Nursing Elites

1. Which term refers to the condition where a muscle shortens in length while generating force, leading to movement at a joint?

• A. Isometric contraction
• B. Eccentric contraction
• C. Isotonic contraction
• D. Concentric contraction

Correct answer: d

Rationale: The correct answer is D: Concentric contraction. Concentric contraction occurs when a muscle shortens in length while generating force, resulting in movement at a joint. This type of contraction is commonly seen when lifting a weight in a bicep curl, for example. Isometric contraction, option A, refers to when the muscle generates force without changing length, eccentric contraction, option B, is when the muscle lengthens while generating force, and isotonic contraction, option C, involves the muscle maintaining a constant tension while changing length. Therefore, in the context of muscle movement and joint action, concentric contraction best describes the condition described in the question.

2. What is the function of introns in eukaryotic genes?

• A. They code for protein sequences.
• B. They are involved in gene regulation.
• C. They are removed during mRNA processing.
• D. They are non-functional remnants of ancient DNA.

Correct answer: C

Rationale: Rationale: A) Introns do not code for protein sequences. Exons are the segments of DNA that code for proteins. B) While introns can indirectly influence gene regulation, their primary function is not directly involved in gene regulation. C) Introns are non-coding regions of DNA that are transcribed into pre-mRNA but are removed during mRNA processing through a process called splicing. This allows only the exons to be included in the mature mRNA that will be translated into proteins. D) While introns were once thought to be non-functional remnants of ancient DNA, research has shown that they can have regulatory functions and play a role in gene expression.

3. Which of the following is an example of a chemical change?

• A. Dissolving sugar in water
• B. Boiling water
• C. Rusting iron
• D. Crushing ice

Correct answer: C

Rationale: Rusting is a chemical reaction where iron reacts with oxygen and water to form iron oxide (rust).

4. What is the scientific term for a muscle that helps another muscle perform its action?

• A. Agonist
• B. Antagonist
• C. Synergist
• D. Fixator

Correct answer: C

Rationale: The correct answer is C: Synergist. A synergist muscle is a muscle that assists the prime mover (agonist) in performing its action by stabilizing joints or contributing extra force to the movement. Antagonist muscles oppose the action of the prime mover, while fixator muscles stabilize the origin of the prime mover to allow efficient movement. Understanding the roles of these muscles is essential in comprehending how various muscle groups work together to produce coordinated movements.

5. Which hormone, produced by the pancreas, is involved in the regulation of blood sugar levels by inhibiting the release of insulin and promoting the release of glucose into the bloodstream?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Somatostatin

Correct answer: D

Rationale: The correct answer is D: Somatostatin. Somatostatin is a hormone produced by the pancreas that plays a key role in regulating blood sugar levels. It inhibits the secretion of insulin, which helps prevent a further decrease in blood sugar levels. Additionally, somatostatin promotes the release of glucose into the bloodstream by inhibiting the release of other hormones that would lower blood sugar levels. This dual action of somatostatin helps maintain blood sugar within a normal range. While insulin is involved in lowering blood sugar levels by promoting glucose uptake, glucagon stimulates the release of glucose from storage to increase blood sugar levels. Cortisol is a steroid hormone produced by the adrenal glands that plays a role in stress response and metabolism, but it is not directly involved in regulating blood sugar levels.

6. She conducts a 6-month performance review session with a staff member. Which of the

• A. She asks another nurse to attest the session as a witness.
• B. She informs the staff that she may ask another nurse to read the appraisal before the session is
• C. She tells the staff that the session is manager-centered.
• D. The session is private between the two members.

Correct answer: C

Rationale: Option C is the correct answer because telling the staff that the session is manager-centered indicates that the focus will be on the manager's evaluation and feedback rather than promoting a collaborative and transparent review process. This approach can lead to a one-sided assessment and may not foster open communication or growth opportunities for the staff member. Options A and B involve bringing in another nurse, which could potentially compromise the privacy and effectiveness of the performance review. Option D, stating that the session is private between the two members, does not address the issue of the session being manager-centered. Therefore, option C is the most appropriate choice to highlight the importance of a balanced and inclusive performance review process.

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