Nursing Elites

1. The least common multiple (LCM) of two numbers is the smallest number that is a multiple of both. Which of the following represents the LCM of 14 and 21?

• A. 42
• B. 63
• C. 84
• D. 168

Correct answer: C

Rationale: We can list out the multiples of each number until we find a common multiple. 14, 28, 42, 56, 84, ... 21, 42, 63, 84, ... The least common multiple is 84.

2. 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.

3. Which of the following types of muscle tissue is found attached to bones and allows for voluntary movement?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Connective tissue

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is the type of muscle tissue that is attached to bones and allows for voluntary movement. This type of muscle is under conscious control, meaning we can choose to contract or relax these muscles to produce movement. Smooth muscle (option A) is found in the walls of internal organs and is not under voluntary control. Cardiac muscle (option B) is found in the heart and also functions involuntarily. Connective tissue (option D) primarily provides support and structure to the body but does not directly enable movement like skeletal muscle does.

4. What is the term for a solution with a pH value less than 7?

• A. Acidic
• B. Neutral
• C. Alkaline
• D. Basic

Correct answer: a

Rationale: Solutions with a pH less than 7 are acidic. The other choices do not accurately describe solutions with a pH less than 7.

5. What is the structure that attaches to each chromosome during mitosis?

• A. Centromere
• B. Telomere
• C. Spindle apparatus
• D. Nucleolus

Correct answer: A

Rationale: Rationale: The centromere is the structure that attaches to each chromosome during mitosis. It is a region of the chromosome where the two sister chromatids are held together and where the spindle fibers attach during cell division. The centromere plays a crucial role in ensuring that each daughter cell receives the correct number of chromosomes during cell division. Telomeres are structures found at the ends of chromosomes that protect them from deterioration and fusion with neighboring chromosomes. The spindle apparatus is a structure made of microtubules that helps separate chromosomes during cell division. The nucleolus is a region within the nucleus where ribosomal RNA synthesis occurs and is not directly involved in chromosome attachment during mitosis.

6. Lysosomes are known as "suicide bags" of the cell. What enzymes do they contain?

• A. Hydrolytic enzymes
• B. Ligases (bonding enzymes)
• C. Transferases (molecule transfer)
• D. Oxidoreductases (redox reactions)

Correct answer: A

Rationale: Lysosomes are membrane-bound organelles containing hydrolytic enzymes responsible for breaking down various macromolecules, cellular waste, and foreign substances. These enzymes perform hydrolysis, a process where water molecules are used to break down larger molecules into smaller components. This function earned lysosomes the nickname 'suicide bags' as they can initiate cell death (apoptosis) by releasing their enzymes when needed. Ligases, transferases, and oxidoreductases are enzymes with different functions such as forming bonds, transferring molecules, and catalyzing redox reactions, respectively, which are not typically found in lysosomes. Therefore, the correct answer is A: 'Hydrolytic enzymes.'

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