Nursing Elites

1. What happens to the internal energy of a system when it performs work on its surroundings?

• A. It increases.
• B. It decreases.
• C. It remains the same.
• D. Information insufficient

Correct answer: B

Rationale: When a system performs work on its surroundings, it loses internal energy in accordance with the first law of thermodynamics.

2. How does an increase in temperature generally affect the solubility of most solid solutes in a liquid solvent?

• A. It increases solubility
• B. It decreases solubility
• C. It has no effect on solubility
• D. It depends on the nature of the solute

Correct answer: a

Rationale: In general, increasing temperature tends to increase the solubility of most solid solutes in liquid solvents. The other choices do not accurately describe the effect of temperature on solubility.

3. What is the process by which lighter nuclei fuse to form heavier nuclei, releasing a large amount of energy?

• A. Fission
• B. Fusion
• C. Radioactivity
• D. Chain reaction

Correct answer: B

Rationale: Fusion is the process by which lighter nuclei combine to form heavier nuclei, releasing a large amount of energy in the process. This process is the source of energy in stars, including our Sun, and is different from fission, which involves the splitting of heavier nuclei into lighter nuclei. Radioactivity refers to the emission of particles or radiation from the nucleus of an unstable atom, while a chain reaction is a self-sustaining reaction where the products of one reaction cause further reactions.

4. Which of the following statements is NOT true about performance appraisal?

• A. Informing the staff about the specific impressions of their work help improve their
• B. A verbal appraisal is an acceptable substitute for a written report
• C. Patients are the best source of information regarding personnel appraisal.
• D. The outcome of performance appraisal rests primarily with the staff.

Correct answer: A

Rationale: Option A is the correct answer because informing staff about specific impressions of their work can be subjective and may not always lead to improvement. Performance appraisal should be based on objective criteria and feedback. Verbal appraisals can lack documentation and clarity, making a written report a more reliable form of evaluation. Patients may provide valuable input on staff interactions, but they may not have the full context to assess job performance comprehensively. The outcome of performance appraisal should involve both the staff and the appraiser, as it is a collaborative process to identify strengths and areas for development.

5. The term "goiter" refers to a condition characterized by:

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: The term 'goiter' specifically refers to the abnormal enlargement of the thyroid gland. This can be due to various reasons such as iodine deficiency, Hashimoto's thyroiditis, or Graves' disease. Options A, C, and D are incorrect as they describe conditions related to other glands and hormones in the endocrine system. It is important to differentiate between different endocrine disorders to accurately diagnose and treat patients. Therefore, the correct answer is B, as a goiter is characterized by the excessive growth of the thyroid gland.

6. The stomach produces a strong acid to help break down food. What is the name of this acid?

• A. Hydrochloric acid
• B. Lactic acid
• C. Bile
• D. Fatty acid

Correct answer: A

Rationale: The correct answer is A: Hydrochloric acid. The stomach produces hydrochloric acid to help break down food by lowering the pH level in the stomach, creating an acidic environment that aids in the digestion of proteins and other nutrients. Lactic acid is produced in muscles during exercise and is not related to stomach digestion. Bile is produced by the liver and helps in the digestion and absorption of fats in the small intestine. Fatty acids are a type of molecule that is a component of fats, not the acid produced by the stomach for digestion.

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