Nursing Elites

1. What is the atomic number of an element?

• A. The number of protons in an atom's nucleus.
• B. The number of neutrons in an atom's nucleus.
• C. The number of electrons in an atom's valence shell.
• D. The number of isotopes of an element.

Correct answer: A

Rationale: The atomic number of an element is the number of protons in an atom's nucleus. This number is crucial as it determines the element's identity and its position on the periodic table. Option B is incorrect because the number of neutrons can vary in isotopes but is not the atomic number. Option C is incorrect as the number of electrons in an atom's valence shell can vary based on the element's charge, not defining the atomic number. Option D is also incorrect because the number of isotopes is not the atomic number of an element.

2. A person who carries a pathogen but does not exhibit any symptoms is considered:

• A. Asymptomatic carrier
• B. Opportunistic pathogen
• C. Nosocomial infection
• D. Vector-borne disease

Correct answer: A

Rationale: An asymptomatic carrier is a person who carries a pathogen, such as a virus or bacterium, without showing any symptoms of the infection. Despite lacking symptoms, asymptomatic carriers can still transmit the pathogen to others, potentially causing illness in those they contact. This term specifically pertains to infected individuals who do not manifest symptoms, distinguishing them from symptomatic carriers who do exhibit signs of the infection. Option A is the most fitting choice as it accurately characterizes a person carrying a pathogen without displaying symptoms. B) Opportunistic pathogen: This term describes pathogens that typically do not cause disease in healthy individuals but can be pathogenic in those with weakened immune systems. C) Nosocomial infection: This term refers to infections acquired in a hospital or healthcare facility. D) Vector-borne disease: This term relates to diseases transmitted to humans by vectors like mosquitoes or ticks.

3. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

4. What is the bottom number in a blood pressure reading?

• A. Diastolic pressure
• B. Systolic pressure
• C. Pulse rate
• D. Mean arterial pressure

Correct answer: A

Rationale: The correct answer is A: Diastolic pressure. The bottom number in a blood pressure reading represents the diastolic pressure, which indicates the lowest pressure in the arteries when the heart is resting between beats. This value is important in understanding the overall health of the cardiovascular system. Choice B, Systolic pressure, is the top number in a blood pressure reading and represents the pressure in the arteries when the heart is contracting. Choice C, Pulse rate, refers to the number of times the heart beats in a minute. Choice D, Mean arterial pressure, is a calculated value using both systolic and diastolic pressures to provide an average pressure in the arteries during a cardiac cycle, but it is not the bottom number in a blood pressure reading.

5. As a nursing student triaging a patient, which of the following is an example of quantitative data you can gather?

• A. The patient says he feels pain.
• B. The patient says he has stabbing pain.
• C. The patient's temperature is 101.7°F.
• D. The patient reports that he had a fever yesterday.

Correct answer: C

Rationale: The corrected choice C, 'The patient's temperature is 101.7°F,' is an example of quantitative data because it provides a specific numerical value that can be measured. Quantitative data involves measurable and numerical information, making it crucial for assessing a patient's condition objectively. Choices A and B are subjective statements based on the patient's perception of pain and its description, which are qualitative data and may vary between individuals. Choice D provides historical information about a fever, which is not a current measurable value and does not constitute quantitative data for immediate assessment.

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