Nursing Elites

1. The type of lipoprotein that carries cholesterol from tissues to the liver for excretion is:

• A. Very low-density lipoprotein
• B. Intermediate-density lipoprotein
• C. Low-density lipoprotein
• D. High-density lipoprotein

Correct answer: D

Rationale: The correct answer is D, High-density lipoprotein (HDL). HDL is known as the 'good' cholesterol and plays a crucial role in transporting cholesterol from tissues back to the liver for excretion. This process helps in reducing the buildup of cholesterol in the bloodstream, thus lowering the risk of heart diseases. Very low-density lipoprotein (Option A), Intermediate-density lipoprotein (Option B), and Low-density lipoprotein (Option C) are not responsible for carrying cholesterol back to the liver for excretion like HDL does. Instead, they are associated with different functions related to cholesterol transportation within the body.

2. The nurse is teaching a community class to people with Type 2 diabetes mellitus. Which explanation would explain the development of Type 2 diabetes?

• A. The islet cells in the pancreas stop producing insulin
• B. The client eats too many foods that are high in sugar
• C. The pituitary gland does not produce vasopressin
• D. The cells become resistant to the circulating insulin

Correct answer: D

Rationale: The correct answer is D. In Type 2 diabetes, the primary issue is insulin resistance, where cells do not respond effectively to insulin. Choice A is incorrect because in Type 1 diabetes, the islet cells in the pancreas stop producing insulin. Choice B is not directly related to the development of Type 2 diabetes but rather to its management. Choice C is incorrect as it refers to a dysfunction in vasopressin production, which is not related to Type 2 diabetes.

3. Which of the following is NOT a terminal learning objective for Phase I of the M6 Practical Nurse Course?

• A. Identify principles of basic-level anatomy, physiology, microbiology, and nutrition
• B. Perform basic-level pharmacological calculations
• C. Integrate the knowledge of drug therapy into nursing practice
• D. Identify basic principles of field nursing

Correct answer: C

Rationale: The correct answer is C. Integrating drug therapy knowledge is not a terminal learning objective for Phase I of the M6 Practical Nurse Course. Phase I typically focuses on foundational knowledge and skills, such as understanding basic-level anatomy, physiology, microbiology, and nutrition (Choice A), performing basic-level pharmacological calculations (Choice B), and identifying basic principles of field nursing (Choice D). While drug therapy knowledge is important in nursing practice, it is not a specific terminal learning objective for Phase I of this course.

4. Which of the following is a specialized medical treatment and teaching facility that provides general and specialized medical and dental care and treatment?

• A. CONUS
• B. MEDCEN
• C. MEDCOM
• D. MEDDAC

Correct answer: B

Rationale: The correct answer is B, MEDCEN, which stands for Medical Center. A MEDCEN is a specialized medical treatment and teaching facility that provides general and specialized medical and dental care and treatment. Choices A, C, and D are incorrect. CONUS refers to the continental United States and is not a medical facility. MEDCOM stands for Medical Command, which is an organization rather than a specific facility for medical treatment. MEDDAC stands for Medical Department Activity and is also an organization responsible for medical care delivery, not a specific treatment facility.

5. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task 'Educate soldiers in the history and traditions of the service'?

• A. Accountability
• B. Personal/professional development
• C. Individual training
• D. Military appearance/physical condition

Correct answer: B

Rationale: The appropriate category for the task 'Educate soldiers in the history and traditions of the service' is 'Personal/professional development.' This category involves educating individuals in various aspects, including history and traditions, to enhance their overall growth and knowledge. Choices A, C, and D are incorrect because 'Accountability' focuses on responsibility and answerability, 'Individual training' refers to specific skill development, and 'Military appearance/physical condition' pertains to physical fitness and presentation, none of which directly align with educating soldiers in history and traditions.

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