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 property of a wave determines its pitch in sound waves?

• A. Amplitude
• B. Frequency
• C. Wavelength
• D. Speed

Correct answer: B

Rationale: The pitch of a sound wave is determined by its frequency. Frequency refers to the number of cycles of a wave that occur in a unit of time, usually measured in hertz (Hz). Higher frequencies correspond to higher pitches, while lower frequencies correspond to lower pitches. Amplitude refers to the height of a wave and is related to the loudness of the sound. Wavelength is the distance between two consecutive points in a wave that are in phase, and speed is the rate at which a wave travels through a medium.

3. What is the name of the cartilage flap that covers the trachea during swallowing, preventing food from entering the airway?

• A. Epiglottis
• B. Glottis
• C. Larynx
• D. Pharynx

Correct answer: A

Rationale: The correct answer is A: Epiglottis. The epiglottis is a cartilage flap located at the base of the tongue that covers the trachea during swallowing. Its main function is to prevent food or liquid from entering the airway and instead directs them towards the esophagus. The glottis (option B) is the space between the vocal cords in the larynx, not a cartilage flap. The larynx (option C) is the voice box located in the throat, and the pharynx (option D) is the throat cavity connecting the mouth and the esophagus. Understanding the role of the epiglottis in protecting the airway during swallowing is crucial for maintaining proper respiratory function.

4. The order of operations (PEMDAS) dictates the sequence for evaluating mathematical expressions. If a = 2 and b = -3, what is the value of 3a^2 - 2ab + b^2?

• A. -3
• B. 0
• C. 33
• D. 15

Correct answer: C

Rationale: Following PEMDAS (Parentheses, Exponents, Multiplication and Division from left to right, Addition and Subtraction from left to right), we start with exponents: 3(2^2) - 2ab + b^2. Then, multiply: 3(4) - 2ab + b^2. Next, perform the multiplication/division from left to right: 12 - 2ab + b^2. Finally, add/subtract from left to right: 12 + (-2)(2)(-3) + (-3)^2. Evaluate the remaining terms: 12 + 12 + 9. The answer is 33.

5. A medication order is written as 3/4 of a tablet. If each tablet is 500mg, what is the equivalent dosage in milligrams?

• A. 375mg
• B. 425mg
• C. 450mg
• D. 475mg

Correct answer: A

Rationale: Multiply the tablet strength (500mg) by the fractional dose (3/4) to get 375 milligrams.

6. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: b

Rationale: The correct answer is B: Parathyroid hormone (PTH). PTH is produced by the parathyroid glands, not the thyroid gland. PTH plays a crucial role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys. This hormone acts in opposition to calcitonin, which is produced by the thyroid gland and works to lower blood calcium levels by promoting calcium deposition into bones. Thyroxine (C) is a thyroid hormone that regulates metabolism, not calcium levels. Insulin (D) is a hormone produced by the pancreas that regulates blood sugar levels, not calcium levels.

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