Nursing Elites

1. Identify the pronoun in the following sentence: She quickly finished her homework before dinner.

• A. quickly
• B. finished
• C. her
• D. before

Correct answer: C

Rationale: Pronouns take the place of nouns. "Her" replaces a specific female person's name.

2. The following are basic steps in the controlling process of the department. Which of the

• A. Measure actual performance
• B. Set nursing standards and criteria
• C. Compare results of performance to standards and objectives
• D. Identify possible courses of action

Correct answer: A

Rationale: The correct answer is A: 'Measure actual performance.' In the controlling process of a department, measuring actual performance is a crucial step to assess how well the department is performing compared to set standards and objectives. By measuring actual performance, managers can identify any deviations from the established criteria and take necessary corrective actions. Setting nursing standards and criteria (option B) is typically done before the controlling process begins, to provide a benchmark for measuring performance. Comparing results of performance to standards and objectives (option C) is done after measuring actual performance. Identifying possible courses of action (option D) is part of the corrective action phase that follows measuring actual performance. Therefore, option A is the most appropriate step in the controlling process of a department.

3. The spleen, an organ associated with the lymphatic system, plays a crucial role in:

• A. Regulating blood sugar levels
• B. Filtering blood and destroying old red blood cells
• C. Producing digestive enzymes
• D. Secreting hormones

Correct answer: B

Rationale: The correct answer is B: 'Filtering blood and destroying old red blood cells.' The spleen is part of the lymphatic system and acts as a blood filter, removing old or damaged red blood cells and helping to fight infections. It does not play a role in regulating blood sugar levels (A), producing digestive enzymes (C), or secreting hormones (D). Understanding the function of the spleen in filtering blood and removing old red blood cells is crucial for grasping its role in maintaining overall health and immunity.

4. Which hormone, produced by the adrenal glands, is essential for the regulation of electrolyte balance, particularly sodium and potassium, in the body?

• A. Aldosterone
• B. Epinephrine
• C. Cortisol
• D. Insulin

Correct answer: A

Rationale: The correct answer is A: Aldosterone. Aldosterone is a hormone produced by the adrenal glands that plays a crucial role in regulating electrolyte balance, especially sodium and potassium levels in the body. It acts on the kidneys to increase the reabsorption of sodium and excretion of potassium, which helps to maintain proper fluid balance and blood pressure. Epinephrine (B) is involved in the 'fight or flight' response, cortisol (C) is a stress hormone, and insulin (D) regulates blood sugar levels, but neither of these hormones primarily regulates electrolyte balance like aldosterone does.

5. The van't Hoff factor (i) accounts for the number of particles a solute dissociates into in solution. For a compound that dissociates completely in water, i would be...

• A. 0
• B. Less than 1
• C. 1
• D. More than 1

Correct answer: C

Rationale: The van't Hoff factor (i) is used to account for the number of particles a solute dissociates into in solution. For a compound that dissociates completely in water, such as a strong electrolyte, i would be equal to the total number of ions produced by the dissociation. Since the compound dissociates completely, it forms an equal number of ions, resulting in an i value of 1. Therefore, the correct answer is C: 1.

6. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

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

Correct answer: D

Rationale: The correct answer is D: Trypsin. Trypsin is an enzyme produced by the pancreas and secreted into the small intestine where it plays a key role in breaking down proteins into smaller peptides and amino acids. Pepsin is produced in the stomach and specifically acts on protein, not in the small intestine. Lipase is an enzyme that breaks down fats, not proteins. Amylase is an enzyme that breaks down carbohydrates, not proteins. Therefore, Trypsin is the enzyme responsible for breaking down proteins into amino acids in the small intestine.

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