Nursing Elites

1. How does the developing fetus primarily eliminate metabolic wastes?

• A. The developing fetus does not produce metabolic wastes.
• B. Fetal waste is excreted as feces, which pass into the mother's anus.
• C. Fetal waste is passed down the umbilical cord to the mother's circulatory system.
• D. Fetal waste is passed down the umbilical cord and leaves the mother's body via the vagina.

Correct answer: C

Rationale: Metabolic wastes produced by the developing fetus are eliminated primarily by being passed down the umbilical cord to the mother's circulatory system. Once in the mother's blood, these wastes are then filtered and excreted by the mother's kidneys. Choice A is incorrect because the developing fetus does produce metabolic wastes. Choice B is incorrect as fetal waste does not pass into the mother's anus. Choice D is incorrect as fetal waste does not leave the mother's body via the vagina.

2. Which type of waves exhibit both longitudinal and transverse motion?

• A. Electromagnetic waves
• B. Surface waves
• C. Mechanical waves
• D. Sound waves

Correct answer: B

Rationale: Surface waves exhibit both longitudinal and transverse motion. These waves travel along the boundary between two different mediums, such as water and air, causing particles to move both parallel (longitudinal) and perpendicular (transverse) to the wave's direction of travel. This unique characteristic distinguishes surface waves from other types of waves, making them the correct answer in this context. Electromagnetic waves, like light and radio waves, are purely transverse in nature, propagating through vacuum or different media through oscillating electric and magnetic fields perpendicular to the direction of wave travel. Mechanical waves, including both transverse (e.g., water waves) and longitudinal (e.g., sound waves in air) waves, do not typically exhibit both types of motion simultaneously, unlike surface waves.

3. Which structure of the nervous system carries an action potential in the direction of a synapse?

• A. Cell body
• B. Axon
• C. Neuron
• D. Myelin

Correct answer: B

Rationale: The correct answer is the axon. The axon is the elongated, threadlike part of a neuron that carries nerve impulses away from the cell body towards other neurons or target cells, such as muscles or glands, in the direction of a synapse. Action potentials travel along the axon as electrical signals to communicate with neighboring cells. The cell body (choice A) contains the nucleus and organelles but does not transmit action potentials. Neuron (choice C) is a broad term that includes the entire nerve cell, not a specific structure. Myelin (choice D) is a fatty substance that surrounds and insulates axons, aiding in the conduction of nerve impulses, but it does not directly carry the action potential towards a synapse.

4. Which of the following is NOT a recommended method for preventing healthcare-associated infections (HAIs)?

• A. Handwashing with soap and water
• B. Proper use of personal protective equipment (PPE)
• C. Disinfecting and reusing sterile medical devices
• D. Using single-use sterile medical devices

Correct answer: C

Rationale: Disinfecting and reusing sterile medical devices is not a recommended method for preventing healthcare-associated infections (HAIs). Reusing sterile medical devices can increase the risk of infections due to inadequate sterilization or potential damage to the devices during the reprocessing process. Proper sterilization and disposal of single-use medical devices are essential in preventing the transmission of infections in healthcare settings. A) Handwashing with soap and water is a crucial method for preventing HAIs as it helps to remove and reduce the number of pathogens on the hands of healthcare workers, preventing the spread of infections. B) Proper use of personal protective equipment (PPE) such as gloves, gowns, masks, and eye protection is important in preventing the transmission of infections between patients and healthcare workers. C) Disinfecting and reusing sterile medical devices is not a recommended practice as it can lead to the transmission of infections if the devices are not adequately sterilized. Using single-use sterile medical devices helps to ensure that each patient receives a sterile device, reducing the risk of infections.

5. Which hormone, produced by the pineal gland, plays a role in regulating sleep-wake cycles and is often associated with the body's internal circadian rhythm?

• A. Melatonin
• B. Serotonin
• C. Dopamine
• D. Endorphin

Correct answer: A

Rationale: Melatonin is the hormone produced by the pineal gland that plays a crucial role in regulating sleep-wake cycles and is associated with the body's internal circadian rhythm. Melatonin levels typically rise in the evening, signaling to the body that it is time to sleep, and decrease in the morning, helping to wake up and feel alert. Serotonin, dopamine, and endorphins are neurotransmitters that serve different functions in the body and are not primarily responsible for regulating sleep-wake cycles. Serotonin is involved in regulating mood, appetite, and sleep. Dopamine plays a role in reward-motivated behavior and motor control. Endorphins are involved in pain regulation and are often referred to as the body's natural painkillers.

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