Nursing Elites

1. What are isotopes?

• A. Atoms of the same element with different numbers of protons.
• B. Atoms of the same element with different numbers of neutrons.
• C. Atoms of different elements with the same number of protons.
• D. Atoms of different elements with the same number of electrons.

Correct answer: B

Rationale: Isotopes are atoms of the same element that have the same number of protons but different numbers of neutrons. This means that isotopes have the same atomic number (Z) but different mass numbers (A). For example, carbon-12 (¹²C), carbon-13 (¹³C), and carbon-14 (¹⁴C) are all isotopes of carbon. They all have six protons in their nuclei, but they have different numbers of neutrons: carbon-12 has six neutrons, carbon-13 has seven neutrons, and carbon-14 has eight neutrons.

2. Myelin sheath, a fatty substance, insulates nerve fibers. What type of tissue is the myelin sheath derived from?

• A. Epithelial tissue
• B. Muscle tissue
• C. Nervous tissue (glial cells)
• D. Connective tissue

Correct answer: C

Rationale: The myelin sheath is derived from nervous tissue, specifically from glial cells, which are non-neuronal cells that support and protect neurons in the nervous system. Glial cells, such as Schwann cells in the peripheral nervous system and oligodendrocytes in the central nervous system, produce the myelin sheath to insulate nerve fibers and enhance the speed of nerve impulse conduction. Epithelial tissue forms the protective covering of internal and external surfaces, muscle tissue is responsible for movement, and connective tissue provides support and structure to the body. Therefore, the correct answer is C: Nervous tissue (glial cells).

3. She notes that there is an increasing unrest of the staff due to fatigue brought about by

• A. Evaluate the overall result of the unrest
• B. Initiate a group interaction
• C. Develop a plan and implement it
• D. Identify external and internal forces.

Correct answer: C

Rationale: The correct answer is C: 'Develop a plan and implement it.' In the given scenario, the staff is experiencing unrest due to fatigue, which is a serious issue affecting their well-being and productivity. By developing a plan to address the fatigue issue and implementing it effectively, the organization can provide necessary support to the staff, improve working conditions, and enhance overall morale and performance. This proactive approach is crucial in maintaining a healthy work environment and ensuring the well-being of the staff members. Options A, B, and D do not directly address the root cause of fatigue and unrest among the staff, making them less suitable answers.

4. How does the potential energy of an object change when it is compressed?

• A. Potential energy decreases
• B. Potential energy increases
• C. Potential energy remains constant
• D. Potential energy becomes zero

Correct answer: b

Rationale: When an object is compressed, it stores potential energy due to its altered position or configuration.

5. A medication order is for 250 micrograms of a drug to be administered subcutaneously. The available syringe measures in milliliters. How many milliliters should the nurse draw up?

• A. 0.00025 milliliters
• B. 0.0025 milliliters
• C. 0.025 milliliters
• D. 0.25 milliliters

Correct answer: B

Rationale: First convert micrograms to milliliters, knowing 1000 micrograms equal 1 milliliter. Divide the desired dosage (250 micrograms) by the conversion factor (1000 micrograms/milliliter) to find the volume needed: 250 micrograms / 1000 micrograms/milliliter = 0.00025 milliliters. However, drawing such a small volume might be inaccurate, so round to the nearest practical measurement, which is 0.0025 milliliters.

6. Which structure helps regulate body temperature by constricting or dilating in response to temperature changes?

• A. Sebaceous glands
• B. Hair follicles
• C. Sweat glands
• D. Langerhans cells

Correct answer: C

Rationale: The correct answer is C: Sweat glands. Sweat glands play a crucial role in regulating body temperature by producing sweat that evaporates from the skin surface, cooling the body when it's hot. Sweat glands can constrict to reduce sweating in cooler temperatures and dilate to increase sweating when the body needs to cool down. Sebaceous glands are responsible for producing oil to lubricate the skin and hair follicles help in hair growth. Langerhans cells are immune cells in the skin. Therefore, sweat glands are the structure specifically involved in regulating body temperature through constriction and dilation in response to temperature changes.

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