Nursing Elites

1. During a healthy heartbeat, the P wave on an ECG represents

• A. The repolarization of the ventricles.
• B. The electrical conduction through the AV node.
• C. The contraction phase of the ventricles (systole).
• D. The depolarization of the atria.

Correct answer: D

Rationale: The P wave on an ECG represents the depolarization of the atria. This electrical activity initiates the contraction of the atria, allowing blood to be pumped into the ventricles. The P wave is the first positive deflection seen on the ECG and signifies the beginning of atrial depolarization, which is a critical step in the cardiac cycle. Choices A, B, and C are incorrect. Option A (The repolarization of the ventricles) is represented by the T wave on the ECG. Option B (The electrical conduction through the AV node) is not represented by the P wave but rather by the PR interval on the ECG. Option C (The contraction phase of the ventricles (systole)) is more related to the QRS complex on the ECG, which represents ventricular depolarization and contraction.

2. Which vitamin is synthesized in the skin upon exposure to sunlight?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: Vitamin D is synthesized in the skin upon exposure to sunlight. When the skin is exposed to sunlight, a form of cholesterol in the skin is converted into vitamin D3 (cholecalciferol) through a series of chemical reactions. Vitamin D plays a crucial role in calcium absorption and bone health. Choice A, Vitamin A, is not synthesized in the skin upon exposure to sunlight; it is obtained through dietary sources. Choice B, Vitamin C, is not synthesized in the skin upon exposure to sunlight either. Vitamin C is obtained through dietary sources like fruits and vegetables. Choice D, Vitamin E, is not synthesized in the skin upon exposure to sunlight. Vitamin E is a fat-soluble vitamin that acts as an antioxidant and is obtained through dietary sources like nuts, seeds, and vegetable oils.

3. When writing dialogue, what should you remember to do?

• A. Avoid contractions and informal language to maintain realism.
• B. Use formal vocabulary to sound sophisticated.
• C. Create realistic speech patterns reflecting the characters' personalities.
• D. Focus on descriptive narrative over character interactions.

Correct answer: C

Rationale: When writing dialogue, it is crucial to create realistic speech patterns that reflect the characters' personalities. This approach helps to bring the characters to life, making them more authentic and engaging to the readers. By capturing the unique voices of the characters through their speech, the dialogue becomes more compelling and adds depth to the narrative. Choices A and B are incorrect because avoiding contractions and using formal vocabulary can make the dialogue sound unnatural and stilted. Choice D is incorrect as focusing solely on descriptive narrative without meaningful character interactions can lead to a lack of engagement and depth in the storytelling.

4. Which part of the brain is responsible for higher brain functions, such as thought and action?

• A. Amygdala
• B. Brain stem
• C. Cerebellum
• D. Cerebrum

Correct answer: D

Rationale: The cerebrum is the correct answer as it is responsible for higher brain functions like thought and action. The amygdala (Choice A) is involved in emotions and emotional responses, not higher brain functions. The brain stem (Choice B) controls basic life functions such as breathing and heart rate, not higher brain functions. The cerebellum (Choice C) is mainly responsible for motor control and coordination, not higher brain functions like thought and action.

5. Veronica has to create the holiday schedule for the neonatal unit at her hospital. 35% of her staff will be unavailable during the holidays, and of the remaining staff, only 20% are certified to work in the neonatal unit. What percentage of the total staff is certified and available to work?

• A. 7%
• B. 13%
• C. 65%
• D. 80%

Correct answer: B

Rationale: The correct answer is 13%. To find the percentage of the total staff that is certified and available to work, we first calculate the percentage of staff available, which is 100% - 35% = 65%. Then, we find the percentage of the available staff that is certified, which is 20% of 65% = 0.20 × 0.65 = 0.13, or 13%.

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