation. Estrogen and progesterone play important roles in regulating the menstrual cycle, but LH specifically triggers ovulation by signaling the release of the egg from the ovary.

3. Ms. Valencia prepares the process standards. Which of the following is NOT a process

• A. Initial assessment shall be done to all patients within twenty four hours upon admission.
• B. Informed consent shall be secured prior to any invasive procedure
• C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
• D. Patient education about their illness and treatment shall be provided for all patients and their

Correct answer: D

Rationale: In this question, Ms. Valencia is tasked with preparing process standards, which are systematic procedures or steps followed to ensure quality care. Options A, B, and C all refer to specific processes that are essential in healthcare: timely assessment, obtaining informed consent, and assessing patient satisfaction. However, option D about providing patient education is more focused on an outcome (patient education) rather than a specific process standard. While patient education is important, the question is asking for a process standard, making option D the correct answer as it does not directly relate to a specific process standard.

4. Which of the following is NOT a route of transmission for a sexually transmitted infection (STI)?

• A. Unprotected sexual contact
• B. Sharing contaminated needles
• C. Deep kissing
• D. Mother to child during childbirth

Correct answer: C

Rationale: Rationale: A) Unprotected sexual contact is a common route of transmission for sexually transmitted infections (STIs) as many STIs are spread through genital, anal, or oral sex without the use of barrier protection such as condoms. B) Sharing contaminated needles can also transmit STIs such as HIV and hepatitis B and C, especially among individuals who inject drugs. C) Deep kissing, while it can transmit certain infections like herpes simplex virus (HSV-1) or cytomegalovirus (CMV), is not a common route of transmission for most STIs. D) Mother to child transmission during childbirth can occur with certain STIs such as HIV, syphilis, and herpes, where the infection can be passed from the mother to the baby during delivery. Therefore, deep kissing (option C) is the correct answer as it is not a typical route of transmission for most STIs.

5. What does the term "dilution" refer to in a solution?

• A. Adding more solvent to decrease concentration
• B. Adding more solute to increase concentration
• C. Reducing the temperature to increase solubility
• D. Increasing pressure to increase solubility

Correct answer: A

Rationale: Dilution involves adding more solvent to a solution to decrease the concentration of solute. The other choices do not accurately describe dilution

6. The moon-shaped white structures at the base of fingernails are called:

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A, "Lunulae." The moon-shaped white structures at the base of fingernails are called lunulae. These are most visible on the thumb and are the visible part of the nail matrix. The lunulae appear white because the nail matrix underneath is not visible due to its thickness. Cuticle (B) refers to the thin layer of skin at the base of the nail, hyponychium (C) is the skin located under the free edge of the nail, and matrix (D) is the tissue at the base of the nail where growth occurs. Therefore, the correct term for the moon-shaped white structures is lunulae.

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