Nursing Elites

1. The diaphragm is a dome-shaped muscle that plays a crucial role in breathing. When it contracts, what happens?

• A. Air is expelled from the lungs.
• B. The lungs expand to allow air intake.
• C. The vocal cords vibrate to produce sound.
• D. The trachea narrows to control airflow.

Correct answer: B

Rationale: The diaphragm is a dome-shaped muscle located beneath the lungs. When it contracts, it moves downward, creating more space in the chest cavity. This downward movement of the diaphragm allows the lungs to expand, which lowers the air pressure inside the lungs. As a result, air from the outside rushes in to equalize the pressure, leading to inhalation. Therefore, when the diaphragm contracts, it facilitates the intake of air into the lungs, making option B, 'The lungs expand to allow air intake,' the correct answer.

2. Which of the following reagents can be used to convert a primary alcohol to an alkyl halide?

• A. HI
• B. H2O
• C. NaOH
• D. SOCl2

Correct answer: D

Rationale: The correct answer is D: SOCl2. SOCl2, also known as thionyl chloride, is commonly used to convert primary alcohols to alkyl halides through an SN2 mechanism. Thionyl chloride reacts with the alcohol to form an alkyl chloride, replacing the hydroxyl group. Option A, HI (hydroiodic acid), is typically used to convert alcohols to alkyl iodides, while option B, H2O (water), and option C, NaOH (sodium hydroxide), are not reagents suitable for this specific transformation. Therefore, SOCl2 is the most appropriate reagent for converting a primary alcohol to an alkyl halide.

3. 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.

4. Which of the following is a condition characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, and shortness of breath?

• A. Pneumonia
• B. Tuberculosis
• C. Asthma
• D. Emphysema

Correct answer: C

Rationale: The correct answer is C: Asthma. Asthma is a chronic condition that involves inflammation and narrowing of the airways, leading to symptoms like wheezing, coughing, and shortness of breath. Pneumonia (A) is an infection of the lungs, not a chronic inflammatory condition like asthma. Tuberculosis (B) is a bacterial infection that primarily affects the lungs and does not typically manifest with symptoms like wheezing. Emphysema (D) is a lung condition characterized by damage to the air sacs in the lungs, not inflammation and narrowing of the airways like asthma.

5. Acknowledge the organ devoted to blood filtration.

• A. Liver
• B. Kidneys
• C. Spleen
• D. Pancreas

Correct answer: B

Rationale: The kidneys are the primary organs responsible for filtering blood and removing waste products, excess fluids, and toxins. They play a crucial role in maintaining the body's internal environment and regulating blood pressure.

6. What is the main reason why elements in Group 18 (Noble gases) are generally unreactive?

• A. They have high atomic masses
• B. They lack valence electrons
• C. Their outermost electron shells are completely filled
• D. They exist as single atoms, not molecules

Correct answer: C

Rationale: Noble gases have their outermost electron shells filled with 8 electrons, achieving a stable configuration with minimal urge to gain or lose electrons, making them less prone to chemical reactions.

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