Nursing Elites

1. What is the difference between DNA and RNA?

• A. Both are double-stranded.
• B. DNA contains deoxyribose sugar, while RNA contains ribose sugar.
• C. RNA contains the nitrogenous base uracil, while DNA contains thymine.
• D. Both are identical molecules.

Correct answer: B

Rationale: Rationale: A) Incorrect. DNA is double-stranded, but RNA is typically single-stranded. B) Correct. DNA contains deoxyribose sugar, which lacks an oxygen atom on the 2' carbon of the sugar ring, while RNA contains ribose sugar, which has an additional hydroxyl group on the 2' carbon. C) Incorrect. RNA contains the nitrogenous base uracil, while DNA contains thymine. D) Incorrect. DNA and RNA have distinct structures and functions, so they are not identical molecules.

2. Connective tissue provides support and connects other tissues. What is the main component that gives connective tissue its strength?

• A. Collagen fibers
• B. Epithelial cells
• C. Nerve cells
• D. Blood cells

Correct answer: A

Rationale: The main component that gives connective tissue its strength is collagen fibers. Collagen is a fibrous protein that is the most abundant protein in the human body, providing tensile strength and support to tissues. Collagen fibers are arranged in a parallel fashion, giving connective tissue its resilience and ability to withstand stretching forces. Epithelial cells are not the main component of strength in connective tissue; they are specialized cells that line the surfaces of organs and structures. Nerve cells are responsible for transmitting signals and do not contribute to the strength of connective tissue. Blood cells are not structural components of connective tissue but rather play a role in transportation and immune function.

3. What can be inferred about the water management systems in Petra?

• A. They were unreliable and contributed to the city's decline.
• B. They were simple and ineffective compared to modern systems.
• C. They were sophisticated and played a crucial role in Petra's survival.
• D. They were destroyed by explorers when Petra was rediscovered.

Correct answer: C

Rationale: The passage highlights the "elaborate" water systems, suggesting their complexity and importance.

4. Which of the following is the best guarantee that the patient’s priority needs are met?

• A. Checking with the relative of the patient
• B. Preparing a nursing care plan in collaboration with the patient
• C. Consulting with the physician
• D. Coordinating with other members of the team

Correct answer: B

Rationale: Preparing a nursing care plan in collaboration with the patient is the best guarantee that the patient's priority needs are met because it involves actively involving the patient in their own care. This approach ensures that the patient's preferences, concerns, and priorities are taken into account when planning their care. Checking with the relative of the patient, consulting with the physician, and coordinating with other team members are important aspects of patient care, but collaborating with the patient directly ensures a patient-centered approach that addresses their individual needs and preferences.

5. Aubrey thinks about primary nursing as a system to deliver care. Which of the following

• A. Collaborates with the physician
• B. Provides care to a group of patients together with a group of nurses
• C. Provides care for 5-6 patients during their hospital stay.
• D. Performs comprehensive initial assessment

Correct answer: D

Rationale: Primary nursing is a care delivery system where one nurse is responsible for the total nursing care needs of a group of patients throughout their hospital stay. This includes performing comprehensive initial assessments, developing care plans, coordinating with other healthcare team members, and providing direct patient care. Option D is the correct answer as it aligns with the core principles of primary nursing, emphasizing the nurse's role in conducting thorough assessments to ensure individualized and holistic care for each patient in their caseload. Options A, B, and C do not accurately reflect the key components of primary nursing, making them incorrect choices.

6. Antidiuretic hormone (ADH) helps the kidneys regulate:

• A. Acid-base balance
• B. Blood pressure
• C. Urine output by controlling water reabsorption
• D. All of the above

Correct answer: C

Rationale: The correct answer is C: 'Urine output by controlling water reabsorption.' Antidiuretic hormone (ADH) is released by the pituitary gland and acts on the kidneys to regulate water reabsorption. When ADH levels are high, the kidneys reabsorb more water, leading to concentrated urine and decreased urine output. This helps maintain the body's water balance and prevent dehydration. While ADH indirectly influences blood pressure by regulating blood volume, its primary function is to control water balance, not acid-base balance. Therefore, the correct answer is C.

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