Nursing Elites

1. A patient weighs 180 pounds. What is their weight in kilograms (1kg = 2.2lbs)?

• A. 68kg
• B. 75kg
• C. 82kg
• D. 90kg

Correct answer: C

Rationale: Divide the weight in pounds (180) by the conversion factor (2.2lbs/kg).

2. The largest bone in the human body is the:

• A. Femur (thigh bone)
• B. Tibia (shin bone)
• C. Humerus (upper arm bone)
• D. Scapula (shoulder blade)

Correct answer: A

Rationale: The correct answer is A: Femur (thigh bone). The femur is the longest and strongest bone in the human body, located in the thigh region. It plays a crucial role in supporting the body's weight and facilitating movement. The tibia (B) is commonly known as the shin bone and is located below the femur. The humerus (C) is the upper arm bone, and the scapula (D) is the shoulder blade. However, neither of these bones is the largest in the human body. Understanding the anatomy of the skeletal system is essential for identifying the largest bone in the body, which is the femur.

3. 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.

4. The urethra is the tube that carries urine from the bladder to the outside of the body. How does urine flow through the urethra?

• A. Continuously
• B. Only when the bladder is completely full
• C. Under voluntary control of sphincter muscles
• D. A combination of b) and c)

Correct answer: C

Rationale: The correct answer is C: "Under voluntary control of sphincter muscles." The urethra is the tube responsible for carrying urine from the bladder to the outside of the body. Urine flow through the urethra is not continuous but rather under voluntary control. The sphincter muscles, located at the opening of the bladder and urethra, help control the release of urine. This control allows individuals to regulate when and where they empty their bladder, providing a mechanism to prevent involuntary leakage of urine. Therefore, option C accurately describes how urine flows through the urethra.

5. The most common cause of hospital-acquired infections (HAIs) are:

• A. Viruses
• B. Bacteria
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Rationale: Hospital-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire during the course of receiving treatment in a healthcare facility. Among the options provided, bacteria are the most common cause of HAIs. Bacteria such as Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa are known to cause a wide range of infections in healthcare settings. While viruses, fungi, and parasites can also cause HAIs, bacteria are the most prevalent and significant pathogens responsible for these infections. Proper infection control measures, including hand hygiene, environmental cleaning, and antimicrobial stewardship, are essential in preventing and controlling HAIs caused by bacteria.

6. Choose the most appropriate word to complete the sentence "He was _____ about his upcoming presentation."

• A. apprehensive
• B. bored
• C. excited
• D. relieved

Correct answer: A

Rationale: "Apprehensive" implies a mild worry or nervousness, which best fits the context.

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