Nursing Elites

1. What is kwashiorkor, a protein deficiency disease, characterized by?

• A. Muscle wasting
• B. Night blindness
• C. Scurvy
• D. Rickets

Correct answer: A

Rationale: Rationale: Kwashiorkor is a type of severe acute malnutrition caused by a deficiency of dietary protein. It is characterized by symptoms such as edema (swelling due to fluid retention), skin lesions, an enlarged liver with fatty infiltrates, and muscle wasting. Muscle wasting is a key feature of kwashiorkor due to the body breaking down muscle tissue to obtain essential amino acids for vital functions. Night blindness (option B) is a symptom of vitamin A deficiency, scurvy (option C) is caused by a lack of vitamin C, and rickets (option D) is a condition resulting from a deficiency of vitamin D, calcium, or phosphate.

2. Which of the following is NOT a major component of a healthy blood pressure reading?

• A. Systolic pressure (peak pressure during ventricular contraction).
• B. Diastolic pressure (pressure within arteries during ventricular relaxation).
• C. Pulse pressure (difference between systolic and diastolic pressure).
• D. Blood oxygen saturation While blood oxygen levels are crucial for overall health, they are not directly reflected in a blood pressure reading.

Correct answer: A

Rationale: The correct answer is A. Systolic pressure is a major component of a healthy blood pressure reading as it represents the peak pressure in the arteries during ventricular contraction. Diastolic pressure, representing the pressure in the arteries during ventricular relaxation, is also a key component. Pulse pressure, the difference between systolic and diastolic pressure, provides additional information about the cardiovascular system. Blood oxygen saturation, while important for overall health, is not directly measured in a blood pressure reading. Therefore, it is not a major component of a healthy blood pressure reading.

3. Julius orients his staff on the patterns of reporting relationship throughout the organization.

• A. Span of control
• B. Hierarchy
• C. Esprit d’ corps
• D. Unity of direction

Correct answer: B

Rationale: The correct answer is B: Hierarchy. Hierarchy refers to the structure of authority and responsibility within an organization, including the levels of management and the reporting relationships. In this scenario, Julius is orienting his staff on the patterns of reporting relationships, which is a key aspect of hierarchy. Span of control refers to the number of employees a manager can effectively supervise, esprit de corps pertains to team spirit and unity among employees, and unity of direction relates to ensuring all activities are focused on the same objectives. Therefore, the most appropriate term for Julius's action is hierarchy.

4. A circular bandage has a diameter of 6cm. What is the area covered by the bandage (area of a circle = πr^2)?

• A. 9Ï€ cm^2
• B. 18Ï€ cm^2
• C. 27Ï€ cm^2
• D. 36Ï€ cm^2

Correct answer: B

Rationale: Divide the diameter (6cm) by 2 to find the radius (3cm). Substitute into the formula and multiply by π to get 18π cm^2.

5. Electrons occupy specific energy levels around the nucleus with varying probabilities. The electron cloud model depicts electrons existing in distinct energy levels, not fixed orbits, with probabilities of finding them in specific regions.

• A. 2 protons and 6 neutrons
• B. 2 filled s orbitals and 6 filled p orbitals
• C. 2s orbitals with 2 and 6 electrons, respectively
• D. 4 filled electron shells

Correct answer: B

Rationale: 2 filled s orbitals and 6 filled p orbitals. This notation indicates two electrons in the 2s orbital and six electrons in the 2p orbitals.

6. Negative feedback mechanisms are crucial in the endocrine system to:

• A. Increase hormone production continuously
• B. Maintain hormone levels within a specific range
• C. Cause a constant release of hormones
• D. Disrupt communication between glands

Correct answer: B

Rationale: The correct answer is B: 'Maintain hormone levels within a specific range.' Negative feedback mechanisms in the endocrine system are essential for regulating hormone levels. These mechanisms work to counteract any deviations from the set point, ensuring that hormone levels remain balanced and within the optimal range for proper physiological function. Continuous hormone production (A) or constant release of hormones (C) would lead to imbalances and potential harm to the body. Disrupting communication between glands (D) would hinder the coordination necessary for maintaining homeostasis. Therefore, option B is the best choice as it highlights the critical role of negative feedback in keeping hormone levels stable and regulated.

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