Nursing Elites

1. How do you spell the past participle of the verb "lie" (to recline)?

• A. lied
• B. lain
• C. lay
• D. lying

Correct answer: B

Rationale: The past participle of "lie" (to recline) is "lain," not "lied," which is the past tense.

2. Bradycardia refers to a heart rate that is:

• A. Normal (60-100 bpm)
• B. Slightly elevated (100-120 bpm)
• C. Significantly elevated (>120 bpm)
• D. Abnormally slow (<60 bpm)

Correct answer: D

Rationale: The correct answer is D. Bradycardia refers to an abnormally slow heart rate, typically defined as being less than 60 beats per minute (bpm). A heart rate of 60-100 bpm is considered normal, not bradycardia. Choices B and C incorrectly describe elevated heart rates, which are not characteristic of bradycardia. Therefore, option D is the most accurate description of bradycardia as it signifies a heart rate that is slower than normal.

3. She knows that performance appraisal consists of all the following activities EXCEPT:

• A. Setting specific standards and activities for individual performance.
• B. Using agency standards as a guide.
• C. Determine areas of strength and weaknesses
• D. Focusing activity on the correction of identified behavior.

Correct answer: D

Rationale: The correct answer is D: 'Focusing activity on the correction of identified behavior.' Performance appraisal is a process that involves setting specific standards and activities for individual performance, using agency standards as a guide, and determining areas of strengths and weaknesses. While performance appraisal may identify areas for improvement, its primary focus is not solely on correcting behavior. Instead, it is a holistic evaluation of an individual's performance in various aspects. Therefore, option D is the exception among the activities associated with performance appraisal.

4. A ball is thrown upwards. Which of the following statements is TRUE about its potential energy and kinetic energy at the peak of its trajectory?

• A. Both potential and kinetic energy are zero.
• B. Potential energy is maximum and kinetic energy is minimum.
• C. Potential energy is minimum and kinetic energy is maximum.
• D. Both potential and kinetic energy remain constant.

Correct answer: B

Rationale: At the peak, the ball momentarily stops moving, minimizing kinetic energy. However, it's still at its highest point, maximizing its potential energy due to gravity.

5. What is the purpose of the periosteum, the tough outer layer of bone?

• A. Produces red blood cells
• B. Provides protection and nourishment to bone
• C. Forms the joint surface
• D. Stores minerals

Correct answer: B

Rationale: The correct answer is B: 'Provides protection and nourishment to bone.' The periosteum is a tough outer layer of bone that serves multiple functions. It provides protection by acting as a barrier against infections and injuries. Additionally, the periosteum contains blood vessels that supply nutrients to the bone cells, aiding in bone growth, repair, and maintenance. While red blood cells are produced in the bone marrow, not in the periosteum, the periosteum's primary role is to support the overall health and integrity of the bone structure.

6. 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.

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