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. Muscle tissue is responsible for movement. Which type of muscle tissue is found in the heart?

• A. Skeletal muscle
• B. Smooth muscle
• C. Cardiac muscle
• D. All of the above

Correct answer: C

Rationale: The correct answer is C: Cardiac muscle. Cardiac muscle is a specialized type of muscle tissue found in the heart. Unlike skeletal muscle, which is under voluntary control, and smooth muscle, which is found in the walls of internal organs and blood vessels, cardiac muscle is involuntary and responsible for the rhythmic contractions of the heart to pump blood throughout the body. Therefore, cardiac muscle is the specific type of muscle tissue found in the heart, making it the correct choice for this question.

3. Identify the participial phrase in the following sentence: "Running through the park, she spotted a squirrel."

• A. Running
• B. through the park
• C. she spotted
• D. a squirrel

Correct answer: B

Rationale: A participial phrase acts as an adjective but is formed from a verb.

4. The process by which a cell divides to produce two daughter cells is called:

• A. Mitosis
• B. Meiosis
• C. Differentiation
• D. Transformation

Correct answer: A

Rationale: The correct answer is A: "Mitosis." Mitosis is the process of cell division in which a cell duplicates its chromosomes and divides into two identical daughter cells. This is a crucial mechanism for growth, repair, and maintenance of multicellular organisms. Meiosis (option B) is a different type of cell division that produces gametes with half the number of chromosomes. Differentiation (option C) refers to the process by which cells become specialized for specific functions. Transformation (option D) is a term used in molecular biology to describe the uptake of foreign DNA by a cell. In this question, the specific process of cell division leading to the production of two daughter cells aligns with mitosis.

5. What is the technical term for the involuntary muscular contractions that move food through the digestive tract?

• A. Segmentation
• B. Peristalsis
• C. Chylification
• D. Emulsification

Correct answer: B

Rationale: The correct answer is B: Peristalsis. Peristalsis is the coordinated, rhythmic contraction and relaxation of muscles in the digestive tract that propels food forward. This process helps move food through the esophagus, stomach, and intestines for digestion and absorption of nutrients. Segmentation (option A) is a different process involving alternating contractions in the intestines to mix food with digestive juices. Chylification (option C) is not a recognized term in digestion. Emulsification (option D) is the process of breaking down fats into smaller droplets for easier digestion, typically occurring in the small intestine with the help of bile. Therefore, peristalsis is the specific term for the involuntary muscular contractions responsible for moving food through the digestive tract.

6. Which element is used in fire extinguishers to smother flames by displacing oxygen?

• A. Nitrogen
• B. Carbon dioxide
• C. Helium
• D. Argon

Correct answer: B

Rationale: Carbon dioxide extinguishes flames by depriving them of oxygen, preventing the chemical reaction that sustains the fire.

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