1. 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.

2. Endotoxins are toxic substances released by:

A. Viruses
B. Bacteria (gram-positive)
C. Bacteria (gram-negative)
D. Parasites

Correct answer: C

Rationale: Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins, and gram-positive bacteria produce exotoxins rather than endotoxins. Parasites are not typically associated with the production of endotoxins.

3. What property of a substance measures the amount of matter per unit volume?

A. Mass
B. Weight
C. Density
D. Volume

Correct answer: c

Rationale: Density measures the amount of matter (mass) per unit volume of a substance.

4. What is the phenomenon responsible for the mirage effect seen in deserts?

A. Diffraction
B. Refraction
C. Interference
D. Polarization

Correct answer: B

Rationale: Mirages occur due to the refraction of light by layers of air with different temperatures and densities, bending the light rays and creating the illusion of water on the horizon.

5. Stephanie is often seen interacting with the medical intern during coffee breaks and after duty

A. Formal
B. Informal
C. Staff
D. Line

Correct answer: B

Rationale: The correct answer is 'B: Informal.' Stephanie's interactions with the medical intern during coffee breaks and after duty suggest a casual and friendly relationship, rather than a formal or official one. 'Informal' describes interactions that are relaxed, personal, and not bound by strict professional protocols. In contrast, 'formal' interactions would involve more structured and official communication, such as meetings or professional discussions. 'Staff' and 'line' are not relevant in this context, as they do not describe the nature of the relationship between Stephanie and the medical intern.

6. Which type of waves travel by causing particles in the medium to vibrate parallel to the direction of wave travel?

A. Transverse waves
B. Longitudinal waves
C. Surface waves
D. Electromagnetic waves

Correct answer: B

Rationale: Longitudinal waves are waves in which the particles of the medium vibrate parallel to the direction of wave travel. This type of wave is characterized by compressions and rarefactions in the medium, where the particles move back and forth in the same direction as the wave. Transverse waves, on the other hand, cause particles to vibrate perpendicular to the direction of wave travel. Surface waves are a combination of both longitudinal and transverse motion, while electromagnetic waves do not require a medium and can travel through a vacuum.