Nursing Elites

1. What is the crystalline compound that is a product of protein metabolism known as?

• A. uracil
• B. urine
• C. ureter
• D. urea

Correct answer: D

Rationale: Urea is the correct answer. It is the crystalline compound formed in the liver from the breakdown of proteins, a byproduct of protein metabolism. Urea is excreted by the kidneys in the form of urine, aiding in the elimination of nitrogenous waste from the body. Uracil (Choice A) is a nitrogenous base found in RNA, not a product of protein metabolism. Urine (Choice B) is the liquid waste excreted by the kidneys but not the crystalline compound resulting from protein metabolism. Ureter (Choice C) is a duct that carries urine from the kidneys to the bladder, not the compound produced from protein metabolism.

2. Based on the principles of asepsis, the nurse should consider a sterile packet below waist level to be _____.

• A. contaminated
• B. sterilized
• C. clean
• D. untouched

Correct answer: A

Rationale: In aseptic techniques, maintaining the sterility of items is crucial. Placing a sterile packet below waist level exposes it to potential contamination from non-sterile surfaces or objects. Therefore, the correct term to describe the sterile packet in this situation is 'contaminated.' 'Sterilized' (choice B) is incorrect as it implies the packet has undergone a sterilization process, which may not be the case if it is now considered contaminated. 'Clean' (choice C) is incorrect because although the packet was initially sterile, placing it below waist level compromises its cleanliness. 'Untouched' (choice D) is incorrect as the packet has been touched or exposed to non-sterile areas, leading to potential contamination.

3. Another word for UNDER OBSERVATION is?

• A. Cognition
• B. Isolation
• C. Surveillance
• D. Assessment

Correct answer: C

Rationale: The correct answer is C, 'Surveillance,' which means 'under observation.' 'Cognition' (A) refers to mental processes, 'Isolation' (B) means being separated from others, and 'Assessment' (D) is the evaluation of something, none of which directly relate to being observed.

4. Which sentence is NOT GRAMMATICALLY CORRECT?

• A. Because he did not examine the patient, the healthcare provider prescribed her with the wrong medication.
• B. The nurse decided to bathe the client, then trim his nails.
• C. The dietician, through negligence, made a mistake with the diet plan.
• D. Since the child was feeling ill, the nurse sent him home.

Correct answer: B

Rationale: Choice B is incorrect due to the use of 'than' instead of 'then.' The correct word in this context is 'then' to indicate the order of actions. Choices A, C, and D are all grammatically correct. In choice A, the sentence structure is correct with a clear cause-effect relationship. Choice C is grammatically sound, describing the dietician's mistake. Choice D is also grammatically correct, showing a cause (the child feeling ill) leading to an effect (the nurse sending him home).

5. Select the word that means 'on both sides.'

• A. bilateral
• B. insufficient
• C. bicuspid
• D. congruent

Correct answer: A

Rationale: The correct answer is 'bilateral.' 'Bilateral' means having two sides or affecting both sides. 'Insufficient' means not enough or inadequate, 'bicuspid' refers to a two-pointed tooth, and 'congruent' means in agreement or harmony. Therefore, 'bilateral' is the only word among the choices that specifically relates to being on both sides.

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