Nursing Elites

1. How many bones are there in the adult human skeleton?

• A. 126
• B. 206
• C. 300
• D. 525

Correct answer: D

Rationale: The correct answer is D: 525. The adult human skeleton consists of 206 bones. However, when accounting for individual bones, many of them are paired (like the ribs and vertebrae), bringing the total count to 206 individual bones but 525 in total when considering pairs. This includes bones in the skull, spine, ribs, arms, hands, pelvis, legs, and feet. So, while there are 206 individual bones, the total number of bones in the adult human skeleton is 525 when considering pairs.

2. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: Rationale: The Gram stain is a differential staining technique that divides bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. As a result, Gram-positive bacteria appear purple under the microscope after staining. In contrast, Gram-negative bacteria have a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, causing them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain.

3. What is the name of the microscopic filtering unit within the kidney responsible for waste removal and blood volume regulation?

• A. Nephron
• B. Ureteric bud
• C. Renal pyramid
• D. Glomerulus

Correct answer: A

Rationale: The correct answer is A: Nephron. The nephron is the functional unit of the kidney responsible for waste removal and blood volume regulation. It consists of the renal corpuscle, including the glomerulus for filtration, and the renal tubule for reabsorption and secretion. The other options, such as the ureteric bud, renal pyramid, and glomerulus, are structures within the kidney but do not specifically refer to the filtering unit responsible for waste removal and blood volume regulation like the nephron does.

4. She conducts a 6-month performance review session with a staff member. Which of the

• A. She asks another nurse to attest the session as a witness.
• B. She informs the staff that she may ask another nurse to read the appraisal before the session is
• C. She tells the staff that the session is manager-centered.
• D. The session is private between the two members.

Correct answer: C

Rationale: Option C is the correct answer because telling the staff that the session is manager-centered indicates that the focus will be on the manager's evaluation and feedback rather than promoting a collaborative and transparent review process. This approach can lead to a one-sided assessment and may not foster open communication or growth opportunities for the staff member. Options A and B involve bringing in another nurse, which could potentially compromise the privacy and effectiveness of the performance review. Option D, stating that the session is private between the two members, does not address the issue of the session being manager-centered. Therefore, option C is the most appropriate choice to highlight the importance of a balanced and inclusive performance review process.

5. What is the name for the smallest amount of an element that can exist independently and retain its chemical properties?

• A. Molecule
• B. Atom
• C. Compound
• D. Mixture

Correct answer: A

Rationale: An atom is the fundamental building block of an element, consisting of a nucleus and electrons.

6. During embryonic development, all tissues originate from

• A. Epithelial tissue only
• B. Muscle tissue only
• C. Connective tissue only
• D. Embryonic germ layers

Correct answer: D

Rationale: During embryonic development, all tissues originate from the three primary embryonic germ layers: ectoderm, mesoderm, and endoderm. These layers give rise to all the different types of tissues found in the body. The ectoderm forms the skin and nervous system, the mesoderm gives rise to muscle, bone, and connective tissues, while the endoderm develops into the lining of the digestive and respiratory systems. Therefore, option D is the correct answer as it encompasses the comprehensive origin of all tissues in the body during embryonic development.

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