Nursing Elites

1. Ms. Valencia develops the standards to be followed. Among the following standards, which is

• A. The patients verbalized satisfaction of the nursing care received
• B. Rotation of duty will be done every four weeks for all patient care personnel.
• C. All patients shall have their weights taken recorded
• D. Patients shall answer the evaluation form before discharge

Correct answer: C

Rationale: The correct answer is C because it is a clear and specific standard that can be easily measured and monitored. Weight recording is a fundamental aspect of patient care and is essential for tracking changes in health status. Verbalized satisfaction (option A) is subjective and may not be consistently measurable. Rotation of duty (option B) is important but may not be a standard developed by a nurse manager. Answering an evaluation form before discharge (option D) is important but may not be a standard created by Ms. Valencia for all patients.

2. Which verb tense is most appropriate for this sentence: "By next week, _____ finished the project."

• A. I will be finishing
• B. I will have finished
• C. I am finishing
• D. I would finish

Correct answer: B

Rationale: Option B expresses a future event completed before another future point in time (next week).

3. Lymph nodes are small, bean-shaped structures found along lymphatic vessels. What is their primary function?

• A. To store excess lymph fluid
• B. To produce red blood cells
• C. To filter lymph and fight infection
• D. To transport lymph to the heart

Correct answer: C

Rationale: The correct answer is C. Lymph nodes are crucial components of the immune system. Their primary function is to filter lymph, which is a clear fluid containing white blood cells, and to fight off infections. Lymph nodes contain specialized cells that help trap and destroy pathogens, such as bacteria and viruses, that may be present in the lymph fluid. This process helps to prevent the spread of infections throughout the body and plays a key role in maintaining overall immune function. Therefore, option C, 'To filter lymph and fight infection,' is the most appropriate description of the primary function of lymph nodes.

4. The outermost layer of your skin, responsible for waterproofing and providing a barrier against pathogens, is the:

• A. Stratum basale (Basal layer)
• B. Stratum corneum
• C. Stratum granulosum
• D. Stratum spinosum

Correct answer: B

Rationale: The correct answer is B: Stratum corneum. The stratum corneum is the outermost layer of the epidermis, consisting of dead skin cells (corneocytes) that are continuously shed and replaced. This layer is responsible for waterproofing the skin and providing a barrier against pathogens, UV radiation, and other environmental factors. The stratum basale (A) is the deepest layer of the epidermis where new skin cells are produced. The stratum granulosum (C) is the layer of the epidermis where cells begin to flatten and keratinization begins. The stratum spinosum (D) is the layer above the stratum granulosum, where cells become interconnected by desmosomes. Therefore, the stratum corneum is specifically designed to fulfill the functions of waterproofing and protecting against pathogens.

5. What is the process by which decomposers break down organic matter?

• A. Photosynthesis
• B. Bioremediation
• C. Decomposition
• D. Nitrification

Correct answer: C

Rationale: Rationale: A) Photosynthesis is the process by which plants, algae, and some bacteria convert light energy into chemical energy to produce glucose from carbon dioxide and water. This process is not related to the breakdown of organic matter by decomposers. B) Bioremediation is the use of living organisms to clean up contaminated environments. While it involves the use of microorganisms to break down pollutants, it is not specifically focused on breaking down organic matter. C) Decomposition is the process by which decomposers such as bacteria, fungi, and other organisms break down organic matter into simpler substances. This process is essential for nutrient recycling in ecosystems. D) Nitrification is the biological oxidation of ammonia or ammonium to nitrite followed by the oxidation of nitrite to nitrate by nitrifying bacteria. This process is part of the nitrogen cycle and is not directly related to the breakdown of organic matter.

6. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: The correct answer is A: Schwann cells. Schwann cells are a type of glial cell in the peripheral nervous system that produce the myelin sheath around axons. Myelin sheath is essential for the rapid conduction of nerve impulses and provides insulation and protection to nerve fibers. Astrocytes are glial cells that provide support and maintain homeostasis in the central nervous system, but they do not produce myelin. Neurons are the main functional units of the nervous system responsible for transmitting nerve impulses. Oligodendrocytes are another type of glial cell in the central nervous system that produce myelin sheath around axons in that region, not in the peripheral nervous system where Schwann cells are responsible for myelination.

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