Nursing Elites

1. The ball-and-socket joint, which allows for wide range of motion, is found in the connection between:

• A. Upper arm and shoulder blade (scapula)
• B. Collarbone (clavicle) and breastbone (sternum)
• C. Two vertebrae in the spine
• D. Ribs and sternum

Correct answer: A

Rationale: The correct answer is A: 'Upper arm and shoulder blade (scapula).' The ball-and-socket joint is found in the connection between the humerus (upper arm bone) and the scapula (shoulder blade). This joint allows for a wide range of motion, including flexion, extension, abduction, adduction, and rotation. The collarbone (clavicle) and breastbone (sternum) are connected by a cartilaginous joint, not a ball-and-socket joint. Two vertebrae in the spine are connected by facet joints, and the ribs and sternum are connected by cartilaginous joints and the costovertebral joints. Therefore, the ball-and-socket joint is uniquely found in the connection between the upper arm and the shoulder blade, allowing for the shoulder's impressive range of motion.

2. 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-.

3. The large intestine absorbs water and electrolytes from digested food material. What waste product remains after water absorption and is eventually eliminated from the body?

• A. Chyme
• B. Bolus
• C. Glucose
• D. Feces

Correct answer: D

Rationale: The large intestine is responsible for absorbing water and electrolytes from digested food material. As the waste material moves through the large intestine, most of the water is absorbed, leaving behind waste products known as feces. Feces consist of indigestible material, bacteria, and some remaining waste products. This waste is eventually eliminated from the body through the process of defecation. Chyme refers to the semi-fluid mass of partially digested food that moves from the stomach to the small intestine. Bolus is a term used to describe a mass of chewed food ready to be swallowed. Glucose is a simple sugar that is absorbed in the small intestine and used as an energy source. Therefore, the correct answer is D: Feces.

4. A medication order is written as 3/4 of a tablet. If each tablet is 500mg, what is the equivalent dosage in milligrams?

• A. 375mg
• B. 425mg
• C. 450mg
• D. 475mg

Correct answer: A

Rationale: Multiply the tablet strength (500mg) by the fractional dose (3/4) to get 375 milligrams.

5. What is the function of ribosomes?

• A. Packaging and transporting proteins
• B. Storing genetic material
• C. Controlling cell division
• D. Synthesizing proteins

Correct answer: D

Rationale: The correct answer is D: 'Synthesizing proteins.' Ribosomes are the cellular organelles responsible for protein synthesis. They read the mRNA and assemble amino acids into proteins according to the genetic information encoded in the mRNA. This process is crucial for building and maintaining cellular structures, enzymes, and various other proteins essential for the functioning of the cell. Options A, B, and C do not accurately describe the primary function of ribosomes, making them incorrect choices for this question.

6. What is the best way to punctuate the dialogue "Are you coming?" she asked. "Maybe," I replied.

• A. "Are you coming?" she asked? "Maybe," I replied.
• B. "Are you coming?" she asked. "Maybe," I replied.
• C. "Are you coming?" she asked, "Maybe," I replied.
• D. "Are you coming?" she asked, "Maybe," I replied.

Correct answer: B

Rationale: Each speaker's words need quotation marks, and the question mark should go inside the closing quotation mark of the question.

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