Nursing Elites

1. Which of the following guidelines should be least considered in formulating objectives for

• A. Written nursing care plan
• B. Holistic approach
• C. Prescribed standards
• D. Staff preferences

Correct answer: D

Rationale: When formulating objectives for a written nursing care plan, staff preferences should be least considered. Objectives should be based on patient needs, evidence-based practice, and professional standards rather than personal preferences of the staff. Prescribed standards ensure quality care and adherence to best practices. A holistic approach considers the whole patient, including physical, emotional, and spiritual aspects. Staff preferences may introduce bias and should not dictate patient care objectives.

2. The adaptive immune system develops a targeted response to specific pathogens. What type of immune cell is responsible for producing antibodies?

• A. Natural killer cells
• B. Phagocytes
• C. Helper T cells
• D. B cells

Correct answer: D

Rationale: The correct answer is D: B cells. B cells are a type of lymphocyte responsible for producing antibodies, which play a crucial role in the adaptive immune response. When a pathogen enters the body, B cells are activated and differentiate into plasma cells that secrete specific antibodies to target and neutralize the pathogen. Natural killer cells (A) are part of the innate immune system and are responsible for killing infected or abnormal cells. Phagocytes (B) are another type of innate immune cell that engulfs and digests pathogens. Helper T cells (C) play a vital role in coordinating the immune response but do not directly produce antibodies.

3. Unlike the circulatory system, the lymphatic system does not have a pump. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Unlike the circulatory system which relies on the heart's pumping action, the lymphatic system lacks a central pump. Lymph moves through lymphatic vessels primarily due to muscle contractions and breathing movements that squeeze the vessels, helping propel the lymph forward. Additionally, one-way valves within the lymphatic vessels prevent the backward flow of lymph, ensuring it moves in the right direction. Therefore, all three mechanisms - heart pumping, muscle contractions, and one-way valves - work together to facilitate the movement of lymph through the lymphatic system.

4. Which of the following is NOT a type of asexual reproduction in bacteria?

• A. Binary fission
• B. Conjugation
• C. Budding
• D. Transduction

Correct answer: D

Rationale: Rationale: A) Binary fission: This is a common method of asexual reproduction in bacteria where a single cell divides into two identical daughter cells. B) Conjugation: This is a process in which genetic material is transferred between bacterial cells through direct cell-to-cell contact, leading to genetic recombination. C) Budding: Budding is a form of asexual reproduction where a new organism develops from an outgrowth or bud on the parent organism. D) Transduction: Transduction is a method of horizontal gene transfer in bacteria where genetic material is transferred from one bacterium to another by a bacteriophage (a virus that infects bacteria). It is not a form of asexual reproduction in bacteria. Therefore, the correct answer is D) Transduction, as it is not a type of asexual reproduction in bacteria but a mechanism of genetic exchange.

5. Identify the conjunction in the following sentence: He went to the store, but they were already closed.

• A. went
• B. to
• C. but
• D. they

Correct answer: C

Rationale: Conjunctions connect words, phrases, or clauses. "But" joins two contrasting ideas in the sentence.

6. What is the stoichiometric coefficient of nitrogen (N2) in the balanced equation for the Haber process: N2 + 3H2 → 2NH3?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: a

Rationale: The coefficient of N2 is 1 in the balanced equation

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