Nursing Elites

1. Differentiate between genotype and phenotype in the context of gene expression.

• A. Genotype refers to the physical manifestation of a trait, while phenotype represents its underlying genetic makeup.
• B. Genotype encompasses the spectrum of possible traits encoded by an organism's genes, while phenotype signifies the specific trait observed.
• C. Genotype denotes the presence of dominant alleles, while phenotype reflects the influence of recessive alleles.
• D. There is no distinction; both terms are interchangeable.

Correct answer: B

Rationale: Rationale: - Genotype refers to the genetic makeup of an organism, including all the genes and alleles it possesses. - Phenotype, on the other hand, refers to the observable physical characteristics or traits of an organism, which result from the interaction between its genotype and the environment. - While genotype represents the genetic potential or range of traits that an organism can express, phenotype reflects the actual expression of specific traits. - Therefore, option B correctly captures the distinction between genotype and phenotype in the context of gene expression.

2. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

3. The stratum corneum, the outermost layer of the epidermis, is primarily composed of:

• A. Keratinized dead cells
• B. Melanocytes
• C. Langerhans cells
• D. Merkel cells

Correct answer: A

Rationale: The correct answer is A: 'Keratinized dead cells.' The stratum corneum is the outermost layer of the epidermis and is mainly composed of keratinized dead cells. These cells are flattened, fully keratinized, and provide a protective barrier for the skin against environmental factors such as pathogens, UV radiation, and water loss. Melanocytes (Option B), Langerhans cells (Option C), and Merkel cells (Option D) are all important components of the epidermis but are not the primary constituents of the stratum corneum. Melanocytes produce melanin, Langerhans cells are involved in the immune response, and Merkel cells are associated with the sense of touch.

4. Which of the following is a common characteristic of alkynes?

• A. They have a triple bond between carbon atoms.
• B. They are saturated hydrocarbons.
• C. They contain only single bonds.
• D. They are aromatic compounds.

Correct answer: A

Rationale: Alkynes are hydrocarbons that contain at least one triple bond between carbon atoms. This triple bond is a distinctive feature of alkynes, distinguishing them from alkanes (which contain only single bonds) and alkenes (which contain at least one double bond). Alkynes are unsaturated hydrocarbons due to the presence of the triple bond. Aromatic compounds, on the other hand, have a specific cyclic structure with resonance stabilization, which is not a characteristic of alkynes.

5. 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.

6. How does the potential energy of an object change when it is compressed?

• A. Potential energy decreases
• B. Potential energy increases
• C. Potential energy remains constant
• D. Potential energy becomes zero

Correct answer: b

Rationale: When an object is compressed, it stores potential energy due to its altered position or configuration.

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