Nursing Elites

1. What is the crystalline compound that is a product of protein metabolism known as?

• A. uracil
• B. urine
• C. ureter
• D. urea

Correct answer: D

Rationale: Urea is the correct answer. It is the crystalline compound formed in the liver from the breakdown of proteins, a byproduct of protein metabolism. Urea is excreted by the kidneys in the form of urine, aiding in the elimination of nitrogenous waste from the body. Uracil (Choice A) is a nitrogenous base found in RNA, not a product of protein metabolism. Urine (Choice B) is the liquid waste excreted by the kidneys but not the crystalline compound resulting from protein metabolism. Ureter (Choice C) is a duct that carries urine from the kidneys to the bladder, not the compound produced from protein metabolism.

2. If you give a patient medication BID, you give it ___________.

• A. as needed
• B. every two hours
• C. twice daily
• D. with food

Correct answer: C

Rationale: BID stands for 'bis in die' in Latin, which translates to 'twice a day' in English. Therefore, when medication is prescribed to be given BID, it should be administered twice daily. Choice A, 'as needed,' does not correspond to a specific dosing frequency like BID. Choice B, 'every two hours,' indicates a different dosing schedule that is more frequent than BID. Choice D, 'with food,' refers to the administration instructions related to meals and is not the correct interpretation of BID.

3. The _____ student was not well liked by his peers.

• A. Geniality
• B. Affably
• C. Gregarious
• D. Detestable

Correct answer: D

Rationale: The correct answer is 'Detestable.' In this context, 'detestable' means deserving intense dislike, which fits the sentence describing a student who is not well-liked. 'Geniality' (choice A) means warmth and friendliness, which is the opposite of what is described in the sentence. 'Affably' (choice B) means in a friendly and pleasant manner, which doesn't convey the idea of being disliked. 'Gregarious' (choice C) means sociable and outgoing, which is also not suitable for describing someone who is not well-liked.

4. The patient made a ritualistic arranging of the food on his plate. Which word best describes the patient's repetitive behavior?

• A. Formal
• B. Ritualistic
• C. Formalizing
• D. Ritual

Correct answer: B

Rationale: The correct answer is 'Ritualistic.' This adjective describes actions performed in a habitual or ceremonial manner, which aligns with the context of the patient's repeated arrangement of food. 'Formal' (choice A) does not capture the repetitive nature of the behavior. 'Formalizing' (choice C) refers to the process of making something formal rather than describing repetitive behavior. 'Ritual' (choice D) is a noun and does not best describe the patient's behavior in this context.

5. What does the term 'residual' refer to in the following sentence? The nurse was asked to record the residual urine in the patient's bladder.

• A. Measurement
• B. What is left
• C. Total volume
• D. Color and clarity

Correct answer: B

Rationale: The term 'residual' refers to what is left after the main part has been taken or used. In this context, 'residual urine' specifically means the urine that remains in the bladder after urination. Choices A, C, and D do not accurately capture the meaning of 'residual' in this sentence. 'Measurement' (A) is too general, 'Total volume' (C) does not specifically pertain to what remains, and 'Color and clarity' (D) is unrelated to the concept of what is left.

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