Nursing Elites

1. 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.

2. Which type of muscle is characterized by involuntary contractions, is striated, and is primarily found in the heart?

• A. Skeletal muscle
• B. Smooth muscle
• C. Cardiac muscle
• D. Elastic muscle

Correct answer: C

Rationale: The correct answer is C: Cardiac muscle. Cardiac muscle is characterized by involuntary contractions, meaning it contracts without conscious control. It is striated, which refers to the striped appearance of muscle fibers under a microscope. Cardiac muscle is primarily found in the heart, where it plays a crucial role in pumping blood throughout the body. Skeletal muscle (option A) is also striated but is under voluntary control. Smooth muscle (option B) is non-striated and found in organs like the intestines. Elastic muscle (option D) is not a recognized type of muscle tissue.

3. The primary function of the atrioventricular (AV) node within the heart is to:

• A. Generate the electrical impulse for contraction (pacemaker function)
• B. Transmit the electrical impulse from atria to ventricles, regulating the timing of contraction.
• C. Increase blood pressure within the ventricles during systole.
• D. Separate oxygenated and deoxygenated blood flow in the heart.

Correct answer: B

Rationale: The correct answer is B: "Transmit the electrical impulse from atria to ventricles, regulating the timing of contraction." The AV node acts as a gateway between the atria and ventricles, ensuring a coordinated and sequential contraction of the heart chambers. It delays the conduction of electrical impulses to allow the atria to fully contract before the ventricles contract, facilitating efficient blood pumping. Options A, C, and D are incorrect because the primary role of the AV node is not to generate electrical impulses, increase blood pressure, or separate blood flow based on oxygenation status. Understanding the AV node's function is crucial in comprehending the heart's electrical conduction system.

4. Which vitamin is crucial for calcium absorption and synthesized in the skin upon sun exposure?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: The correct answer is C: Vitamin D. Vitamin D is crucial for calcium absorption as it helps the body absorb calcium from the diet. When the skin is exposed to sunlight, it produces vitamin D. This is why sunlight is often referred to as the 'sunshine vitamin.' Vitamin A (choice A) is important for vision and immune function, but not specifically for calcium absorption. Vitamin C (choice B) is essential for collagen production and immune function, but not directly related to calcium absorption. Vitamin E (choice D) is an antioxidant that helps protect cells from damage, but it is not primarily involved in calcium absorption like vitamin D.

5. A large geographic area characterized by similar climate, plants, and animals is called a:

• A. Population
• B. Community
• C. Biome
• D. Ecosystem

Correct answer: C

Rationale: Rationale: A) Population refers to a group of individuals of the same species living in a specific area. B) Community refers to all the populations of different species living and interacting in a particular area. C) Biome is a large geographic area characterized by similar climate, plants, and animals. Biomes are defined by factors such as temperature, precipitation, and vegetation types. D) Ecosystem refers to a community of living organisms interacting with each other and their physical environment. An ecosystem can be part of a biome.

6. Which element has the lowest electronegativity value?

• A. Oxygen
• B. Fluorine
• C. Helium
• D. Chlorine

Correct answer: C

Rationale: Electronegativity is the tendency of an atom to attract electrons towards itself in a bond. Noble gases like helium have very low electronegativity because their outer electron shell is already full and stable.

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