Nursing Elites

1. Which vitamin deficiency can lead to kidney stones?

• A. Vitamin A
• B. Vitamin B12
• C. Vitamin D
• D. Vitamin K

Correct answer: C

Rationale: The correct answer is Vitamin D. Vitamin D deficiency can lead to kidney stones because Vitamin D helps regulate calcium levels in the body. Low levels of Vitamin D can result in increased calcium absorption from the intestines, leading to higher levels of calcium in the urine, which can form kidney stones. Choices A, B, and D are incorrect as deficiencies in these vitamins are not directly associated with kidney stone formation.

2. Which skin condition is characterized by patches of inflamed, reddened skin and is often triggered by allergens or stress?

• A. Eczema
• B. Psoriasis
• C. Acne
• D. Vitiligo

Correct answer: A

Rationale: Eczema is the correct answer. It presents as patches of inflamed, reddened skin and can be triggered by allergens, stress, or other factors. Psoriasis, on the other hand, is characterized by red, scaly patches rather than inflamed and reddened skin. Acne manifests as pimples and blemishes, not patches of inflamed skin. Vitiligo is characterized by the loss of skin color in patches, which is distinct from the symptoms described in the question.

3. What is a contraceptive method that uses hormones to prevent ovulation?

• A. Spermicide
• B. Barrier method (condom, diaphragm)
• C. Combined oral contraceptive pill
• D. Intrauterine device (IUD)

Correct answer: C

Rationale: The correct answer is the Combined oral contraceptive pill (C). This method contains hormones (estrogen and progestin) that prevent ovulation, making it an effective contraceptive. Spermicide (A) is a substance that kills sperm and does not use hormones to prevent ovulation. Barrier methods (B) like condoms and diaphragms physically block sperm but do not involve hormone-induced prevention of ovulation. Intrauterine devices (IUDs) (D) prevent pregnancy through different mechanisms, such as altering the uterine environment and preventing sperm from fertilizing the egg, not by hormone-induced prevention of ovulation.

4. What is the term for a repetitive, involuntary muscle contraction that can cause pain and stiffness?

• A. Cramp
• B. Spasm
• C. Tic
• D. Fibrosis

Correct answer: B

Rationale: A spasm is a repetitive, involuntary muscle contraction that can cause pain and stiffness. While cramps are a type of spasm, not all spasms are cramps. Tics are sudden, repetitive movements or sounds made involuntarily. Fibrosis refers to the formation of excess fibrous connective tissue in an organ or tissue as part of a reparative or reactive process. In this context, a spasm best fits the description provided, making it the correct answer. Cramp, although related to spasms, is more specific and not the general term being sought. Tic does not describe a muscle contraction but rather sudden movements or sounds. Fibrosis does not directly relate to muscle contractions but rather to the formation of excess fibrous tissue in organs or tissues.

5. In order to verify if a particular drug is responsible for the recovery of individuals with a disorder, what procedure would be most effective in testing its effectiveness?

• A. Ensure that neither the subjects nor the investigators know which subjects are given the drug and which are given the placebo.
• B. Ensure that the subjects do not know whether they are given the drug or the placebo, but the investigators are aware of who has received the medication.
• C. Ensure that the investigators do not know whether they are administering the drug or the placebo, but the subjects do know which they are receiving.
• D. Ensure that both the investigators and the subjects have full knowledge of which subjects are getting the drug and which are getting a placebo.

Correct answer: A

Rationale: The most effective procedure in testing whether the drug is responsible for the recovery is to ensure that neither the subjects nor the investigators know which subjects are given the drug and which are given the placebo. This method is known as a double-blind study, which helps eliminate biases and ensures that the results are reliable and not influenced by expectations or beliefs. By keeping both the subjects and investigators unaware of who is receiving the drug or placebo, the study can accurately determine the true impact of the drug on recovery. Choice B is incorrect as it only prevents the subjects from knowing which treatment they are receiving, allowing for potential bias from the investigators. Choice C is also incorrect as it allows for potential bias from the subjects. Choice D is incorrect as full knowledge of treatment allocation can introduce bias and affect the study's validity.

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