Nursing Elites

1. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

2. Ms. Valencia is responsible to the number of personnel reporting to her. This principle refers

• A. Span of control
• B. Unity of command
• C. Carrot and stick principle
• D. Esprit d’ corp

Correct answer: B

Rationale: The correct answer is B: Unity of command. Unity of command is a fundamental principle of management stating that each employee should receive orders from only one supervisor to avoid confusion and ensure clarity in the chain of command. In this scenario, Ms. Valencia's responsibility for the number of personnel reporting to her aligns with the concept of unity of command. Span of control refers to the number of subordinates a supervisor can efficiently manage, while the carrot and stick principle involves motivating employees through rewards and punishments. Esprit d’ corp refers to the sense of unity and camaraderie within a group.

3. What are chromosomes made of?

• A. DNA and RNA
• B. DNA and proteins
• C. Proteins and carbohydrates
• D. DNA only

Correct answer: B

Rationale: Rationale: Chromosomes are structures found in the nucleus of cells that contain genetic material. They are made up of DNA (deoxyribonucleic acid), which carries the genetic information, and proteins that help in the organization and packaging of the DNA. While RNA is involved in various cellular processes, it is not a major component of chromosomes. Carbohydrates are not a significant component of chromosomes. Therefore, the most accurate answer is B) DNA and proteins.

4. The primary site for nutrient absorption from digested food in the human digestive system is the:

• A. Esophagus
• B. Large intestine
• C. Small intestine
• D. Stomach

Correct answer: C

Rationale: The correct answer is C: Small intestine. The small intestine is the primary site for nutrient absorption in the human digestive system. It is in the small intestine where the majority of nutrients, such as carbohydrates, proteins, and fats, are broken down further and absorbed into the bloodstream to be utilized by the body. The large surface area of the small intestine, lined with villi and microvilli, facilitates efficient absorption of nutrients. The esophagus is responsible for transporting food from the mouth to the stomach, the stomach aids in digestion, and the large intestine primarily absorbs water and electrolytes, not nutrients.

5. Stephanie delegates effectively if she has authority to act, which is BEST defined as:

• A. having responsibility to direct others
• B. being accountable to the organization
• C. having legitimate right to act
• D. telling others what to do

Correct answer: A

Rationale: The correct answer is A: 'having responsibility to direct others.' Effective delegation involves entrusting tasks and responsibilities to others while still maintaining ultimate accountability. Authority to act means having the responsibility to direct others, making decisions, and overseeing the completion of tasks. This definition aligns with the core concept of delegation, where individuals are empowered and authorized to carry out specific duties. Being accountable to the organization (option B) is important but does not fully capture the proactive nature of delegation. Having a legitimate right to act (option C) is essential for effective delegation, but it is more about the formal authorization rather than the active responsibility to direct others. Simply telling others what to do (option D) is a narrow and authoritarian view of delegation that does not encompass the collaborative and empowering nature of effective delegation.

6. 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.

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