Nursing Elites

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 three main types of muscle tissue in the human body are:

• A. Smooth, cardiac, and voluntary skeletal
• B. Smooth, skeletal, and involuntary cardiac
• C. Voluntary smooth, cardiac, and skeletal
• D. Striated, non-striated, and epithelial

Correct answer: A

Rationale: The correct answer is A: Smooth, cardiac, and voluntary skeletal. Smooth muscle is found in the walls of internal organs and blood vessels, cardiac muscle makes up the heart, and voluntary skeletal muscle is attached to the bones and responsible for movement. Choice B is incorrect because cardiac muscle is involuntary, not voluntary. Choice C is incorrect because smooth muscle and cardiac muscle are involuntary, not voluntary. Choice D is incorrect because 'striated' and 'non-striated' refer to the appearance of muscle fibers, not the main types of muscle tissue in the body.

3. What type of molecule forms the cell membrane and controls what enters and exits the cell?

• A. Proteins
• B. Carbohydrates
• C. Lipids
• D. Nucleic acids

Correct answer: C

Rationale: The correct answer is C: Lipids. The cell membrane is primarily composed of a double layer of lipids called phospholipids. These phospholipids have a hydrophilic (water-attracting) head and two hydrophobic (water-repelling) tails, which arrange themselves to form a barrier that controls the passage of substances in and out of the cell. While proteins are also present in the cell membrane and play important roles in transport and cell signaling, lipids are the main structural component responsible for the selective permeability of the membrane. Carbohydrates are typically found on the outer surface of the membrane and are involved in cell recognition and communication. Nucleic acids are not a major component of the cell membrane; they are primarily responsible for storing and transmitting genetic information within the cell.

4. Which property of a substance refers to its ability to be stretched into thin wires?

• A. Conductivity
• B. Viscosity
• C. Ductility
• D. Malleability

Correct answer: c

Rationale: Ductility refers to a substance's ability to be stretched into thin wires without breaking.

5. Which of the following is the main function of the liver?

• A. To produce bile, which helps digest fats
• B. To store energy in the form of glycogen
• C. To produce proteins that help to clot blood
• D. To detoxify harmful substances in the body

Correct answer: D

Rationale: Rationale: A) The liver does produce bile, which helps in the digestion of fats, but this is not its main function. Bile is stored in the gallbladder and released into the small intestine to aid in the digestion and absorption of fats. B) While the liver does store energy in the form of glycogen, this is not its main function. Glycogen is a form of glucose storage that can be broken down into glucose when the body needs energy. C) The liver does produce proteins that help to clot blood, such as fibrinogen and prothrombin, but this is not its main function. These proteins are essential for the blood clotting process to prevent excessive bleeding. D) The main function of the liver is to detoxify harmful substances in the body. The liver processes and removes toxins, drugs, alcohol, and other harmful substances from the bloodstream, making them less harmful and

6. Which part of the neuron receives incoming signals from other neurons and conducts them toward the cell body?

• A. Axon
• B. Dendrite
• C. Synapse
• D. Myelin sheath

Correct answer: b

Rationale: The correct answer is B: Dendrite. Dendrites are the part of the neuron that receive incoming signals from other neurons and conduct them toward the cell body. They play a crucial role in communication between neurons by receiving neurotransmitters released from neighboring neurons. Axons transmit signals away from the cell body, synapses are the junctions where neurons communicate with each other, and myelin sheath is a fatty insulation that surrounds and protects axons. Therefore, in this scenario, dendrites are specifically responsible for receiving and conducting incoming signals towards the cell body.

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