Nursing Elites

1. 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.

2. She takes pride in saying that the hospital has a decentralized structure. Which of the

• A. Flat organization
• B. Participatory approach
• C. Shared governance
• D. Tall organization

Correct answer: B

Rationale: The correct answer is B: 'Participatory approach.' In a decentralized structure, decision-making authority is dispersed throughout the organization rather than being concentrated at the top. A participatory approach involves employees at all levels having a say in decisions that affect their work, fostering collaboration and empowerment. This contrasts with a tall organization, which has many layers of management and a more centralized decision-making process. While shared governance can involve decentralized decision-making, it specifically refers to a model where nurses and other healthcare professionals have a voice in shaping policies and practices within their organization, which is not necessarily the same as a decentralized structure.

3. Which of the following organs is responsible for churning and mechanically breaking down food?

• A. Small intestine
• B. Large intestine
• C. Stomach
• D. Esophagus

Correct answer: C

Rationale: Rationale: The stomach is responsible for churning and mechanically breaking down food. It contains muscles that contract and relax to mix food with digestive juices, breaking it down into smaller particles. This mechanical digestion process helps prepare the food for further digestion and absorption in the small intestine. The small intestine is primarily responsible for the absorption of nutrients, the large intestine absorbs water and salts, the esophagus is a muscular tube that transports food from the mouth to the stomach.

4. What type of lens is thinner at the center than at the edges and causes light rays to diverge?

• A. Convex lens
• B. Concave lens
• C. Diverging lens
• D. Plano-convex lens

Correct answer: b

Rationale: A concave lens is thinner at the center than at the edges and diverges light rays.

5. What type of enzyme breaks down carbohydrates like starches and sugars in the mouth?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: C

Rationale: The correct answer is C: Amylase. Amylase is an enzyme specifically responsible for breaking down carbohydrates like starches and sugars in the mouth. It is produced by both the salivary glands and the pancreas. Pepsin (A) is an enzyme that breaks down proteins in the stomach, lipase (B) breaks down fats, and trypsin (D) is another enzyme that digests proteins but is produced in the pancreas and works in the small intestine. Therefore, amylase is the enzyme that targets carbohydrates in the mouth, aiding in the initial digestion process of these nutrients.

6. Which type of mutation involves a change in the number of chromosomes?

• A. Point mutation
• B. Frameshift mutation
• C. Missense mutation
• D. Aneuploidy

Correct answer: D

Rationale: Rationale: A) Point mutation: Involves a change in a single nucleotide base pair within the DNA sequence. B) Frameshift mutation: Involves the insertion or deletion of nucleotides, causing a shift in the reading frame of the genetic code. C) Missense mutation: Involves a single nucleotide change that results in a codon that codes for a different amino acid. D) Aneuploidy: Involves a change in the number of chromosomes, where an individual may have an extra chromosome (trisomy) or a missing chromosome (monosomy). Aneuploidy can lead to genetic disorders such as Down syndrome (trisomy 21) or Turner syndrome (monosomy X).

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