Nursing Elites

1. She conducts a 6-month performance review session with a staff member. Which of the

• A. She asks another nurse to attest the session as a witness.
• B. She informs the staff that she may ask another nurse to read the appraisal before the session is
• C. She tells the staff that the session is manager-centered.
• D. The session is private between the two members.

Correct answer: C

Rationale: Option C is the correct answer because telling the staff that the session is manager-centered indicates that the focus will be on the manager's evaluation and feedback rather than promoting a collaborative and transparent review process. This approach can lead to a one-sided assessment and may not foster open communication or growth opportunities for the staff member. Options A and B involve bringing in another nurse, which could potentially compromise the privacy and effectiveness of the performance review. Option D, stating that the session is private between the two members, does not address the issue of the session being manager-centered. Therefore, option C is the most appropriate choice to highlight the importance of a balanced and inclusive performance review process.

2. Which of the following substances is an example of an acidic gas?

• A. Nitrogen (Nâ‚‚)
• B. Carbon dioxide (COâ‚‚)
• C. Sulfur dioxide (SOâ‚‚)
• D. Oxygen (Oâ‚‚)

Correct answer: C

Rationale: Sulfur dioxide is an acidic gas. The other choices are either neutral or basic gases.

3. The process of mixing two or more substances to form a heterogeneous mixture is called:

• A. Dissolving
• B. Diluting
• C. Mixing
• D. Reacting

Correct answer: C

Rationale: Mixing results in a heterogeneous mixture where the components are physically distinguishable, unlike solutions where everything dissolves uniformly

4. What is the difference between isometric and isotonic muscle contractions?

• A. Isometric involves movement, while isotonic does not.
• B. Isotonic involves shortening of muscle, while isometric maintains length.
• C. Isometric uses more energy, while isotonic uses less.
• D. Isotonic involves smooth muscle, while isometric involves skeletal muscle.

Correct answer: B

Rationale: The correct answer is B: "Isotonic involves shortening of muscle, while isometric maintains length." Isometric contractions occur when the muscle generates force without changing its length, such as holding a weight in a fixed position. On the other hand, isotonic contractions involve the muscle changing length, either by shortening (concentric contraction) or lengthening (eccentric contraction) while generating force. Understanding this distinction is crucial for grasping the different types of muscle contractions and their effects on the body during exercise and movement.

5. Ectopic pregnancy is a serious condition that occurs when a fertilized egg implants outside the uterus. What is the most common location for an ectopic pregnancy?

• A. Ovary
• B. Fallopian tube
• C. Cervix
• D. Vagina

Correct answer: B

Rationale: The correct answer is B: Fallopian tube. The fallopian tube is the most common location for an ectopic pregnancy to occur. This is because the fertilized egg typically gets stuck or implants in the fallopian tube instead of traveling to the uterus for normal implantation. If left untreated, an ectopic pregnancy in the fallopian tube can lead to serious complications such as tubal rupture and internal bleeding. The other options (ovary, cervix, vagina) are not typical sites for implantation of a fertilized egg and are less likely to result in an ectopic pregnancy.

6. Action potentials, the all-or-nothing electrical signals traveling along neurons, are generated by the movement of:

• A. Glucose
• B. Sodium and potassium ions
• C. Neurotransmitters
• D. Myelin

Correct answer: B

Rationale: The correct answer is B: Sodium and potassium ions. Action potentials are generated by the movement of sodium and potassium ions across the neuronal membrane. During depolarization, sodium ions rush into the cell, causing a change in electrical charge. This influx of positive ions triggers the opening of voltage-gated potassium channels, allowing potassium ions to exit the cell during repolarization. Glucose is a source of energy for cells but does not directly generate action potentials. Neurotransmitters are chemical messengers released at synapses, while myelin is a fatty substance that insulates axons, speeding up the conduction of action potentials but not directly generating them.

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