Nursing Elites

1. Fertilization of the egg by sperm typically occurs in the:

• A. Ovary
• B. Fallopian tube
• C. Uterus
• D. Vagina

Correct answer: B

Rationale: The correct answer is B: Fallopian tube. Fertilization of the egg by sperm typically occurs in the fallopian tube. After ovulation, the egg travels through the fallopian tube where it can meet sperm for fertilization. The fallopian tube provides an ideal environment for fertilization to occur due to its proximity to the ovaries and the uterus. The other options, A: Ovary, C: Uterus, and D: Vagina, are not the typical sites for fertilization to take place. Therefore, the fallopian tube is the most appropriate location for the union of egg and sperm to form a zygote.

2. The hormone responsible for the "fight-or-flight" response in stressful situations is produced by the:

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pancreas

Correct answer: C

Rationale: The correct answer is C: Adrenal gland. The adrenal gland is responsible for producing the hormone known as adrenaline, which triggers the 'fight-or-flight' response in stressful situations. This response prepares the body to either confront the stressor or flee from it. The thyroid gland (A) is responsible for producing hormones that regulate metabolism, growth, and development. The pituitary gland (B) controls several other endocrine glands and produces a variety of hormones. The pancreas (D) is responsible for producing insulin and glucagon, which regulate blood sugar levels but are not directly involved in the 'fight-or-flight' response.

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. If you compare a 1 M solution of NaCl to a 1 M solution of glucose (C6H12O6) in water, which solution would have the higher boiling point?

• A. The NaCl solution
• B. The glucose solution
• C. They would have the same boiling point
• D. It depends on the temperature

Correct answer: A

Rationale: The correct answer is A. When a solute is added to a solvent, it raises the boiling point of the solution due to the phenomenon of boiling point elevation. In this case, NaCl is an ionic compound that dissociates into Na+ and Cl- ions in water, leading to more particles in solution compared to glucose, which remains as individual molecules. Since NaCl forms more particles, it causes a greater boiling point elevation, resulting in the NaCl solution having the higher boiling point. Glucose, being a non-electrolyte, does not dissociate and therefore does not contribute as many particles to the solution as NaCl does. Therefore, the NaCl solution would have the higher boiling point.

5. Which of the following guidelines should be least considered in formulating objectives for

• A. Written nursing care plan
• B. Holistic approach
• C. Prescribed standards
• D. Staff preferences

Correct answer: D

Rationale: When formulating objectives for a written nursing care plan, staff preferences should be the least considered guideline. Objectives in a care plan should be based on the patient's needs, evidence-based practices, and prescribed standards of care to ensure quality and effective treatment. Staff preferences may introduce biased decisions that do not align with the best interests of the patient. It is crucial to prioritize holistic care, which considers all aspects of the patient's well-being, and adhere to prescribed standards to provide comprehensive and individualized care. By disregarding staff preferences and focusing on what is best for the patient, healthcare professionals can deliver optimal care that promotes patient outcomes and satisfaction.

6. Which of the following is a MAJOR consequence of a stroke?

• A. Irregular heart rhythm.
• B. Rapid weight gain or loss.
• C. Brain damage due to interrupted blood flow.
• D. Chronic fatigue and muscle weakness.

Correct answer: C

Rationale: The correct answer is C: 'Brain damage due to interrupted blood flow.' A stroke occurs when there is a sudden interruption in the blood supply to the brain, leading to brain damage. This interruption can result in various consequences such as paralysis, speech and vision problems, cognitive impairments, and in severe cases, even death. Other options like 'Irregular heart rhythm' (A) and 'Chronic fatigue and muscle weakness' (D) can be associated with health conditions but are not direct consequences of a stroke. 'Rapid weight gain or loss' (B) is typically not a major consequence of a stroke compared to the significant impact of brain damage.

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