Nursing Elites

1. Which of the following are the abdominal quadrants?

• A. RUQ, RLQ, LLQ, LUQ
• B. RUQ, LUQ, RLQ, LLQ
• C. LUQ, RUQ, LLQ, RLQ
• D. LLQ, LUQ, RUQ, RLQ

Correct answer: B

Rationale: The correct answer is B: RUQ, LUQ, RLQ, LLQ. The four abdominal quadrants are named as follows: Right Upper Quadrant (RUQ), Left Upper Quadrant (LUQ), Right Lower Quadrant (RLQ), and Left Lower Quadrant (LLQ). These quadrants are used in healthcare to describe specific areas of the abdomen during assessments and discussions related to abdominal anatomy and pathology. Choices A, C, and D are incorrect because they do not follow the standard order of the abdominal quadrants.

2. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

3. What is the name of the sheath of connective tissue that surrounds a skeletal muscle?

• A. Epimysium
• B. Perimysium
• C. Endomysium
• D. Myofibril

Correct answer: A

Rationale: The correct answer is Epimysium. The epimysium is the outermost layer of connective tissue that surrounds a skeletal muscle, providing protection and support to the muscle as a whole. Perimysium, which surrounds bundles of muscle fibers known as fascicles, is not the sheath that surrounds the entire muscle. Endomysium surrounds individual muscle fibers, not the entire muscle. Myofibril is a structure within muscle fibers that contains the contractile proteins responsible for muscle contraction, but it is not the sheath of connective tissue surrounding the muscle.

4. What is the primary function of the spleen, an organ associated with the lymphatic system?

• A. Regulating blood sugar levels
• B. Filtering blood and destroying old red blood cells
• C. Producing digestive enzymes
• D. Secreting hormones

Correct answer: B

Rationale: The spleen is primarily responsible for filtering blood and destroying old or damaged red blood cells. It also aids in storing blood and producing specific types of white blood cells, contributing to maintaining blood quality and immune system function. Choices A, C, and D are incorrect because the spleen is not involved in regulating blood sugar levels, producing digestive enzymes, or secreting hormones. These functions are carried out by other organs in the body.

5. Which property remains constant despite possible changes to the element?

• A. Atomic number
• B. Number of electrons
• C. Atomic mass
• D. Isotopic form

Correct answer: A

Rationale: The correct answer is 'Atomic number' (A). The atomic number of an element remains constant as it defines the number of protons in the nucleus, which does not change despite various chemical reactions or physical processes affecting the element. The number of protons in the nucleus determines the identity of the element, and this fundamental property remains unchanged even if the element undergoes chemical reactions, forms ions, or changes its physical state. Choices B, C, and D are incorrect because the number of electrons (B) can change in chemical reactions, atomic mass (C) can vary with isotopes, and isotopic form (D) refers to variations in the number of neutrons in the nucleus, which can result in different isotopes of an element.

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