Nursing Elites

1. Identify the spectator ions in the reaction: 2KCl + Pb(NO3)2 → 2KNO3 + PbCl2.

• A. K+ and NO3-
• B. K+ and Cl-
• C. Pb2+ and NO3-
• D. Pb2+ and Cl-

Correct answer: B

Rationale: Rationale: - In the reaction, potassium ions (K+) and chloride ions (Cl-) are present on both sides of the equation. They are not involved in the formation of the products and remain unchanged. - Lead ions (Pb2+) and nitrate ions (NO3-) are involved in the formation of the products potassium nitrate (KNO3) and lead(II) chloride (PbCl2). - Therefore, the spectator ions in this reaction are K+ and Cl-.

2. Stephanie delegates effectively if she has authority to act, which is BEST defined as:

• A. having responsibility to direct others
• B. being accountable to the organization
• C. having legitimate right to act
• D. telling others what to do

Correct answer: A

Rationale: The correct answer is A: 'having responsibility to direct others.' Effective delegation involves entrusting tasks and responsibilities to others while still maintaining ultimate accountability. Authority to act means having the responsibility to direct others, making decisions, and overseeing the completion of tasks. This definition aligns with the core concept of delegation, where individuals are empowered and authorized to carry out specific duties. Being accountable to the organization (option B) is important but does not fully capture the proactive nature of delegation. Having a legitimate right to act (option C) is essential for effective delegation, but it is more about the formal authorization rather than the active responsibility to direct others. Simply telling others what to do (option D) is a narrow and authoritarian view of delegation that does not encompass the collaborative and empowering nature of effective delegation.

3. A doctor orders 1 gram of a medication to be administered intravenously. The available vial contains 200 milligrams per milliliter. How many milliliters of the solution should be drawn up?

• A. 4 milliliters
• B. 5 milliliters
• C. 10 milliliters
• D. 20 milliliters

Correct answer: B

Rationale: First convert grams to milligrams (1 gram * 1000 milligrams/gram = 1000 milligrams). Then, divide the desired dosage by the concentration per milliliter: 1000 milligrams / 200 milligrams/milliliter = 5 milliliters.

4. Julius stresses the importance of promoting ‘esprit d corps’ among the members of the unit.

• A. “Let’s work together in harmony; we need to be supportive of one another”
• B. “In order that we achieve the same results; we must all follow the directives of Julius and not
• C. “We will ensure that all the resources we need are available when needed.”
• D. “We need to put our efforts together in order to raise the bar of excellence in the care we

Correct answer: D

Rationale: The correct answer is D because it emphasizes the idea of collective effort and striving for excellence, which aligns with promoting 'esprit de corps' - a sense of unity and camaraderie among group members. By working together and combining their efforts, the unit can enhance the quality of care they provide. This fosters a positive team spirit and encourages collaboration. The other options do not directly address the concept of 'esprit de corps' or the importance of unity and teamwork within the group.

5. Which of the following is NOT a type of epithelium

• A. Stratified squamous
• B. Simple cuboidal
• C. Stratified columnar
• D. Stratified columnar

Correct answer: D

Rationale: The correct answer is D, 'Stratified columnar.' Epithelial tissues are classified based on their structure and function. Stratified squamous epithelium consists of multiple layers of flattened cells and is found in areas that need protection, like the skin. Simple cuboidal epithelium is a single layer of cube-shaped cells that function in secretion and absorption, commonly found in kidney tubules. Stratified columnar epithelium is a rare type with multiple layers of column-shaped cells, primarily found in the male urethra. Since 'Stratified columnar' is a valid type of epithelium, it is NOT the correct answer for this question.

6. 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.

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