Nursing Elites

1. St. Raphael Medical Center just opened its new Performance Improvement Department. Ms.

• A. Make an interpretation about strengths and weaknesses
• B. Identify the values of the department
• C. Identify structure, process, outcome standards & criteria
• D. Measure actual performances

Correct answer: B

Rationale: The correct answer is B: 'Identify the values of the department.' When a new department is established, it is important to define its core values, beliefs, and principles to guide its operations. This helps create a shared understanding among staff and stakeholders about the department's purpose and priorities. By identifying the values of the Performance Improvement Department at St. Raphael Medical Center, employees can align their actions with the department's mission and goals, fostering a cohesive and effective work environment. Options A, C, and D are not directly related to establishing the foundational values of a new department, making them less relevant in this context.

2. What is the formula to calculate kinetic energy?

• A. Kinetic Energy = Mass × Velocity
• B. Kinetic Energy = Force × Distance
• C. Kinetic Energy = Power × Time
• D. Kinetic Energy = Potential Energy ÷ Time

Correct answer: a

Rationale: Kinetic energy is calculated using the formula KE = ½ × mass × velocity².

3. In a single displacement reaction, one element takes the place of another element in a compound. Which of the following is an example?

• A. 2H2 + O2 -> 2H2O
• B. Zn + 2HCl -> ZnCl2 + H2
• C. CaCO3 -> CaO + CO2
• D. CH4 + 2O2 -> CO2 + 2H2O

Correct answer: B

Rationale: In a single displacement reaction, one element replaces another element in a compound. Option B, 'Zn + 2HCl -> ZnCl2 + H2,' is an example of a single displacement reaction where zinc (Zn) replaces hydrogen (H) in hydrochloric acid (HCl) to form zinc chloride (ZnCl2) and hydrogen gas (H2). The other options do not involve one element displacing another in a compound. Option A is a synthesis reaction, option C is a decomposition reaction, and option D is a combustion reaction. Therefore, option B is the correct answer as it demonstrates the concept of single displacement reactions.

4. Lymphedema, a chronic condition, occurs when:

• A. Lymph nodes become inflamed
• B. Lymph vessels become blocked
• C. The spleen malfunctions
• D. Bone marrow production decreases

Correct answer: B

Rationale: The correct answer is B: "Lymph vessels become blocked." Lymphedema is a chronic condition characterized by swelling due to the accumulation of lymph fluid. This occurs when lymph vessels become blocked, preventing the proper drainage of lymph fluid. Inflammation of lymph nodes (option A) is not the direct cause of lymphedema. The spleen malfunctioning (option C) and bone marrow production decreasing (option D) are not directly related to the development of lymphedema. Understanding the blockage of lymph vessels is crucial in comprehending the pathophysiology of lymphedema.

5. Calcitonin, a hormone that helps regulate calcium levels, is produced by the:

• A. Thyroid gland
• B. Parathyroid gland
• C. Thymus gland
• D. Adrenal gland

Correct answer: A

Rationale: The correct answer is A: "Thyroid gland." Calcitonin is a hormone produced by the thyroid gland that helps regulate calcium levels in the body. It works in opposition to parathyroid hormone, which is produced by the parathyroid gland. The thymus gland is responsible for immune function, while the adrenal gland produces hormones like cortisol and adrenaline. Therefore, the thyroid gland is the specific gland responsible for producing calcitonin to regulate calcium levels in the body.

6. Which process involves the body's natural defense against inhaled dust and allergens?

• A. Cellular respiration
• B. Gas exchange
• C. Ciliary action
• D. Bronchoconstriction

Correct answer: C

Rationale: The correct answer is C: Ciliary action. Cilia are tiny hair-like structures lining the respiratory tract that help trap and remove inhaled dust and allergens. When these particles are trapped in the mucus produced by the cilia, the cilia beat in a coordinated fashion to move the mucus and its trapped particles out of the respiratory system, preventing them from reaching the lungs. Cellular respiration (A) is the process by which cells generate energy from nutrients, not a defense mechanism. Gas exchange (B) refers to the exchange of oxygen and carbon dioxide in the lungs, not a defense mechanism. Bronchoconstriction (D) is the narrowing of the airways, often in response to triggers like allergens, but it is not the body's natural defense mechanism against inhaled dust and allergens.

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