Nursing Elites

1. Which of the following statements refers to criteria?

• A. Agreed on level of nursing care
• B. Characteristics used to measure the level of nursing care
• C. Step-by-step guidelines
• D. Statement which guide the group in decision making and problem solving

Correct answer: B

Rationale: Criteria are specific characteristics or standards used to evaluate or measure the quality or level of something. In this case, statement B, 'Characteristics used to measure the level of nursing care,' correctly refers to criteria because it highlights the specific attributes that are used to assess the quality or level of nursing care provided. The other options do not directly address the concept of criteria. Option A describes an agreed-upon level of care but does not specifically refer to criteria. Option C describes step-by-step guidelines, which are more related to processes or procedures. Option D mentions statements that guide decision-making and problem-solving, which are not necessarily criteria. Therefore, option B is the most appropriate choice as it directly aligns with the definition and concept of criteria.

2. The hormone responsible for the "fight-or-flight" response in stressful situations is produced by the:

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pancreas

Correct answer: C

Rationale: The correct answer is C: Adrenal gland. The adrenal gland is responsible for producing the hormone known as adrenaline, which triggers the 'fight-or-flight' response in stressful situations. This response prepares the body to either confront the stressor or flee from it. The thyroid gland (A) is responsible for producing hormones that regulate metabolism, growth, and development. The pituitary gland (B) controls several other endocrine glands and produces a variety of hormones. The pancreas (D) is responsible for producing insulin and glucagon, which regulate blood sugar levels but are not directly involved in the 'fight-or-flight' response.

3. Identify the adverb in the following sentence: The patient waited anxiously for the doctor's news.

• A. waited
• B. anxiously
• C. doctor's
• D. news

Correct answer: B

Rationale: Adverbs modify verbs, adjectives, or other adverbs. In this sentence, "anxiously" describes how the patient "waited".

4. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: The correct answer is A: Schwann cells. Schwann cells are a type of glial cell in the peripheral nervous system that produce the myelin sheath around axons. Myelin sheath is essential for the rapid conduction of nerve impulses and provides insulation and protection to nerve fibers. Astrocytes are glial cells that provide support and maintain homeostasis in the central nervous system, but they do not produce myelin. Neurons are the main functional units of the nervous system responsible for transmitting nerve impulses. Oligodendrocytes are another type of glial cell in the central nervous system that produce myelin sheath around axons in that region, not in the peripheral nervous system where Schwann cells are responsible for myelination.

5. She checks the documentary requirements for the applicants for staff nurse position. Which

• A. Certificate of previous employment
• B. Record of related learning experience (RLE)
• C. Membership to accredited professional organization
• D. Professional identification card

Correct answer: C

Rationale: The correct answer is C: 'Membership to accredited professional organization.' When hiring staff nurses, verifying their membership to an accredited professional organization is crucial as it ensures that the applicant is recognized and affiliated with a reputable body in the nursing field. This membership signifies adherence to professional standards and ongoing education and development. While the other options are important in assessing a candidate's qualifications, membership to an accredited professional organization directly relates to the professional standing and commitment to the nursing profession, making it a key documentary requirement for the staff nurse position.

6. Deficiency in which vitamin can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: The correct answer is B: Vitamin B12 (cobalamin). Pernicious anemia is a condition caused by a deficiency in vitamin B12, which is essential for the production of red blood cells and for the proper functioning of the nervous system. This vitamin is primarily absorbed in the digestive system, particularly in the ileum of the small intestine. In pernicious anemia, there is a lack of intrinsic factor, a protein produced by the stomach, which is necessary for the absorption of vitamin B12. Deficiencies in other vitamins like Vitamin A, Vitamin D, or Vitamin E do not directly lead to pernicious anemia. Therefore, the correct answer is Vitamin B12.

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