Nursing Elites

1. Dr. Lee observed that 30% of all his patients developed an infection after taking a certain antibiotic. He further noticed that 5% of that 30% required hospitalization to recover from the infection. What percentage of Dr. Lee's patients were hospitalized after taking the antibiotic?

• A. 1.50%
• B. 5%
• C. 15%
• D. 30%

Correct answer: A

Rationale: To find the percentage of Dr. Lee's patients hospitalized after taking the antibiotic, we need to calculate 30% of 5%. First, convert 30% and 5% to decimals: 30% = 0.30 and 5% = 0.05. Multiply 0.30 by 0.05 to get 0.015. To convert 0.015 to a percentage, multiply by 100, resulting in 1.5%. Therefore, only 1.50% of Dr. Lee's patients were hospitalized after taking the antibiotic. Choice A is correct. Choice B (5%) is incorrect as it represents the percentage of patients who developed an infection and not those hospitalized. Choices C (15%) and D (30%) are also incorrect percentages as they do not accurately reflect the proportion of hospitalized patients in this scenario.

2. Identify the relative clause in the sentence 'The book that won the award was a bestseller.'

• A. 'The book'
• B. 'that won the award'
• C. 'was a bestseller'
• D. 'award'

Correct answer: B

Rationale: The correct answer is 'B: 'that won the award.' A relative clause provides additional information about a noun in the sentence. In this case, 'that won the award' is the relative clause specifying which book out of all books is being referred to. It is essential to recognize and understand relative clauses for better comprehension of sentence structures. Choice A ('The book') is the main noun phrase and not a relative clause. Choice C ('was a bestseller') is the main clause of the sentence, not a relative clause. Choice D ('award') is a noun but not a relative clause as it does not provide additional information about a noun in the sentence.

3. Which of the following produces the first heart sound ('lub')?

• A. The closing of the aortic and pulmonary valves
• B. The closing of the tricuspid and mitral valves
• C. The opening of the aortic and pulmonary valves
• D. The opening of the tricuspid and mitral valves

Correct answer: B

Rationale: The correct answer is B. The first heart sound, known as the 'lub' sound, is produced by the closure of the tricuspid and mitral valves, which are the atrioventricular valves. This sound marks the beginning of systole in the cardiac cycle. Choice A, the closing of the aortic and pulmonary valves, is incorrect as these valves produce the second heart sound ('dub'). Choice C, the opening of the aortic and pulmonary valves, is incorrect because the first heart sound occurs during ventricular contraction (systole). Choice D, the opening of the tricuspid and mitral valves, is incorrect as the 'lub' sound is associated with the closure, not the opening, of these valves.

4. What is the neural pathway that triggers a reflex action?

• A. Reflex loop
• B. Reflex arc
• C. Neural pathway
• D. Reflex reaction

Correct answer: B

Rationale: The correct answer is 'B: Reflex arc.' A reflex arc is the neural pathway that triggers an automatic, involuntary reflex action in response to a stimulus. It involves sensory neurons, interneurons in the spinal cord, and motor neurons, allowing for a rapid response without conscious thought. Choice A, 'Reflex loop,' is incorrect as the term commonly used is 'Reflex arc' to describe this neural pathway. Choice C, 'Neural pathway,' is too general and does not specifically refer to the pathway involved in reflex actions. Choice D, 'Reflex reaction,' is not the commonly accepted term to describe the neural pathway that triggers reflex actions.

5. What type of immunity is acquired through vaccination?

• A. Passive natural immunity
• B. Active natural immunity
• C. Active artificial immunity
• D. Passive artificial immunity

Correct answer: C

Rationale: The correct answer is C, Active artificial immunity. Vaccination introduces a weakened or inactive form of the pathogen to stimulate the immune system, leading to the development of immunity. Active artificial immunity is the result of deliberate exposure to an antigen, such as through vaccination, to produce an immune response. Passive immunity, like receiving pre-formed antibodies, does not involve the immune system's activation. Natural immunity is typically acquired through exposure to the pathogen itself, not through vaccination.

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