Nursing Elites

1. The gradual loss of topsoil due to wind or water erosion is called:

• A. Desertification
• B. Leaching
• C. Salinization
• D. Acidification

Correct answer: A

Rationale: Rationale: A) Desertification refers to the process by which fertile land becomes desert, typically as a result of drought, deforestation, or inappropriate agriculture practices. The gradual loss of topsoil due to wind or water erosion can lead to the degradation of land and contribute to desertification. B) Leaching is the process by which minerals are washed out of the soil by water moving downwards through it. C) Salinization occurs when salt accumulates in the soil, usually as a result of irrigation in arid regions. D) Acidification refers to the decrease in soil pH, often caused by acid rain or the use of acidic fertilizers.

2. 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.

3. The energy released during a chemical reaction is called:

• A. Kinetic energy
• B. Potential energy
• C. Heat energy
• D. Exothermic energy

Correct answer: D

Rationale: Exothermic means "outward heat," indicating energy is released during the reaction.

4. The phenomenon responsible for the creation of rainbows is:

• A. Reflection only
• B. Diffraction
• C. Refraction and reflection
• D. Polarization

Correct answer: C

Rationale: The correct answer is C: Refraction and reflection. Rainbows are formed when sunlight is refracted and reflected inside raindrops. The sunlight entering the raindrop is refracted, then internally reflected off the back surface of the droplet, and finally refracted again as it exits the droplet. This dispersion of light causes the separation of colors we see in a rainbow. Reflection alone (option A) does not account for the formation of rainbows. Diffraction (option B) is the bending of light around obstacles, not the main mechanism behind rainbows. Polarization (option D) refers to the orientation of light waves, which is not the primary process involved in creating rainbows.

5. What scientific term encompasses a permanent alteration in the DNA sequence?

• A. Trait
• B. Mutation
• C. Allele
• D. Variation

Correct answer: B

Rationale: Rationale: A) Trait: A trait is a characteristic or feature of an organism that is determined by its genes. B) Mutation: A mutation is a permanent alteration in the DNA sequence that can result from errors during DNA replication, exposure to mutagens, or other factors. C) Allele: An allele is a variant form of a gene that can result in different traits or characteristics. D) Variation: Variation refers to the differences in traits or characteristics among individuals of the same species, which can be influenced by genetic and environmental factors. In this context, the term that specifically refers to a permanent alteration in the DNA sequence is "mutation."

6. A medication order is for 250 micrograms of a drug to be administered subcutaneously. The available syringe measures in milliliters. How many milliliters should the nurse draw up?

• A. 0.00025 milliliters
• B. 0.0025 milliliters
• C. 0.025 milliliters
• D. 0.25 milliliters

Correct answer: B

Rationale: First convert micrograms to milliliters, knowing 1000 micrograms equal 1 milliliter. Divide the desired dosage (250 micrograms) by the conversion factor (1000 micrograms/milliliter) to find the volume needed: 250 micrograms / 1000 micrograms/milliliter = 0.00025 milliliters. However, drawing such a small volume might be inaccurate, so round to the nearest practical measurement, which is 0.0025 milliliters.

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