Nursing Elites

1. Which of the following is an example of a chemical change?

• A. Dissolving sugar in water
• B. Boiling water
• C. Rusting iron
• D. Crushing ice

Correct answer: C

Rationale: Rusting is a chemical reaction where iron reacts with oxygen and water to form iron oxide (rust).

2. What is the breakdown product of ATP (adenosine triphosphate) that provides energy for muscle contraction?

• A. Glucose
• B. Creatine phosphate
• C. ADP (adenosine diphosphate)
• D. Lactic acid

Correct answer: C

Rationale: The correct answer is C: ADP (adenosine diphosphate). During muscle contraction, ATP is broken down into ADP and inorganic phosphate, releasing energy that fuels the muscle contraction process. This energy release allows the muscle fibers to contract and perform work. Glucose is a source of energy that is broken down through cellular respiration to produce ATP but is not the direct breakdown product of ATP itself. Creatine phosphate is another energy storage molecule in muscles but is not the breakdown product of ATP. Lactic acid is produced during anaerobic respiration when there is a lack of oxygen, and it is not the primary energy source for muscle contraction. Therefore, ADP is the correct breakdown product of ATP that provides energy for muscle contraction.

3. Which element is found in water and is crucial for biological functions like nerve impulses and muscle contraction?

• A. Sodium
• B. Potassium
• C. Calcium
• D. Magnesium

Correct answer: A

Rationale: Sodium plays a key role in maintaining electrolyte balance and transmitting nerve impulses, affecting both muscles and nerves

4. The largest bone in the human body is the:

• A. Femur (thigh bone)
• B. Tibia (shin bone)
• C. Humerus (upper arm bone)
• D. Scapula (shoulder blade)

Correct answer: A

Rationale: The correct answer is A: Femur (thigh bone). The femur is the longest and strongest bone in the human body, located in the thigh region. It plays a crucial role in supporting the body's weight and facilitating movement. The tibia (B) is commonly known as the shin bone and is located below the femur. The humerus (C) is the upper arm bone, and the scapula (D) is the shoulder blade. However, neither of these bones is the largest in the human body. Understanding the anatomy of the skeletal system is essential for identifying the largest bone in the body, which is the femur.

5. 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.

6. The formula for calculating heart rate is HR = (220 - age) * 0.65. If a patient's heart rate is 136.5, what is their age?

• A. 30
• B. 40
• C. 50
• D. 60

Correct answer: B

Rationale: Rearrange the formula to solve for age: age = 220 - (HR / 0.65). Substitute the heart rate (136.5) to get 40 years old.

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