Nursing Elites

1. What figure of speech is used in the statement "His words were a dagger to my heart"?

• A. Metonymy
• B. Simile
• C. Metaphor (Correct)
• D. Hyperbole

Correct answer: C

Rationale: The statement compares the pain of his words to a physical object, forming a metaphor.

2. 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.

3. Which sexually transmitted infection (STI) can potentially cause infertility in both men and women if left untreated?

• A. Human papillomavirus (HPV)
• B. Chlamydia
• C. Gonorrhea
• D. Syphilis

Correct answer: D

Rationale: The correct answer is D: Syphilis. Syphilis is a sexually transmitted infection that can potentially cause infertility in both men and women if left untreated. In men, untreated syphilis can lead to damage to the testicles and epididymis, affecting sperm production. In women, syphilis can result in pelvic inflammatory disease (PID) which can lead to scarring and blockages in the fallopian tubes, causing infertility. While other STIs like chlamydia and gonorrhea can also lead to infertility if left untreated, syphilis is particularly known for its severe impact on reproductive health in both genders.

4. Which term describes the resistance of a substance to flow?

• A. Density
• B. Viscosity
• C. Conductivity
• D. Malleability

Correct answer: b

Rationale: Viscosity refers to the resistance of a substance to flow. Substances with high viscosity flow slowly, while those with low viscosity flow more easily.

5. What is the term for the process of exchanging gases (oxygen and carbon dioxide) between the blood and the tissues?

• A. Inhalation
• B. Exhalation
• C. External respiration
• D. Internal respiration

Correct answer: D

Rationale: The correct answer is D: 'Internal respiration.' Internal respiration refers to the process where oxygen is exchanged for carbon dioxide between the blood and the body tissues at the cellular level. Inhalation (A) and exhalation (B) pertain to the movement of air into and out of the lungs. External respiration (C) involves the exchange of gases between the lungs and the bloodstream. Understanding internal respiration is crucial as it directly impacts the body's ability to supply oxygen to tissues and remove carbon dioxide, which is essential for cellular function and overall health.

6. Elements tend to gain or lose electrons to achieve stable electron configurations like those of noble gases. Their group number often indicates the number of electrons gained/lost and the resulting ionic charge, providing a good starting point for prediction.

• A. Ionic bonds involve electron sharing, while metallic bonds involve electron transfer
• B. Ionic bonds are weak and directional, while metallic bonds are strong and non-directional
• C. Ionic bonds exist between metals and non-metals, while metallic bonds exist only between metals
• D. Ionic bonds form discrete molecules, while metallic bonds form extended structures

Correct answer: D

Rationale: Ionic bonds involve complete electron transfer between atoms, creating strong, non-directional electrostatic attraction. Metallic bonds involve a delocalized "sea" of electrons shared across all metal atoms, resulting in a strong, extended structure.

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