Nursing Elites

1. Which organ is responsible for filtering blood and removing waste products?

• A. Liver
• B. Kidneys
• C. Spleen
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Kidneys. The kidneys are responsible for filtering blood and removing waste products from the body through the production of urine. The liver plays a role in detoxifying the blood and producing bile, while the spleen is involved in filtering blood and removing old or damaged red blood cells. The pancreas is primarily responsible for producing digestive enzymes and regulating blood sugar levels. Therefore, the kidneys are the specific organ dedicated to the filtration of blood and removal of waste products, making them the correct choice in this question.

2. She tries to design an organizational structure that allows communication to flow in all

• A. Centralized
• B. Decentralized
• C. Matrix
• D. Informal

Correct answer: A

Rationale: The correct answer is 'A: Centralized.' In a centralized organizational structure, decision-making authority and communication flow through a single point of control or a specific group of individuals. This setup ensures that communication channels are streamlined and information is disseminated efficiently. By designing an organizational structure that allows communication to flow in all directions, it suggests a decentralized structure where decision-making authority is distributed across various levels and departments. Therefore, 'Centralized' is the best fit for the scenario described in the question.

3. 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 the least considered guideline. Objectives in a care plan should be based on the patient's needs, evidence-based practices, and prescribed standards of care to ensure quality and effective treatment. Staff preferences may introduce biased decisions that do not align with the best interests of the patient. It is crucial to prioritize holistic care, which considers all aspects of the patient's well-being, and adhere to prescribed standards to provide comprehensive and individualized care. By disregarding staff preferences and focusing on what is best for the patient, healthcare professionals can deliver optimal care that promotes patient outcomes and satisfaction.

4. Identify the spectator ions in the reaction: 2KCl + Pb(NO3)2 → 2KNO3 + PbCl2.

• A. K+ and NO3-
• B. K+ and Cl-
• C. Pb2+ and NO3-
• D. Pb2+ and Cl-

Correct answer: B

Rationale: Rationale: - In the reaction, potassium ions (K+) and chloride ions (Cl-) are present on both sides of the equation. They are not involved in the formation of the products and remain unchanged. - Lead ions (Pb2+) and nitrate ions (NO3-) are involved in the formation of the products potassium nitrate (KNO3) and lead(II) chloride (PbCl2). - Therefore, the spectator ions in this reaction are K+ and Cl-.

5. The layer of the skin responsible for new skin cell production is the:

• A. Stratum corneum
• B. Stratum basale
• C. Stratum granulosum
• D. Stratum spinosum

Correct answer: B

Rationale: The correct answer is B: Stratum basale. The stratum basale, also known as the basal layer or stratum germinativum, is the deepest layer of the epidermis responsible for new skin cell production through cell division. This layer contains stem cells that continuously divide and differentiate into keratinocytes, which eventually migrate to the outer layers of the epidermis. The stratum corneum (option A) is the outermost layer of the epidermis composed of dead skin cells. The stratum granulosum (option C) is the layer above the stratum basale where keratinocytes undergo changes in their structure. The stratum spinosum (option D) is a layer above the stratum basale where cells become interconnected by desmosomes. Therefore, the stratum basale is the primary layer responsible for the production of new skin cells.

6. The structural and functional unit of the kidney responsible for filtering blood is the:

• A. Nephron
• B. Ureter
• C. Urethra
• D. Bladder

Correct answer: A

Rationale: The correct answer is A, Nephron. The nephron is the structural and functional unit of the kidney responsible for filtering blood. It consists of the glomerulus, renal tubule, and collecting duct. The nephron's filtration process plays a crucial role in removing waste products, regulating electrolyte balance, and maintaining blood pressure. The other options, B: Ureter, C: Urethra, and D: Bladder, are not responsible for filtering blood. The ureter transports urine from the kidneys to the bladder, the urethra is responsible for urine excretion from the bladder, and the bladder stores urine before excretion. Therefore, the nephron is specifically designed for the filtration process within the kidney.

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