Nursing Elites

1. Which adjective best describes the following setting: "A lone cabin stood nestled amongst towering pines, smoke curling from its chimney into the crisp mountain air."

• A. Bland
• B. Urban
• C. Idyllic
• D. Sterile

Correct answer: C

Rationale: "Idyllic" captures the peaceful and picturesque nature of the setting.

2. Which of the following is the best guarantee that the patient’s priority needs are met?

• A. Checking with the relative of the patient
• B. Preparing a nursing care plan in collaboration with the patient
• C. Consulting with the physician
• D. Coordinating with other members of the team

Correct answer: B

Rationale: Preparing a nursing care plan in collaboration with the patient is the best guarantee that the patient's priority needs are met because it involves actively involving the patient in their own care. This approach ensures that the patient's preferences, concerns, and priorities are taken into account when planning their care. Checking with the relative of the patient, consulting with the physician, and coordinating with other team members are important aspects of patient care, but collaborating with the patient directly ensures a patient-centered approach that addresses their individual needs and preferences.

3. What is kwashiorkor, a protein deficiency disease, characterized by?

• A. Muscle wasting
• B. Night blindness
• C. Scurvy
• D. Rickets

Correct answer: A

Rationale: Rationale: Kwashiorkor is a type of severe acute malnutrition caused by a deficiency of dietary protein. It is characterized by symptoms such as edema (swelling due to fluid retention), skin lesions, an enlarged liver with fatty infiltrates, and muscle wasting. Muscle wasting is a key feature of kwashiorkor due to the body breaking down muscle tissue to obtain essential amino acids for vital functions. Night blindness (option B) is a symptom of vitamin A deficiency, scurvy (option C) is caused by a lack of vitamin C, and rickets (option D) is a condition resulting from a deficiency of vitamin D, calcium, or phosphate.

4. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: D

Rationale: The correct answer is D: Trypsin. Trypsin is an enzyme produced by the pancreas and secreted into the small intestine where it plays a key role in breaking down proteins into smaller peptides and amino acids. Pepsin is produced in the stomach and specifically acts on protein, not in the small intestine. Lipase is an enzyme that breaks down fats, not proteins. Amylase is an enzyme that breaks down carbohydrates, not proteins. Therefore, Trypsin is the enzyme responsible for breaking down proteins into amino acids in the small intestine.

5. The formula for body mass index (BMI) is BMI = weight (kg) / height (m)^2. If a patient's BMI is 25 and their height is 1.7m, what is their weight?

• A. 34kg
• B. 45kg
• C. 56kg
• D. 68kg

Correct answer: C

Rationale: 56kg: Rearrange the formula to solve for weight: weight = BMI * height^2.

6. How can you predict the charge of an ion formed by an element based on its position on the periodic table?

• A. Look for elements with similar atomic weights
• B. Identify the group number, which often indicates the typical ionic charge
• C. Identify the group number, which often indicates the typical ionic charge
• D. Analyze the element's position within the period

Correct answer: B

Rationale: The group number of an element on the periodic table often indicates the typical ionic charge it will form. Elements in the same group tend to have similar chemical properties, including the tendency to gain or lose electrons to achieve a stable electron configuration. This predictable pattern allows us to anticipate the charge of an ion formed by an element based on its position in the periodic table.

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