Nursing Elites

1. Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff nurses are senior

• A. Identify the source of the conflict and understand the points of friction
• B. Disregard what she feels and continue to work independently
• C. Seek help from the Director of Nursing
• D. Quit her job and look for another employment.

Correct answer: C

Rationale: The correct answer is C: Seek help from the Director of Nursing. As a young Unit Manager managing a team of senior staff nurses, Katherine may face challenges in leading and gaining the respect of her team due to the age and experience gap. Seeking help from the Director of Nursing can provide her with guidance, mentorship, and support in navigating these challenges. It is important for Katherine to communicate openly about any conflicts or issues she may be facing in order to address them effectively and maintain a positive work environment. Quitting her job (option D) should be considered as a last resort after exhausting all other possible solutions.

2. Saliva contains an enzyme that breaks down carbohydrates. What is the name of this enzyme?

• A. Pepsin
• B. Amylase
• C. Lipase
• D. Trypsin

Correct answer: B

Rationale: The correct answer is B: Amylase. Saliva contains the enzyme amylase, which is responsible for breaking down carbohydrates into simpler sugars like maltose and glucose. Pepsin (A) is an enzyme found in the stomach that breaks down proteins. Lipase (C) is an enzyme that breaks down fats, and trypsin (D) is another enzyme that breaks down proteins, but both of these are not found in saliva. Knowing the function of amylase in saliva helps in the digestion of carbohydrates, making it the correct answer.

3. Vaccines work by stimulating the immune system to develop:

• A. A physical barrier against pathogens
• B. An inflammatory response
• C. Immunological memory to a specific pathogen
• D. Phagocytes to engulf pathogens

Correct answer: C

Rationale: The correct answer is C: 'Immunological memory to a specific pathogen.' Vaccines work by introducing a harmless form of a pathogen or a piece of it to stimulate the immune system. This exposure triggers the production of antibodies and memory cells specific to that pathogen. These memory cells 'remember' the pathogen, allowing the immune system to respond more effectively and rapidly if exposed to the actual pathogen in the future. Options A, B, and D are incorrect because vaccines do not create a physical barrier, induce a general inflammatory response, or directly cause phagocytes to engulf pathogens; instead, vaccines enhance the immune system's ability to recognize and combat specific pathogens.

4. Repeating decimals can be expressed as fractions. Which of the following represents the decimal 0.7777... as a fraction?

• A. 77/1000
• B. 70/99
• C. 777/900
• D. 7/9

Correct answer: C

Rationale: Let x equal the decimal. Set up two equations such that the digits after the decimal point are identical. 1000x = 777.7777... 10x = 7.7777... Subtracting the two equations, we have 990x = 770. Dividing both sides by 990 gives us x = 770/990, which can be simplified to 77/90.

5. Testosterone is a crucial hormone in the male reproductive system. What is its primary function?

• A. Egg production
• B. Sperm production and development
• C. Regulation of the menstrual cycle
• D. Milk production

Correct answer: B

Rationale: The correct answer is B: Sperm production and development. Testosterone is a hormone primarily produced in the testes and is essential for the development of male reproductive tissues, including the testes and prostate. It plays a key role in the production of sperm cells (spermatogenesis) and the development of secondary sexual characteristics in males, such as facial hair and muscle mass. Testosterone is not involved in egg production (A), regulation of the menstrual cycle (C), or milk production (D) as these are functions associated with female reproductive hormones.

6. She decides to have a decentralized staffing system. Which of the following is an advantage

• A. greater control of activities
• B. Conserves time
• C. Compatible with computerization
• D. Promotes better interpersonal relationship

Correct answer: A

Rationale: The correct answer is A: 'greater control of activities.' Having a decentralized staffing system allows for the delegation of decision-making to lower levels of the organization, which can result in greater control over activities. This can lead to quicker responses to issues and better alignment with specific departmental needs. Options B, C, and D do not directly relate to the advantage of a decentralized staffing system. While conserving time, compatibility with computerization, and promoting better interpersonal relationships are important considerations in staffing decisions, they do not specifically align with the advantage of greater control that a decentralized system provides.

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