Nursing Elites

1. Which sentence avoids a dangling modifier?

• A. Walking down the street, a bird swooped down from a tree.
• B. Having finished the report, it was time for lunch.
• C. Reading the book, I learned a lot about ancient history.
• D. Exhausted from the hike, the tent was a welcome sight.

Correct answer: C

Rationale: Option C places the participle phrase "Reading the book" in front of the subject "I," eliminating the dangling modifier.

2. How does an increase in mass affect the force required to produce the same acceleration on an object?

• A. Increases force required
• B. Decreases force required
• C. Has no effect on force required
• D. Causes unpredictable changes in force required

Correct answer: a

Rationale: With an increase in mass, more force is needed to produce the same acceleration due to inertia.

3. Which hormone, produced by the adrenal glands, prepares the body for a "fight or flight" response by increasing heart rate, dilating airways, and mobilizing energy stores?

• A. Cortisol
• B. Aldosterone
• C. Epinephrine
• D. Insulin

Correct answer: c

Rationale: The correct answer is C: Epinephrine. Epinephrine, also known as adrenaline, is the hormone produced by the adrenal glands that prepares the body for a 'fight or flight' response. It increases heart rate to pump more blood to muscles, dilates airways to improve oxygen intake, and mobilizes energy stores to provide immediate fuel for physical activity. Cortisol is a hormone involved in stress response and metabolism regulation, but it does not directly trigger the rapid physiological changes associated with 'fight or flight.' Aldosterone regulates salt and water balance, while insulin regulates blood sugar levels, neither of which are directly involved in preparing the body for a rapid response to danger or stress.

4. . Edema, characterized by swelling due to fluid buildup, can be a sign of:

• A. Heart failure
• B. Liver disease
• C. Lymphatic system dysfunction
• D. All of the above

Correct answer: D

Rationale: Edema, which is the accumulation of fluid in tissues leading to swelling, can be caused by various medical conditions. Heart failure can result in fluid retention due to the heart's inability to pump effectively, leading to edema. Liver disease can cause edema by impairing the liver's ability to produce proteins that help maintain fluid balance. Dysfunction of the lymphatic system can also lead to edema, as the lymphatic vessels play a crucial role in draining excess fluid from tissues. Therefore, all the options (heart failure, liver disease, and lymphatic system dysfunction) can contribute to the development of edema, making 'All of the above' the correct answer.

5. Functional nursing has some advantages, which one is an EXCEPTION?

• A. Psychological and sociological needs are emphasized.
• B. Great control of work activities.
• C. Most economical way of delivering nursing services.
• D. Workers feel secure in dependent role

Correct answer: B

Rationale: Functional nursing is a task-oriented approach where each nurse is assigned specific duties, leading to efficient task completion but often resulting in a lack of holistic care. While functional nursing may provide great control over work activities and can be cost-effective due to specialization, it does not emphasize psychological and sociological needs, which is a significant disadvantage. Additionally, the dependent role that workers feel in functional nursing can lead to disempowerment and hinder professional growth and autonomy. Therefore, option A, 'Psychological and sociological needs are emphasized,' is the exception among the advantages of functional nursing.

6. Which of the following statements is NOT true about performance appraisal?

• A. Informing the staff about the specific impressions of their work help improve their
• B. A verbal appraisal is an acceptable substitute for a written report
• C. Patients are the best source of information regarding personnel appraisal.
• D. The outcome of performance appraisal rests primarily with the staff.

Correct answer: A

Rationale: Option A is the correct answer because informing staff about specific impressions of their work can be subjective and may not always lead to improvement. Performance appraisal should be based on objective criteria and feedback. Verbal appraisals can lack documentation and clarity, making a written report a more reliable form of evaluation. Patients may provide valuable input on staff interactions, but they may not have the full context to assess job performance comprehensively. The outcome of performance appraisal should involve both the staff and the appraiser, as it is a collaborative process to identify strengths and areas for development.

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