Nursing Elites

1. Duchenne muscular dystrophy is a recessive sex-linked trait carried on the X chromosome. In an example of an unaffected father and a female carrier who have two daughters and two sons, which is the predicted outcome?

• A. Both daughters will carry the disease.
• B. Both sons will carry the disease.
• C. One daughter may have the disease.
• D. One son may have the disease.

Correct answer: C

Rationale: Duchenne muscular dystrophy is a recessive sex-linked trait carried on the X chromosome. Since the father is unaffected and does not carry the disease, he must have a normal X chromosome. The mother is a carrier, which means she has one normal X chromosome and one X chromosome with the disease allele. The daughters will inherit one X chromosome from each parent; one would be normal, and the other has a chance of carrying the disease allele. So, there is a 50% chance that one daughter may have the disease, as she could inherit the X chromosome with the disease allele. The sons will inherit the Y chromosome from the father and the X chromosome from the mother, so they will not be affected by the disease. Therefore, the predicted outcome is that one daughter may have the disease, while the sons will not carry the disease. This rules out choices A, B, and D.

2. How many pounds are in 144 ounces?

• A. 12 pounds
• B. 10 pounds
• C. 8 pounds
• D. 9 pounds

Correct answer: D

Rationale: To convert ounces to pounds, you need to know that there are 16 ounces in a pound. Therefore, to find out how many pounds are in 144 ounces, you divide 144 by 16, which equals 9 pounds. Choice A, 12 pounds, is incorrect because it does not correctly divide the number of ounces by the conversion factor. Choices B and C, 10 pounds and 8 pounds respectively, are also incorrect as they do not utilize the correct conversion factor to calculate the number of pounds in 144 ounces.

3. Which might be a result of stenosis, or narrowing of a heart valve?

• A. Abdominal pain
• B. Blood clots
• C. Edema (swelling) in organs
• D. Irregular heartbeat

Correct answer: D

Rationale: Stenosis, or narrowing of a heart valve, restricts blood flow through the valve, leading to changes in the heart's normal rhythm. This alteration can result in an irregular heartbeat, making it a common consequence of heart valve stenosis. Abdominal pain, blood clots, and organ swelling are not typically associated with stenosis of a heart valve.

4. To aspirate fluid, you might use a ___________.

• A. syringe
• B. beaker
• C. test tube
• D. flange

Correct answer: A

Rationale: To aspirate fluid, you would typically use a syringe. A syringe is a device consisting of a tube and a plunger, which allows you to draw fluids such as blood or medication into the tube by pulling back on the plunger. This action is called aspiration, and the syringe is a common tool for this purpose in various medical procedures. Choices B, C, and D are incorrect as they are not typically used for aspiration procedures. A beaker is a glass container used for holding liquids, a test tube is used for holding or mixing small quantities of substances, and a flange is a projecting rim or edge used for strength or for attaching to another object.

5. Select the word or phrase that is misplaced in the following sentence. In the apartment house, the car with the white roof and new tires belongs to our friends.

• A. In the apartment house
• B. with the white roof
• C. and new tires
• D. to our friends

Correct answer: C

Rationale: The phrase 'and new tires' is misplaced in the sentence as it disrupts the flow of information. It introduces unnecessary detail that does not directly contribute to the main point of the sentence, which is identifying the ownership of the car. Choices A, B, and D are all essential parts of the sentence that help convey the location of the car and its ownership, making them correctly placed within the sentence.

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