Nursing Elites

1. Antidiuretic hormone (ADH) helps the kidneys regulate:

• A. Acid-base balance
• B. Blood pressure
• C. Urine output by controlling water reabsorption
• D. All of the above

Correct answer: C

Rationale: The correct answer is C: 'Urine output by controlling water reabsorption.' Antidiuretic hormone (ADH) is released by the pituitary gland and acts on the kidneys to regulate water reabsorption. When ADH levels are high, the kidneys reabsorb more water, leading to concentrated urine and decreased urine output. This helps maintain the body's water balance and prevent dehydration. While ADH indirectly influences blood pressure by regulating blood volume, its primary function is to control water balance, not acid-base balance. Therefore, the correct answer is C.

2. 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.

3. Vacuoles are large sacs for storage in plant cells. What is their main function in animal cells?

• A. Protein synthesis
• B. Waste storage and disposal
• C. Photosynthesis
• D. Cellular respiration

Correct answer: B

Rationale: Vacuoles in plant cells are primarily used for storage of water, nutrients, and waste products. In animal cells, vacuoles are smaller and serve various functions, including waste storage and disposal. Option B, 'Waste storage and disposal,' is the correct answer because vacuoles in animal cells help maintain cellular homeostasis by storing and breaking down waste materials. This process aids in detoxification and maintaining proper cellular function in animal cells, similar to the role of vacuoles in plant cells.

4. What is the scientific term for a broken bone?

• A. Osteoporosis
• B. Fracture
• C. Sprain
• D. Dislocation

Correct answer: B

Rationale: The correct answer is B: 'Fracture.' A fracture is the scientific term used to describe a broken bone. Osteoporosis (A) is a condition where bones become weak and brittle, increasing the risk of fractures. A sprain (C) is an injury to a ligament, not a bone. A dislocation (D) occurs when the bones in a joint are forced out of their normal position, but it is not the term for a broken bone.

5. A clinic sees an average of 25 patients every 4 hours. If the clinic is open for 8 hours, how many patients will they see in total?

• A. 35
• B. 50
• C. 75
• D. 200

Correct answer: D

Rationale: Rationale: 1. First, determine how many patients the clinic sees in one hour: 25 patients / 4 hours = 6.25 patients per hour (approximately 6 patients per hour) 2. Since the clinic is open for 8 hours, multiply the number of patients seen per hour by the number of hours the clinic is open: 6.25 patients/hour * 8 hours = 50 patients 3. Therefore, the clinic will see a total of 50 patients in 8 hours, which corresponds to answer choice D) 200.

6. Katherine tells one of the staff, “I don’t have time to discuss the matter with you now. See me

• A. Smoothing
• B. Compromise
• C. Avoidance
• D. Restriction

Correct answer: B

Rationale: The correct answer is B: 'Compromise.' In this scenario, Katherine is willing to engage with the staff member but suggests they postpone the discussion to a later time. This demonstrates a willingness to find a middle ground or reach a mutual agreement, which aligns with the concept of compromise. 'Smoothing' involves downplaying differences to maintain harmony, 'Avoidance' is ignoring or postponing the issue altogether, and 'Restriction' refers to limiting the interaction or communication. Therefore, 'Compromise' best fits the situation where Katherine is open to discussing the matter at a more suitable time.

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