Nursing Elites

1. What is the difference between a germline mutation and a somatic mutation?

• A. Germline mutations are passed to offspring, while somatic mutations are not.
• B. Germline mutations occur in reproductive cells, while somatic mutations occur in body cells.
• C. Germline mutations only affect genes, while somatic mutations can affect any DNA.
• D. Germline mutations are always beneficial, while somatic mutations are always harmful.

Correct answer: B

Rationale: Rationale: - Germline mutations are changes in the DNA of reproductive cells (sperm or egg cells) and can be passed on to offspring, affecting all cells in the resulting organism. - Somatic mutations are changes in the DNA of non-reproductive cells (body cells) and are not passed on to offspring. These mutations only affect the cells that arise from the mutated cell. - Option A is incorrect because somatic mutations are not passed to offspring. - Option C is incorrect because both germline and somatic mutations can affect any DNA. - Option D is incorrect because the effects of mutations, whether germline or somatic, can be beneficial, harmful, or have no significant impact.

2. 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.

3. A group of antibiotics that target the cell wall of bacteria are classified as:

• A. Penicillins
• B. Tetracyclines
• C. Macrolides
• D. Fluoroquinolones

Correct answer: A

Rationale: Rationale: Penicillins are a group of antibiotics that target the cell wall of bacteria by inhibiting the synthesis of peptidoglycan, a key component of the bacterial cell wall. By interfering with cell wall synthesis, penicillins weaken the cell wall, leading to bacterial cell lysis and death. This mechanism of action makes penicillins effective against a wide range of bacteria, particularly Gram-positive bacteria. Tetracyclines (B), Macrolides (C), and Fluoroquinolones (D) have different mechanisms of action and do not specifically target the bacterial cell wall. Tetracyclines inhibit protein synthesis, Macrolides interfere with bacterial ribosomes, and Fluoroquinolones target bacterial DNA gyrase and topoisomerase IV.

4. Which phase of the employment process includes getting on the payroll and completing

• A. Orientation
• B. Induction
• C. Selection
• D. Recruitment

Correct answer: D

Rationale: The correct answer is D: Recruitment. Recruitment is the phase of the employment process where organizations actively seek out and attract potential candidates for job openings. This involves advertising the position, sourcing candidates, and conducting initial screenings. Once the recruitment process is complete and a candidate has been selected, they move on to the selection phase. Orientation, on the other hand, occurs after a candidate has been hired and involves familiarizing the new employee with the organization, its policies, and their role. Induction is often used interchangeably with orientation and refers to the process of integrating a new employee into the organization. Therefore, in this context, recruitment is the most appropriate phase that involves getting on the payroll and completing the initial steps to bring a new employee on board.

5. Deuterium, a stable isotope of hydrogen, has a nucleus containing:

• A. A single proton
• B. A proton and a neutron
• C. Two protons and an electron
• D. Two neutrons

Correct answer: B

Rationale: The correct answer is B: 'A proton and a neutron.' Deuterium is an isotope of hydrogen with an atomic number of 1, meaning it has 1 proton in its nucleus. However, deuterium also has a neutron in its nucleus, making it different from regular hydrogen which only has a proton in its nucleus. Therefore, deuterium has a nucleus containing both a proton and a neutron, making option B the correct choice.

6. 7 is divisible by which of the following numbers?

• A. 2 only
• B. 3 only
• C. 1 and 7 only
• D. 2, 3, and 7

Correct answer: D

Rationale: Rationale: 1. 7 is divisible by 1 because every number is divisible by 1. 2. 7 is divisible by 7 because any number is divisible by itself. 3. 7 is not divisible by 2 because 7 is an odd number and not divisible by 2. 4. 7 is not divisible by 3 because the sum of the digits of 7 (7) is not divisible by 3. Therefore, 7 is divisible by 1, 7, and itself (7), making the correct answer D) 2, 3, and 7.

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