Nursing Elites

1. A nurse is reviewing the daily intake and output (I&O) of a patient consuming a clear diet. The drainage bag denotes a total of 1,000 mL for the past 24 hours. The total intake is: 2 8oz cups of coffee, 1 16-oz serving of clear soup, and 1 pint of water consumed throughout the day. How much is the deficit in milliliters?

• A. 440 mL
• B. 500 mL
• C. 480 mL
• D. 300 mL

Correct answer: A

Rationale: First, convert all fluid intake to milliliters: 2 8-oz cups of coffee = 8 × 2 × 30 = 480 mL 1 16-oz serving of clear soup = 16 × 30 = 480 mL 1 pint of water = 16 × 30 = 480 mL Total intake = 480 + 480 + 480 = 1440 mL. The patient produced 1,000 mL, so the deficit is: 1440 mL - 1000 mL = 440 mL. Therefore, the deficit in milliliters is 440 mL. Choice A is correct. Choices B, C, and D are incorrect as they do not reflect the accurate deficit calculated based on the total intake and output provided in the question.

2. When a nurse is performing a health interview on a patient with a language barrier and no interpreter is available, which of the following is the best example of an appropriate question for the nurse to ask?

• A. Do you take medicine?
• B. Do you sterilize the bottles?
• C. Do you have nausea and vomiting?
• D. You have been taking your medicine, haven't you?

Correct answer: A

Rationale: The best example of an appropriate question for the nurse to ask in this situation is 'Do you take medicine?' This question is clear, simple, and focused on one topic at a time, which is essential when there is a language barrier and no interpreter available. It follows the recommendation to use simple words, avoid medical jargon, contractions, and pronouns in such situations. Choices B, C, and D involve more complex language, unrelated topics, or assumptions about the patient's actions, making them less suitable for effective communication in this context.

3. Which organelle provides storage space for the cell?

• A. Mitochondrion
• B. Vacuole
• C. Cell membrane
• D. Ribosome

Correct answer: B

Rationale: The correct answer is B: Vacuole. The vacuole is the organelle responsible for providing storage space in the cell. It stores water, nutrients, waste products, and other essential materials required by the cell. Vacuoles are crucial for maintaining cell structure and regulating cellular processes. Mitochondrion (choice A) is known as the powerhouse of the cell, responsible for producing energy. The cell membrane (choice C) is a protective barrier around the cell, regulating what enters and exits the cell. Ribosomes (choice D) are involved in protein synthesis, not storage.

4. The scientific name for a house cat is Felis catus. This indicates the house cat’s ___________ and ___________.

• A. kingdom; family
• B. order; subspecies
• C. phylum; class
• D. genus; species

Correct answer: D

Rationale: The scientific name for an organism consists of its genus and species. In this case, 'Felis' refers to the genus, while 'catus' refers to the species, thus indicating the house cat's genus and species as Felis catus. Therefore, the correct answer is 'D.' Choices A, B, and C are incorrect because a scientific name does not include information about the kingdom, family, order, subspecies, phylum, or class of an organism.

5. What happens during anaphase?

• A. Chromosomes move to opposite ends of the spindle.
• B. Nuclear membrane and nucleoli disintegrate.
• C. Chromatids line up at the center of the spindle.
• D. Nuclear membrane and nucleoli form.

Correct answer: A

Rationale: During anaphase, the sister chromatids, joined at the centromere, separate and move towards opposite ends of the spindle apparatus. This movement ensures that each daughter cell receives an identical set of chromosomes. Choice B is incorrect as the disintegration of the nuclear membrane and nucleoli occurs during prophase. Choice C is incorrect as chromatids align at the center of the spindle during metaphase, not anaphase. Choice D is incorrect as the formation of the nuclear membrane and nucleoli occurs during telophase, not anaphase.

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