Nursing Elites

1. What principle explains the relationship between pressure, volume, and temperature for ideal gases?

• A. Law of conservation of energy
• B. Newton's laws of motion
• C. Ideal gas law
• D. Archimedes' principle

Correct answer: C

Rationale: The ideal gas law (PV = nRT) relates pressure, volume, and temperature for ideal gases at constant number of moles and temperature.

2. The Merkel cells, located in the epidermis, are specialized for:

• A. Melanin production
• B. Temperature sensation
• C. Touch perception
• D. Immune defense

Correct answer: C

Rationale: The correct answer is C: 'Touch perception.' Merkel cells, also known as Merkel discs, are found in the skin's epidermal layer and are responsible for sensing touch. These cells are located near nerve endings and help detect light touch and pressure on the skin. They play a crucial role in the perception of tactile sensations and are not involved in melanin production, temperature sensation, or immune defense. Therefore, the specialized function of Merkel cells is primarily related to touch perception, making option C the correct choice.

3. One staff suggests that they review the pattern of nursing care that they are using, which is

• A. job description
• B. system used to deliver care
• C. manual of procedure
• D. rules to be followed

Correct answer: B

Rationale: The correct answer is B: 'system used to deliver care.' When a staff member suggests reviewing the pattern of nursing care being used, they are referring to the overall system or method in place for delivering care to patients. This includes the processes, protocols, and techniques used to provide nursing care. It goes beyond just following a job description, manual of procedure, or rules. By evaluating and potentially revising the system used to deliver care, staff can ensure that best practices are in place to provide high-quality and effective care to patients.

4. The resolution of an optical instrument, like a microscope, refers to its ability to distinguish between:

• A. Different colors of light
• B. The presence or absence of light
• C. Variations in intensity
• D. Very close, nearly identical objects

Correct answer: D

Rationale: The resolution of an optical instrument, such as a microscope, is its ability to distinguish between very close, nearly identical objects. This means that the instrument can differentiate between two points that are close together and appear almost as one. A higher resolution allows for clearer and sharper images by minimizing the blurring effect that occurs when objects are close together. Options A, B, and C do not directly relate to the concept of resolution in optical instruments. Therefore, option D is the correct answer as it best describes what resolution entails in this context.

5. What is the process by which the body maintains a relatively constant blood pH level, even with changes in blood carbon dioxide concentration?

• A. Cellular respiration
• B. Gas exchange
• C. Buffering system
• D. Deoxygenation

Correct answer: C

Rationale: The correct answer is C: Buffering system. The body maintains a relatively constant blood pH level through the buffering system, which consists of chemical substances that can absorb excess hydrogen ions or release hydrogen ions to adjust pH levels. This system helps prevent drastic changes in blood pH even when there are fluctuations in blood carbon dioxide concentration. Cellular respiration and gas exchange are processes related to obtaining and utilizing oxygen, while deoxygenation refers to the removal of oxygen from a substance. Therefore, the buffering system is specifically responsible for regulating blood pH levels in response to changes in carbon dioxide concentration.

6. A lab test result shows a blood glucose level of 5.5 millimoles per liter (mmol/L). What is the equivalent level in milligrams per deciliter (mg/dL)?

• A. 55 mg/dL
• B. 5.5 mg/dL
• C. 0.55 mg/dL
• D. 550 mg/dL

Correct answer: A

Rationale: This requires a double conversion: millimoles to milligrams and liters to deciliters. 1 millimole is equal to 180.15 milligrams, and 1 liter is equal to 10 deciliters. Multiply the glucose level (5.5 mmol/L) by the conversion factor for millimoles to milligrams (180.15 mg/mmol) and then divide by the conversion factor for liters to deciliters (10 dL/L): 5.5 mmol/L * 180.15 mg/mmol / 10 dL/L ≈ 55 mg/dL.

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