Nursing Elites

1. Choose the correct pronoun to complete the sentence: "Neither Michael nor Sarah ____ their homework finished yet."

• A. has
• B. have
• C. are having
• D. does have

Correct answer: B

Rationale: When referring to "neither" followed by two subjects, the verb agrees with the plural subject ("Sarah"). So, "have" is the correct answer.

2. A rectangular bandage measures 5cm by 8cm. What is the area covered by the bandage?

• A. 10cm
• B. 13cm
• C. 40cm^2
• D. 64cm^2

Correct answer: C

Rationale: 40cm^2: Multiply the length (5cm) by the width (8cm).

3. A diabetic patient's blood sugar is 180mg/dL. Their usual insulin dose is 1 unit per 40mg/dL above 100mg/dL. How much insulin should be administered?

• A. 2 units
• B. 3 units
• C. 4 units
• D. 5 units

Correct answer: B

Rationale: Rationale: 1. Calculate the excess blood sugar above 100mg/dL: 180mg/dL - 100mg/dL = 80mg/dL. 2. Determine the insulin dose based on the patient's usual insulin dose: 80mg/dL / 40mg/dL = 2 units. 3. Add the calculated insulin dose to the patient's usual insulin dose: 1 unit (usual dose) + 2 units (calculated dose) = 3 units. Therefore, the correct answer is 3 units of insulin should be administered to the diabetic patient with a blood sugar level of 180mg/dL.

4. Ms. Valencia prepares the process standards. Which of the following is NOT a process

• A. Initial assessment shall be done to all patients within twenty four hours upon admission.
• B. Informed consent shall be secured prior to any invasive procedure
• C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
• D. Patient education about their illness and treatment shall be provided for all patients and their

Correct answer: D

Rationale: In this question, Ms. Valencia is tasked with preparing process standards, which are systematic procedures or steps followed to ensure quality care. Options A, B, and C all refer to specific processes that are essential in healthcare: timely assessment, obtaining informed consent, and assessing patient satisfaction. However, option D about providing patient education is more focused on an outcome (patient education) rather than a specific process standard. While patient education is important, the question is asking for a process standard, making option D the correct answer as it does not directly relate to a specific process standard.

5. Which type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: The correct answer is A: Ball-and-socket joint (shoulder). Ball-and-socket joints allow for the most movement in all directions, such as flexion, extension, abduction, adduction, and rotation. The shoulder joint is a prime example, as it enables a wide range of motion, allowing the arm to move in multiple planes. Hinge joints, like the elbow, primarily allow movement in one direction (flexion and extension). Fibrocartilaginous joints, such as those in the wrists, have limited movement due to the presence of cartilage between the bones. Suture joints, found in the skull, are immovable joints that provide structural support rather than movement. Therefore, ball-and-socket joints like the shoulder joint offer the greatest range of motion among the options provided.

6. A keystone species plays a critical role in an ecosystem because its removal would:

• A. Lead to a decrease in competition among other species
• B. Cause a slight increase in primary productivity
• C. Have a minimal impact on the overall ecosystem structure
• D. Disrupt the food web and cause cascading effects on other populations

Correct answer: D

Rationale: Rationale: Keystone species are species that have a disproportionately large effect on their environment relative to their abundance. They play a critical role in maintaining the structure and function of an ecosystem. If a keystone species is removed from an ecosystem, it can disrupt the food web by causing imbalances in predator-prey relationships. This disruption can lead to cascading effects on other populations within the ecosystem, potentially causing population declines or even extinctions. Therefore, the removal of a keystone species would have significant impacts on the overall ecosystem structure, making option D the correct answer.

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