Nursing Elites

1. The inability of the kidneys to effectively filter waste products from the blood is called:

• A. Dehydration
• B. Kidney failure
• C. Incontinence
• D. Nephritis

Correct answer: B

Rationale: The correct answer is B: "Kidney failure." Kidney failure refers to the inability of the kidneys to effectively filter waste products from the blood, leading to a buildup of toxins in the body. Dehydration, option A, is the state of lacking adequate fluid in the body and is not specifically related to kidney function. Incontinence, option C, is the loss of bladder control and is unrelated to kidney filtration function. Nephritis, option D, specifically refers to inflammation of the kidneys and may not always result in complete kidney failure. Therefore, the most appropriate answer for the described scenario is B.

2. What property of a substance remains constant regardless of changes in gravity?

• A. Mass
• B. Weight
• C. Volume
• D. Density

Correct answer: A

Rationale: Mass is a measure of the amount of matter in an object and remains constant regardless of changes in gravity. Weight, on the other hand, is a measure of the gravitational force acting on an object and varies with changes in gravity. Volume is the amount of space occupied by an object and can change with changes in gravity. Density is the mass of a substance per unit volume and can also change with changes in gravity if the volume changes.

3. 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 least considered. Objectives should be based on patient needs, evidence-based practice, and professional standards rather than personal preferences of the staff. Prescribed standards ensure quality care and adherence to best practices. A holistic approach considers the whole patient, including physical, emotional, and spiritual aspects. Staff preferences may introduce bias and should not dictate patient care objectives.

4. A car skids on a wet road. What is the main force preventing the car from stopping?

• A. Friction
• B. Gravitational force
• C. Normal force from the road
• D. Air resistance

Correct answer: A

Rationale: Friction opposes the motion of the car, trying to bring it to a stop. However, due to the wet surface, the friction force is not enough to overcome the car's inertia.

5. How are genetic markers used in paternity testing?

• A. They identify unique sequences in the father's DNA present in the child.
• B. They analyze the presence or absence of specific alleles for certain genes.
• C. They compare the child's blood type to the parents' blood types.
• D. They measure the child's physical resemblance to the father.

Correct answer: B

Rationale: Rationale: Genetic markers are specific DNA sequences that can vary among individuals. In paternity testing, genetic markers are used to compare the DNA of the child with that of the alleged father. By analyzing the presence or absence of specific alleles (different forms of a gene) at these genetic markers, scientists can determine the likelihood of paternity. This method is more accurate and reliable than comparing blood types or physical resemblance, making option B the most appropriate choice.

6. 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.

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