Nursing Elites

1. What causes varicose veins to occur?

• A. Atherosclerosis.
• B. Incompetent valves.
• C. Loss of skin turgor.
• D. Loss of blood vessel elasticity.

Correct answer: B

Rationale: Varicose veins occur when the valves within the veins become incompetent, leading to blood pooling in the veins instead of being efficiently pumped back to the heart. This causes the veins to become enlarged, twisted, and visible under the skin. Factors such as genetics, aging, pregnancy, and prolonged standing or sitting can contribute to the development of incompetent valves and the resulting varicose veins. Atherosclerosis is the buildup of plaque in arteries, not veins, and does not directly cause varicose veins. Loss of skin turgor is related to skin elasticity and not a direct cause of varicose veins. Loss of blood vessel elasticity is a general term and does not specifically address the mechanism behind varicose veins, which is primarily due to incompetent valves.

2. What is the most common cause of hospital-acquired infections (HAIs)?

• A. Viruses
• B. Bacteria
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Hospital-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire during the course of receiving treatment in a healthcare facility. Among the options provided, bacteria are the most common cause of HAIs. Bacteria such as Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa are known to cause a wide range of infections in healthcare settings. While viruses, fungi, and parasites can also cause HAIs, bacteria are the most prevalent and significant pathogens responsible for these infections. Proper infection control measures, including hand hygiene, environmental cleaning, and antimicrobial stewardship, are essential in preventing and controlling HAIs caused by bacteria.

3. Which hormone is produced by the thyroid gland?

• A. Insulin
• B. Thyroxine
• C. Adrenaline
• D. Cortisol

Correct answer: B

Rationale: The correct answer is B: Thyroxine. The thyroid gland produces thyroxine, a hormone essential for regulating metabolism. Insulin is produced by the pancreas to regulate blood sugar levels. Adrenaline is produced by the adrenal glands to prepare the body for the 'fight or flight' response. Cortisol is produced by the adrenal cortex in response to stress, not by the thyroid gland.

4. What is the name of the condition characterized by swelling caused by a buildup of lymph fluid?

• A. Anemia
• B. Edema
• C. Hypertension
• D. Diabetes

Correct answer: B

Rationale: Edema is the condition characterized by swelling caused by a buildup of lymph fluid. It occurs when excess fluid is trapped in the body's tissues. Anemia (A) is a condition characterized by a lack of healthy red blood cells, leading to a reduced ability to carry oxygen in the blood. Hypertension (C) is high blood pressure, a condition where the force of the blood against the artery walls is too high. Diabetes (D) is a condition characterized by high blood sugar levels, either due to insufficient insulin production or the body's resistance to insulin, leading to various complications.

5. What functional group is present in esters?

• A. Hydroxyl
• B. Carbonyl
• C. Ester
• D. Amine

Correct answer: C

Rationale: The functional group present in esters is -COO-, which represents a carbonyl group bonded to an oxygen atom. This group is responsible for the characteristic fruity aroma of esters. Choice A, 'Hydroxyl,' refers to -OH, which is a characteristic group of alcohols, not esters. Choice B, 'Carbonyl,' is a broad term that includes various compounds with a C=O group, but specifically in esters, it is a carbonyl group bonded to an oxygen atom. Choice D, 'Amine,' refers to compounds containing a nitrogen atom bonded to hydrogen atoms or alkyl groups, which is not present in esters. Therefore, the correct answer is 'C: Ester.'

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