Nursing Elites

1. What is the first number in a blood pressure reading?

• A. Diastolic pressure
• B. Mean arterial pressure
• C. Pulse rate
• D. Systolic pressure

Correct answer: D

Rationale: The correct answer is D: Systolic pressure. In a blood pressure reading, the first number represents the systolic pressure, which is the maximum pressure in the arteries during heart contraction. The second number in the reading is the diastolic pressure, which indicates the pressure in the arteries when the heart is at rest. Choices A, B, and C are incorrect because diastolic pressure, mean arterial pressure, and pulse rate are not the first numbers in a blood pressure reading.

2. Which of the following is the outermost layer of the skin, providing protection against pathogens and the environment?

• A. Dermis
• B. Epidermis
• C. Hypodermis
• D. Stratum corneum (part of the epidermis)

Correct answer: B

Rationale: The epidermis is the correct answer as it is the outermost layer of the skin, providing protection against pathogens and the environment. It consists of multiple layers, including the stratum corneum, which is the outermost layer of the epidermis. The dermis is located beneath the epidermis, offering structural support and housing blood vessels, nerves, and glands. The hypodermis is the deepest layer of the skin, made up of fat and connective tissue that secures the skin to underlying structures. Choice A, Dermis, is incorrect as it is located beneath the epidermis. Choice C, Hypodermis, is incorrect as it is the deepest layer of the skin, not the outermost. Choice D, Stratum corneum (part of the epidermis), is not the correct answer as it is a specific layer within the epidermis and not the overall outermost layer of the skin.

3. Which hormone stimulates the release of calcium from bones and increases blood calcium levels?

• A. Parathyroid hormone (PTH)
• B. Calcitonin
• C. Growth hormone
• D. Testosterone

Correct answer: A

Rationale: Parathyroid hormone (PTH) is the correct answer. PTH stimulates the release of calcium from bones, leading to increased blood calcium levels. It acts on the bones to release calcium into the bloodstream, facilitates the kidneys' reabsorption of calcium, and triggers vitamin D activation to boost calcium absorption from the intestines. Choice B, Calcitonin, is incorrect as it works in opposition to PTH by decreasing blood calcium levels through inhibiting calcium release from bones. Choices C and D, Growth hormone and Testosterone, are not directly involved in calcium homeostasis and do not regulate blood calcium levels through bone calcium release mechanisms.

4. 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.

5. When unpolarized light passes through a polarizing filter, the intensity of the transmitted light is:

• A. Completely absorbed
• B. Reduced by half
• C. Unaffected
• D. Doubled

Correct answer: B

Rationale: When unpolarized light passes through a polarizing filter, the filter only allows light waves oscillating in a specific direction to pass through while blocking light waves oscillating in other directions. Since unpolarized light consists of light waves oscillating in all possible directions, when it passes through a polarizing filter, only half of the light waves (those oscillating in the direction allowed by the filter) are transmitted. As a result, the intensity of the transmitted light is reduced by half. Choice A is incorrect because the light is not completely absorbed; choice C is incorrect because the polarizing filter affects the transmitted light; and choice D is incorrect because the intensity does not double, but rather decreases by half due to the selective transmission of light waves in a specific direction by the polarizing filter.

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