Nursing Elites

1. Julius orients his staff on the patterns of reporting relationship throughout the organization.

• A. Span of control
• B. Hierarchy
• C. Esprit d’ corps
• D. Unity of direction

Correct answer: B

Rationale: The correct answer is B: Hierarchy. Hierarchy refers to the structure of authority and responsibility within an organization, including the levels of management and the reporting relationships. In this scenario, Julius is orienting his staff on the patterns of reporting relationships, which is a key aspect of hierarchy. Span of control refers to the number of employees a manager can effectively supervise, esprit de corps pertains to team spirit and unity among employees, and unity of direction relates to ensuring all activities are focused on the same objectives. Therefore, the most appropriate term for Julius's action is hierarchy.

2. Which of the following is a strong acid?

• A. Acetic acid (CH₃COOH)
• B. Hydrochloric acid (HCl)
• C. Citric acid
• D. Carbonic acid (Hâ‚‚CO₃)

Correct answer: b

Rationale: Hydrochloric acid is a strong acid, meaning it completely ionizes in water to produce hydrogen ions. The other choices are weak acids.

3. A lampshade is shaped like a frustum of a cone, with base diameters of 20cm and 10cm and a height of 15cm. What is its volume?

• A. 625 cu cm
• B. 1250 cu cm
• C. 1875 cu cm
• D. 2500 cu cm

Correct answer: C

Rationale: This requires dividing the frustum into two cones and calculating their individual volumes before subtracting them. The formula for a cone frustum involves the radii of both bases and the height.

4. What is the scientific term for a muscle that helps another muscle perform its action?

• A. Agonist
• B. Antagonist
• C. Synergist
• D. Fixator

Correct answer: C

Rationale: The correct answer is C: Synergist. A synergist muscle is a muscle that assists the prime mover (agonist) in performing its action by stabilizing joints or contributing extra force to the movement. Antagonist muscles oppose the action of the prime mover, while fixator muscles stabilize the origin of the prime mover to allow efficient movement. Understanding the roles of these muscles is essential in comprehending how various muscle groups work together to produce coordinated movements.

5. The neutral theory of molecular evolution proposes that:

• A. Most mutations in DNA are selectively neutral and do not affect an organism's fitness.
• B. All mutations are beneficial and contribute to the adaptation of a population.
• C. The rate of evolution is primarily driven by strong directional selection pressures.
• D. Genetic drift plays a negligible role in shaping genetic variation within populations.

Correct answer: A

Rationale: Rationale: A) The neutral theory of molecular evolution, proposed by Motoo Kimura in the 1960s, suggests that the majority of mutations that occur in DNA are selectively neutral, meaning they do not have a significant impact on an organism's fitness. These neutral mutations are not subject to natural selection and are allowed to accumulate in populations over time. This theory helps explain the high levels of genetic variation observed within populations. B) Option B is incorrect because not all mutations are beneficial. Mutations can be neutral, harmful, or beneficial, and the neutral theory specifically focuses on the idea that many mutations are neutral in their effects. C) Option C is incorrect because the neutral theory suggests that evolution is not primarily driven by strong directional selection pressures. Instead, it emphasizes the role of genetic drift and the accumulation of neutral mutations in shaping genetic variation. D) Option D is incorrect because

6. A doctor orders 1 gram of a medication to be administered intravenously. The available vial contains 200 milligrams per milliliter. How many milliliters of the solution should be drawn up?

• A. 4 milliliters
• B. 5 milliliters
• C. 10 milliliters
• D. 20 milliliters

Correct answer: B

Rationale: First convert grams to milligrams (1 gram * 1000 milligrams/gram = 1000 milligrams). Then, divide the desired dosage by the concentration per milliliter: 1000 milligrams / 200 milligrams/milliliter = 5 milliliters.

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