Nursing Elites

1. The hormone responsible for the "fight-or-flight" response in stressful situations is produced by the:

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pancreas

Correct answer: C

Rationale: The correct answer is C: Adrenal gland. The adrenal gland is responsible for producing the hormone known as adrenaline, which triggers the 'fight-or-flight' response in stressful situations. This response prepares the body to either confront the stressor or flee from it. The thyroid gland (A) is responsible for producing hormones that regulate metabolism, growth, and development. The pituitary gland (B) controls several other endocrine glands and produces a variety of hormones. The pancreas (D) is responsible for producing insulin and glucagon, which regulate blood sugar levels but are not directly involved in the 'fight-or-flight' response.

2. In the reaction 2H2 + O2 → 2H2O, how many moles of oxygen are required to react completely with 4 moles of hydrogen?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: 2

Rationale: The balanced equation indicates a 1:1 ratio between H2 and O2, so 4 moles of H2 require 4 moles of O2, and 2 moles of H2 require 2 moles of O2.

3. You need to fill a rectangular swimming pool with dimensions 10 meters by 5 meters and a depth of 2 meters. How many cubic meters of water does it take to fill the pool?

• A. 50 cu m
• B. 100 cu m
• C. 150 cu m
• D. 200 cu m

Correct answer: C

Rationale: Simply multiply the pool's dimensions to find its volume.

4. Which of the following guidelines should be least considered in formulating objectives for

• A. Written nursing care plan
• B. Holistic approach
• C. Prescribed standards
• D. Staff preferences

Correct answer: D

Rationale: When formulating objectives for a written nursing care plan, staff preferences should be least considered. Objectives should be based on patient needs, evidence-based practice, and professional standards rather than personal preferences of the staff. Prescribed standards ensure quality care and adherence to best practices. A holistic approach considers the whole patient, including physical, emotional, and spiritual aspects. Staff preferences may introduce bias and should not dictate patient care objectives.

5. The involuntary "fight-or-flight" response is controlled by the:

• A. Sympathetic nervous system
• B. Parasympathetic nervous system
• C. Enteric nervous system
• D. Sensory nervous system

Correct answer: A

Rationale: The correct answer is A: Sympathetic nervous system. The "fight-or-flight" response is an automatic physiological reaction triggered by the sympathetic nervous system in response to a perceived threat or stressor. This system prepares the body for action by increasing heart rate, dilating pupils, and redirecting blood flow to muscles. The parasympathetic nervous system, on the other hand, controls the body's "rest-and-digest" response, promoting relaxation and digestion. The enteric nervous system primarily regulates the gastrointestinal system, while the sensory nervous system is responsible for transmitting sensory information to the brain. Therefore, the sympathetic nervous system is specifically responsible for initiating the fight-or-flight response.

6. 12 is a/an:

• A. even number
• B. odd number
• C. prime number
• D. composite number

Correct answer: A

Rationale: Even numbers are integers divisible by 2 without a remainder. Since 12 divided by 2 equals 6 with no remainder, 12 is even.

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