Nursing Elites

1. In a horizontal chart, the lowest level worker is located at the

• A. Leftmost box
• B. Middle
• C. Rightmost box
• D. Bottom

Correct answer: B

Rationale: In a horizontal chart, the lowest level worker is typically positioned at the leftmost side, with higher-level workers placed to the right. This arrangement signifies hierarchy, with the top level usually being on the rightmost side. Therefore, the correct answer is B: 'Middle,' as the lowest level worker is situated towards the left of the chart, not the extreme left or right. This positioning helps visually represent the organization's structure and indicates the progression from lower to higher levels as one moves from left to right on the chart.

2. Identify the incorrect usage of punctuation in the following sentence: "The children, eager to play, ran outside. It was a beautiful day."

• A. comma after "children"
• B. comma after "play"
• C. period after "outside"
• D. no errors

Correct answer: C

Rationale: The two sentences are independent clauses and should be separated by a semicolon or period, not a comma.

3. One staff suggests that they review the pattern of nursing care that they are using, which is

• A. job description
• B. system used to deliver care
• C. manual of procedure
• D. rules to be followed

Correct answer: B

Rationale: The correct answer is B: 'system used to deliver care.' When a staff member suggests reviewing the pattern of nursing care being used, they are referring to the overall system or method in place for delivering care to patients. This includes the processes, protocols, and techniques used to provide nursing care. It goes beyond just following a job description, manual of procedure, or rules. By evaluating and potentially revising the system used to deliver care, staff can ensure that best practices are in place to provide high-quality and effective care to patients.

4. When light interacts with a perfectly smooth surface, like a mirror, the dominant interaction is:

• A. Refraction
• B. Diffraction
• C. Total internal reflection
• D. Specular reflection

Correct answer: D

Rationale: The correct answer is D: Specular reflection. When light interacts with a perfectly smooth surface like a mirror, it undergoes specular reflection, where the light rays are reflected at the same angle as the incident angle. Refraction (option A) occurs when light passes from one medium to another at an angle, causing it to change direction. Diffraction (option B) is the bending of light waves around obstacles or through small openings. Total internal reflection (option C) occurs when light traveling in a medium strikes the boundary with another medium at an angle greater than the critical angle, causing the light to reflect back into the original medium. In the case of a perfectly smooth surface, specular reflection is the dominant interaction as the light rays reflect in a single direction with minimal scattering or diffraction.

5. Which state of matter has a definite shape and volume but can flow?

• A. Solid
• B. Liquid
• C. Gas
• D. Plasma

Correct answer: B

Rationale: Liquids have a definite volume but can take the shape of their container, unlike solids with fixed shapes and volumes.

6. Which of the following functional groups has the highest priority according to the Cahn-Ingold-Prelog (CIP) ranking system?

• A. Alcohol (OH)
• B. Aldehyde (CHO)
• C. Carboxylic Acid (COOH)
• D. Amine (NH2)

Correct answer: C

Rationale: According to the Cahn-Ingold-Prelog (CIP) ranking system, the priority of functional groups is determined based on the atomic number of the atoms directly bonded to the functional group. In this case, carboxylic acid (COOH) has the highest priority because the carbon atom is directly bonded to two oxygen atoms, which have higher atomic numbers than carbon. The alcohol (OH) group has a lower priority as the oxygen atom is only bonded to hydrogen, while the aldehyde (CHO) and amine (NH2) groups have lower priorities compared to carboxylic acid. Therefore, option C, carboxylic acid, is the correct answer as it has the highest priority in the CIP ranking system.

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