Nursing Elites

1. A nurse needs to dilute 2 milliliters of a concentrated medication with 8 milliliters of sterile water. What is the final concentration of the solution in percent?

• A. 16.67%
• B. 20%
• C. 25%
• D. 50%

Correct answer: B

Rationale: Calculate the total volume of the solution (2 ml + 8 ml = 10 ml). Then, divide the volume of the concentrated medication by the total volume and multiply by 100%: (2 ml / 10 ml) * 100% = 20%.

2. Which of the following describes a scalar quantity?

• A. Velocity
• B. Acceleration
• C. Force
• D. Speed

Correct answer: d

Rationale: Speed is a scalar quantity as it only indicates how fast an object is moving without any directional information.

3. Following a successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: The correct answer is A: 'Suppress the immune system and prevent rejection of the new heart.' After a heart transplant surgery, the body's immune system may recognize the new heart as a foreign object and try to attack it, leading to rejection. To prevent this, patients need to take medications that suppress the immune system, helping the body accept the new heart. These medications are crucial to ensure the success and longevity of the transplanted organ by reducing the risk of rejection. Options B, C, and D are not directly related to the post-heart transplant medication regimen and do not address the primary concern of preventing rejection.

4. The deeper layer of the skin, containing connective tissue, blood vessels, and nerve endings, is called the:

• A. Epidermis
• B. Dermis
• C. Hypodermis
• D. Stratum corneum

Correct answer: B

Rationale: The correct answer is B: Dermis. The dermis is the deeper layer of the skin that contains important structures such as connective tissue, blood vessels, and nerve endings. It plays a crucial role in providing support and nourishment to the epidermis, the outermost layer of the skin. The epidermis, option A, is actually the outermost layer responsible for protecting the body from environmental factors. The hypodermis, option C, is the deepest layer of the skin that primarily consists of fat and connective tissue. Stratum corneum, option D, is the outermost layer of the epidermis composed of dead skin cells. Therefore, the dermis is the correct answer in this case.

5. Stephanie is often seen interacting with the medical intern during coffee breaks and after duty

• A. Formal
• B. Informal
• C. Staff
• D. Line

Correct answer: B

Rationale: The correct answer is 'B: Informal.' Stephanie's interactions with the medical intern during coffee breaks and after duty suggest a casual and friendly relationship, rather than a formal or official one. 'Informal' describes interactions that are relaxed, personal, and not bound by strict professional protocols. In contrast, 'formal' interactions would involve more structured and official communication, such as meetings or professional discussions. 'Staff' and 'line' are not relevant in this context, as they do not describe the nature of the relationship between Stephanie and the medical intern.

6. The diaphragm is a dome-shaped muscle that plays a crucial role in breathing. When it contracts, what happens?

• A. Air is expelled from the lungs.
• B. The lungs expand to allow air intake.
• C. The vocal cords vibrate to produce sound.
• D. The trachea narrows to control airflow.

Correct answer: B

Rationale: The diaphragm is a dome-shaped muscle located beneath the lungs. When it contracts, it moves downward, creating more space in the chest cavity. This downward movement of the diaphragm allows the lungs to expand, which lowers the air pressure inside the lungs. As a result, air from the outside rushes in to equalize the pressure, leading to inhalation. Therefore, when the diaphragm contracts, it facilitates the intake of air into the lungs, making option B, 'The lungs expand to allow air intake,' the correct answer.

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