Nursing Elites

1. A doctor orders 1 gram of a medication to be administered intravenously. The available vial contains 200 milligrams per milliliter. How many milliliters of the solution should be drawn up?

• A. 4 milliliters
• B. 5 milliliters
• C. 10 milliliters
• D. 20 milliliters

Correct answer: B

Rationale: First convert grams to milligrams (1 gram * 1000 milligrams/gram = 1000 milligrams). Then, divide the desired dosage by the concentration per milliliter: 1000 milligrams / 200 milligrams/milliliter = 5 milliliters.

2. Which of the following is the smallest unit of matter?

• A. Molecule
• B. Atom
• C. Compound
• D. Element

Correct answer: B

Rationale: An atom is the fundamental building block of matter, while molecules are formed by the combination of atoms.

3. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins, and gram-positive bacteria produce exotoxins rather than endotoxins. Parasites are not typically associated with the production of endotoxins.

4. What hormone signals the release of digestive enzymes from the pancreas?

• A. Gastrin
• B. Insulin
• C. Glucagon
• D. Secretin

Correct answer: D

Rationale: Rationale: A) Gastrin is a hormone that stimulates the release of gastric acid in the stomach, not digestive enzymes from the pancreas. B) Insulin is a hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into cells, but it does not directly signal the release of digestive enzymes from the pancreas. C) Glucagon is another hormone produced by the pancreas that works opposite to insulin by increasing blood sugar levels, but it is not involved in signaling the release of digestive enzymes from the pancreas. D) Secretin is a hormone released by the small intestine in response to the presence of acidic chyme. It stimulates the pancreas to release bicarbonate to neutralize the acidity of the chyme and also triggers the release of digestive enzymes from the pancreas to aid in digestion. Therefore, secretin is the hormone that signals the release of digestive enzymes from the pancreas.

5. A salt solution that conducts electricity well is most likely

• A. A saturated solution
• B. A concentrated solution of a strong electrolyte
• C. A dilute solution of a weak acid
• D. A mixture of a neutral compound and water

Correct answer: B

Rationale: The correct answer is B: "A concentrated solution of a strong electrolyte." Strong electrolytes completely dissociate into ions in solution, thereby increasing the conductivity of the solution. Concentrated solutions have a higher amount of dissolved solute particles, which leads to more ions available for conducting electricity. In contrast, saturated solutions may contain undissolved solute, limiting the number of ions in solution. Dilute solutions have fewer ions and weak acids only partially dissociate, reducing conductivity. A neutral compound and water do not provide ions for conducting electricity. Therefore, a concentrated solution of a strong electrolyte is most likely to conduct electricity well due to the high concentration of ions present.

6. What is the feedback mechanism in the endocrine system that helps maintain hormone balance?

• A. Positive feedback, where a hormone stimulates its own release
• B. Negative feedback, where a hormone suppresses its own release
• C. Cascade effect, where one hormone triggers the release of another
• D. Dual hormone system, where two hormones work together

Correct answer: B

Rationale: The correct answer is B: Negative feedback, where a hormone suppresses its own release. In the endocrine system, negative feedback is a crucial mechanism that helps maintain hormone balance. When hormone levels rise, they signal the body to decrease further hormone production, preventing an excess. This ensures that hormone levels stay within a narrow range, promoting stability and homeostasis. Positive feedback (option A) would lead to an amplification of hormone release, which is not ideal for maintaining balance. Cascade effect (option C) involves a sequential activation of hormones but does not directly regulate hormone levels. Dual hormone system (option D) refers to two hormones working together but doesn't specifically address the feedback mechanism for maintaining hormone balance.

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