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. The term "goiter" refers to a condition characterized by:

A. Overproduction of cortisol from the adrenal glands
B. Excessive growth of the thyroid gland
C. Underproduction of parathyroid hormone (PTH)
D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: The term 'goiter' specifically refers to the abnormal enlargement of the thyroid gland. This can be due to various reasons such as iodine deficiency, Hashimoto's thyroiditis, or Graves' disease. Options A, C, and D are incorrect as they describe conditions related to other glands and hormones in the endocrine system. It is important to differentiate between different endocrine disorders to accurately diagnose and treat patients. Therefore, the correct answer is B, as a goiter is characterized by the excessive growth of the thyroid gland.

3. What is the process by which a large, unstable nucleus splits into two smaller nuclei, releasing neutrons and energy?

A. Alpha decay
B. Beta decay
C. Gamma decay
D. Nuclear fission

Correct answer: D

Rationale: Nuclear fission involves splitting a heavy nucleus into smaller fragments, releasing neutrons and energy.

4. A table shows the blood pressure readings for different age groups. How do you determine the patient with the highest systolic pressure?

A. Find the largest number in the "systolic pressure" column.
B. Compare the means (averages) of each age group.
C. Add all systolic pressure values and divide by the total number of patients.
D. Subtract the lowest systolic pressure from the highest.

Correct answer: A

Rationale: The best way is to compare the average systolic pressure values for each age group to identify the highest.

5. Pinpoint the smallest bone in the human body.

A. Stapes (Middle ear bone)
B. Patella (Kneecap)
C. Phalanges (Finger bones)
D. Ribs

Correct answer: A

Rationale: The stapes, crucial for hearing, transmits and amplifies sound vibrations. Despite its size, it plays a vital role in auditory perception.

6. Which type of joint allows for the most movement?

A. Ball-and-socket joint (shoulder)
B. Hinge joint (elbow)
C. Fibrocartilaginous joint (wrists)
D. Suture joint (skull)

Correct answer: A

Rationale: The correct answer is A: Ball-and-socket joint (shoulder). Ball-and-socket joints allow for the most movement in all directions, such as flexion, extension, abduction, adduction, and rotation. The shoulder joint is a prime example, as it enables a wide range of motion, allowing the arm to move in multiple planes. Hinge joints, like the elbow, primarily allow movement in one direction (flexion and extension). Fibrocartilaginous joints, such as those in the wrists, have limited movement due to the presence of cartilage between the bones. Suture joints, found in the skull, are immovable joints that provide structural support rather than movement. Therefore, ball-and-socket joints like the shoulder joint offer the greatest range of motion among the options provided.