Nursing Elites

1. Which of the following terms refers to the ability to detect and respond to changes in the internal and external environment?

• A. Growth
• B. Responsiveness
• C. Reproduction
• D. Development

Correct answer: B

Rationale: Responsiveness is the correct term that refers to the ability to detect and respond to changes in the internal and external environment. In this context, growth is incorrect as it pertains to an increase in size or number, reproduction involves producing offspring, and development refers to the process of growth, maturation, and differentiation of cells and tissues. Therefore, 'Responsiveness' is the most appropriate term for the given description.

2. Which of the following antibodies can cross the placenta?

• A. IgA
• B. IgD
• C. IgG
• D. IgM

Correct answer: C

Rationale: The correct answer is IgG. IgG is the only antibody that can cross the placenta, providing passive immunity to the developing fetus. IgA, IgD, and IgM do not cross the placenta. IgA is mainly found in mucosal secretions, IgD is involved in the activation of B cells, and IgM is the first antibody produced in response to an infection, but it does not cross the placental barrier.

3. What is the difference between type 1 and type 2 diabetes, both related to insulin and blood sugar?

• A. Type 1 is caused by insulin resistance, type 2 by insulin deficiency.
• B. Type 1 is temporary, type 2 is permanent.
• C. Type 1 affects adults, type 2 affects children.
• D. Type 1 is treated with diet only, type 2 requires medication.

Correct answer: A

Rationale: The correct difference between type 1 and type 2 diabetes lies in their underlying causes. Type 1 diabetes is caused by the body's inability to produce insulin, while type 2 diabetes is characterized by insulin resistance, where the body doesn't effectively use the insulin it produces. Insulin resistance is a key feature of type 2 diabetes, distinguishing it from type 1 where insulin deficiency is the primary issue. Choices B, C, and D are incorrect. Type 1 and type 2 diabetes can both be chronic conditions, affecting individuals of different age groups, and typically require a combination of diet, exercise, and medication for management.

4. Which functional group is commonly found in ketones?

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

Correct answer: B

Rationale: Ketones contain a carbonyl functional group, which consists of a carbon atom double-bonded to an oxygen atom. This distinguishes ketones from other functional groups such as hydroxyl, ester, and amine. The presence of the carbonyl group, not hydroxyl (choice A), ester (choice C), or amine (choice D), is characteristic of ketones, making choice B, 'Carbonyl', the correct answer.

5. The owner of a newspaper has noticed that print subscriptions have gone down 40% while online subscriptions have gone up 60%. Print subscriptions once accounted for 70% of the newspaper’s business, and online subscriptions accounted for 25%. What is the overall percentage growth or decline in business?

• A. 13% decline
• B. 15% decline
• C. 28% growth
• D. 8% growth

Correct answer: A

Rationale: To calculate the decline in business, start with the 40% decline in the 70% share of print subscriptions: 40% of 70% = 0.40 × 0.70 = 0.28 = 28% decline. Next, calculate the growth from the 60% increase in the 25% share of online subscriptions: 60% of 25% = 0.60 × 0.25 = 0.15 = 15% growth. To find the overall change, sum the decline and growth percentages: 28% decline + 15% growth = -0.28 + 0.15 = -0.13 = 13% decline. Therefore, the overall percentage change in the newspaper's business is a 13% decline. Option A is the correct answer. Option B is incorrect because it doesn't consider the correct calculations for both the decline and growth. Option C is incorrect as it misinterprets the net change in business. Option D is incorrect as it miscalculates the overall percentage growth or decline.

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