Nursing Elites

1. During gas exchange in the alveoli, what happens to oxygen?

• A. Oxygen is released from the bloodstream into the alveoli.
• B. Oxygen is absorbed from the alveoli into the bloodstream.
• C. Oxygen is converted into carbon dioxide.
• D. Oxygen is stored in the alveoli for later use.

Correct answer: B

Rationale: During gas exchange in the alveoli, oxygen is absorbed from the alveoli into the bloodstream. In the alveoli, oxygen diffuses across the thin walls of the alveoli and into the surrounding capillaries where it binds to hemoglobin in red blood cells. This oxygen-rich blood is then transported to the body's tissues for cellular respiration. Therefore, option B is correct as it accurately describes the direction of oxygen movement during the process of gas exchange in the lungs.

2. A lab test result shows a blood glucose level of 5.5 millimoles per liter (mmol/L). What is the equivalent level in milligrams per deciliter (mg/dL)?

• A. 55 mg/dL
• B. 5.5 mg/dL
• C. 0.55 mg/dL
• D. 550 mg/dL

Correct answer: A

Rationale: This requires a double conversion: millimoles to milligrams and liters to deciliters. 1 millimole is equal to 180.15 milligrams, and 1 liter is equal to 10 deciliters. Multiply the glucose level (5.5 mmol/L) by the conversion factor for millimoles to milligrams (180.15 mg/mmol) and then divide by the conversion factor for liters to deciliters (10 dL/L): 5.5 mmol/L * 180.15 mg/mmol / 10 dL/L ≈ 55 mg/dL.

3. What characteristic unites all organisms in the kingdom Animalia?

• A. Multicellularity and heterotrophy
• B. Unicellular nature
• C. Photosynthesis
• D. Cell walls made of chitin

Correct answer: A

Rationale: Rationale: A) Multicellularity and heterotrophy: This is the correct answer because all organisms in the kingdom Animalia are multicellular (composed of multiple cells) and exhibit heterotrophy (obtain nutrients by consuming other organisms). B) Unicellular nature: This is incorrect because organisms in the kingdom Animalia are multicellular, not unicellular. C) Photosynthesis: This is incorrect because organisms in the kingdom Animalia do not perform photosynthesis; they are heterotrophs that obtain nutrients by consuming other organisms. D) Cell walls made of chitin: This is incorrect because organisms in the kingdom Animalia do not have cell walls made of chitin. Chitin is a structural polysaccharide found in the cell walls of fungi, not animals.

4. Which phenomenon describes the bending of light as it travels from one medium to another with differing densities?

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

Correct answer: B

Rationale: The correct answer is B: Refraction. Refraction is the phenomenon that describes the bending of light as it travels from one medium to another with differing densities. When light passes from one medium to another, such as from air to water, its speed changes, causing it to bend. This bending of light is what we observe when a pencil appears bent in a glass of water. Reflection, on the other hand, is the bouncing back of light when it hits a surface. Diffraction refers to the bending of light around obstacles, and dispersion is the separation of light into its different colors. Therefore, in this case, refraction is the most appropriate term to describe the bending of light as it moves between media with different densities.

5. What is the difference between type 1 and type 2 diabetes, both related to insulin and blood sugar?

• A. Type 1 is caused by insulin resistance, type 2 by insulin deficiency.
• B. Type 1 is temporary, type 2 is permanent.
• C. Type 1 affects adults, type 2 affects children
• D. Type 1 is treated with diet only, type 2 requires medication.

Correct answer: A

Rationale: The correct answer is A: 'Type 1 is caused by insulin resistance, type 2 by insulin deficiency.' Type 1 diabetes is an autoimmune condition where the body attacks insulin-producing cells, leading to insulin deficiency. In contrast, type 2 diabetes occurs when the body becomes resistant to insulin's effects. This distinction is crucial for understanding the underlying causes and treatment approaches for each type of diabetes. Type 1 diabetes is not temporary; it is a chronic condition that requires lifelong management. Type 2 diabetes can also affect adults, but it is more commonly diagnosed in middle-aged and older adults. Treatment for type 1 diabetes typically involves insulin therapy along with diet and exercise, while type 2 diabetes may require medication in addition to lifestyle modifications.

6. She takes pride in saying that the hospital has a decentralized structure. Which of the

• A. Flat organization
• B. Participatory approach
• C. Shared governance
• D. Tall organization

Correct answer: B

Rationale: The correct answer is B: 'Participatory approach.' In a decentralized structure, decision-making authority is dispersed throughout the organization rather than being concentrated at the top. A participatory approach involves employees at all levels having a say in decisions that affect their work, fostering collaboration and empowerment. This contrasts with a tall organization, which has many layers of management and a more centralized decision-making process. While shared governance can involve decentralized decision-making, it specifically refers to a model where nurses and other healthcare professionals have a voice in shaping policies and practices within their organization, which is not necessarily the same as a decentralized structure.

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