Nursing Elites

1. She tries to design an organizational structure that allows communication to flow in all

• A. Centralized
• B. Decentralized
• C. Matrix
• D. Informal

Correct answer: A

Rationale: The correct answer is 'A: Centralized.' In a centralized organizational structure, decision-making authority and communication flow through a single point of control or a specific group of individuals. This setup ensures that communication channels are streamlined and information is disseminated efficiently. By designing an organizational structure that allows communication to flow in all directions, it suggests a decentralized structure where decision-making authority is distributed across various levels and departments. Therefore, 'Centralized' is the best fit for the scenario described in the question.

2. Which part of the neuron insulates and speeds up the transmission of nerve impulses along the axon?

• A. Dendrite
• B. Myelin sheath
• C. Synapse
• D. Cell body

Correct answer: b

Rationale: The correct answer is B: Myelin sheath. The myelin sheath is a fatty substance that surrounds the axon of a neuron, acting as an insulator to speed up the transmission of nerve impulses. It does this by creating gaps called nodes of Ranvier where the nerve impulses jump from one node to the next, allowing for faster signal conduction. Dendrites are branch-like extensions that receive signals from other neurons, the synapse is the junction between two neurons where neurotransmitters are released, and the cell body contains the nucleus and organelles of the neuron, but it is the myelin sheath that specifically insulates and speeds up the transmission of nerve impulses along the axon.

3. Calcitonin, a hormone that helps regulate calcium levels, is produced by the:

• A. Thyroid gland
• B. Parathyroid gland
• C. Thymus gland
• D. Adrenal gland

Correct answer: A

Rationale: The correct answer is A: "Thyroid gland." Calcitonin is a hormone produced by the thyroid gland that helps regulate calcium levels in the body. It works in opposition to parathyroid hormone, which is produced by the parathyroid gland. The thymus gland is responsible for immune function, while the adrenal gland produces hormones like cortisol and adrenaline. Therefore, the thyroid gland is the specific gland responsible for producing calcitonin to regulate calcium levels in the body.

4. What is the main consequence of a malfunctioning thyroid gland that produces abnormally low levels of thyroid hormones?

• A. Increased energy levels and weight loss
• B. Decreased heart rate and body temperature
• C. Enhanced muscle growth and bone development
• D. Faster metabolism and heightened alertness

Correct answer: B

Rationale: The correct answer is B: 'Decreased heart rate and body temperature.' When the thyroid gland produces abnormally low levels of thyroid hormones (hypothyroidism), it can lead to a decrease in metabolic rate, resulting in symptoms such as fatigue, weight gain, and feeling cold. A lower metabolic rate can slow down heart rate and decrease body temperature. The other options (A, C, D) are not characteristic of hypothyroidism. Increased energy levels and weight loss, enhanced muscle growth and bone development, and faster metabolism and heightened alertness are more commonly associated with hyperthyroidism, where the thyroid gland produces excess hormones.

5. Which statement best summarizes the main argument of the passage?

• A. Smart cities are a revolutionary solution to all urban challenges.
• B. Technology alone can fix modern cities' problems.
• C. Smart cities offer potential but require careful consideration of data privacy and ethical implications.
• D. Traditional city planning methods are superior to implementing smart technology.

Correct answer: C

Rationale: The passage acknowledges both the potential and concerns surrounding smart cities, making it the most accurate summary.

6. The innate immune system provides:

• A. Nonspecific, immediate defense against pathogens
• B. Specific, long-term immune response through memory cells
• C. Both (a) and (b)
• D. Neither (a) nor (b)

Correct answer: A

Rationale: The correct answer is A: 'Nonspecific, immediate defense against pathogens.' The innate immune system is the body's first line of defense against pathogens and provides a rapid, nonspecific response. It includes physical barriers like the skin, chemical barriers like stomach acid, and cellular responses like inflammation. This system does not involve memory cells or provide long-term immunity, which are characteristics of the adaptive immune system. Therefore, option A accurately describes the function of the innate immune system as a quick and nonspecific defense mechanism.

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