Nursing Elites

1. A medication must be taken twice daily, 12 hours apart. If the first dose is at 8:00 AM, what is the most convenient time for the second dose to avoid disrupting sleep?

• A. 4:00 PM
• B. 6:00 PM
• C. 8:00 PM
• D. 10:00 PM

Correct answer: B

Rationale: Rationale: To take the medication 12 hours apart from the first dose at 8:00 AM, the second dose should be taken at 8:00 PM. However, to avoid disrupting sleep, it is recommended to take the second dose a bit earlier. Taking the second dose at 6:00 PM ensures that the medication is still being taken 12 hours apart while allowing for a buffer before bedtime to avoid any potential disruptions to sleep.

2. What type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: Rationale: A ball-and-socket joint allows for the most movement among the options provided. This type of joint is characterized by a rounded end of one bone fitting into a cup-like socket of another bone, allowing for a wide range of motion in multiple directions. The shoulder joint is a prime example of a ball-and-socket joint, enabling movements such as flexion, extension, abduction, adduction, and rotation. In contrast, a hinge joint (option B) like the elbow primarily allows for movement in one plane (flexion and extension). Fibrocartilaginous joints (option C) like the wrists have limited movement due to the presence of cartilage between the bones. Suture joints (option D) in the skull are immovable joints that provide structural support but do not allow for significant movement.

3. The fatty sheath that insulates some nerve fibers and speeds up signal transmission is called the:

• A. Myelin sheath
• B. Dura mater
• C. Pia mater
• D. Arachnoid mater

Correct answer: A

Rationale: The correct answer is A: Myelin sheath. The myelin sheath is a fatty layer that surrounds and insulates certain nerve fibers. It acts as an electrical insulator, speeding up the transmission of nerve impulses along the axon. This insulation helps to prevent signal loss or interference, allowing for faster and more efficient communication between neurons. The other options, B: Dura mater, C: Pia mater, and D: Arachnoid mater, are all layers of the meninges that protect the brain and spinal cord, but they do not play a role in insulating nerve fibers for signal transmission like the myelin sheath does.

4. Delta waves, associated with deep sleep, exhibit what frequency range?

• A. 0.5-4 Hz
• B. 4-8 Hz
• C. 8-13 Hz
• D. 13-30 Hz

Correct answer: A

Rationale: Delta waves are slow brainwaves that are typically associated with deep sleep stages, such as stages 3 and 4 of non-REM sleep. These waves have a frequency range of 0.5-4 Hz, making option A the correct answer. During deep sleep, the brain slows down significantly, and delta waves are prominent on an electroencephalogram (EEG). The frequency range of 4-8 Hz corresponds to theta waves, which are more commonly observed during light sleep or drowsiness. Alpha waves fall within the 8-13 Hz range and are typically seen when an individual is awake but relaxed. Beta waves, ranging from 13-30 Hz, are associated with alertness and active thinking. Therefore, option A is the correct choice for delta waves, reflecting their slow frequency characteristic during deep sleep.

5. The ability of optical fibers to transmit light signals around bends is primarily due to:

• A. Reflection
• B. Refraction
• C. Diffraction
• D. Polarization

Correct answer: B

Rationale: The correct answer is B: Refraction. Optical fibers transmit light signals around bends primarily through the process of refraction. Refraction occurs when light passes from one medium to another, causing it to change direction. In optical fibers, the core material has a higher refractive index than the cladding, which causes light to be reflected internally along the fiber. This phenomenon allows light signals to travel through the fiber even around bends without significant loss. Reflection (Option A) involves light bouncing off a surface, which is not the main mechanism in optical fibers. Diffraction (Option C) refers to the bending of light waves around obstacles and is not the main reason for light transmission in optical fibers. Polarization (Option D) relates to the orientation of light waves, which is not the primary factor enabling light transmission around bends in optical fibers.

6. What happens during a physical change in matter?

• A. A new substance with different properties is formed
• B. The chemical composition of the substance changes
• C. The original substance can be recovered by physical means
• D. Energy is either released or absorbed

Correct answer: C

Rationale: During a physical change in matter, the original substance undergoes a change in its physical state or appearance without any change in its chemical composition. This means that the original substance can be recovered by physical means, such as melting, freezing, boiling, or condensing. No new substance is formed (option A), the chemical composition remains the same (option B), and energy changes can occur but are not a defining characteristic of a physical change (option D).

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