Nursing Elites

1. A new physician saw 841 clients during the first year of practice and 1072 clients during the second year of practice. Which of the following represents the approximate percentage increase in client volume?

• A. 22%
• B. 27%
• C. 127%
• D. 78%

Correct answer: B

Rationale: To calculate the percentage increase, subtract the initial value from the final value, then divide by the initial value and multiply by 100. In this case, the calculation is ((1072 - 841) / 841) x 100 ≈ 27%. Therefore, the correct answer is B. Choice A (22%) is incorrect as it does not match the calculated percentage increase. Choice C (127%) is incorrect as it represents an absolute increase, not a percentage increase. Choice D (78%) is incorrect as it is not close to the calculated percentage increase of 27%.

2. What is the basic structure of an atom?

• A. Protons, neutrons, electrons
• B. Protons, electrons, ions
• C. Neutrons, electrons, ions
• D. Protons, ions, molecules

Correct answer: A

Rationale: The basic structure of an atom consists of protons and neutrons located in the nucleus, with electrons orbiting around the nucleus in specific energy levels or shells. Protons carry a positive charge, neutrons carry no charge, and electrons carry a negative charge. This arrangement maintains the overall neutrality of the atom, with the number of protons equaling the number of electrons. Therefore, the correct answer is 'Protons, neutrons, electrons.' Choices B, C, and D are incorrect as they do not accurately represent the fundamental components of an atom. Choice B includes 'ions,' which are charged particles, not fundamental components of an atom. Choice C includes 'ions' and lacks protons. Choice D includes 'ions' and 'molecules,' which are not part of the basic structure of an atom.

3. The kidneys are bean-shaped organs responsible for filtering waste products from the blood. What is the main nitrogenous waste product the kidneys eliminate?

• A. Carbon dioxide
• B. Ammonia
• C. Urea
• D. Glucose

Correct answer: C

Rationale: The correct answer is C, urea. Urea is the main nitrogenous waste product eliminated by the kidneys. It is produced in the liver from protein metabolism and excreted in urine. Carbon dioxide is eliminated through the lungs as a waste product of cellular respiration and not by the kidneys. Ammonia, a toxic waste product, is converted to urea in the liver before being excreted by the kidneys. Glucose is a sugar that is reabsorbed by the kidneys and not excreted as waste.

4. The transfer of energy through feeding relationships in an ecosystem is called a:

• A. Food Chain
• B. Food Web
• C. Habitat
• D. Biome

Correct answer: A

Rationale: A food chain is a linear sequence of organisms where each organism consumes the one below it and is consumed by the one above it. This transfer of energy through feeding relationships is a fundamental concept in ecology to understand how energy flows through an ecosystem. In a food chain, energy is transferred from producers (plants) to primary consumers (herbivores), then to secondary consumers (carnivores), and so on. Each step in the food chain represents a trophic level, and energy is lost as heat at each level, resulting in a pyramid-shaped energy flow. Food webs, on the other hand, represent a more complex network of interconnected food chains within an ecosystem. Habitats refer to the specific environments where organisms live, and biomes are large geographical areas characterized by specific climates and vegetation types. Therefore, the correct answer is 'Food Chain' as it specifically describes the linear transfer of energy through feeding relationships in an ecosystem.

5. When making a dilution, what do you do?

• A. Add more solvent to a concentrated solution
• B. Change the temperature of the solution
• C. Decrease the concentration of a solution
• D. All of the above

Correct answer: C

Rationale: When making a dilution, you decrease the concentration of a solution by adding more solvent to a concentrated solution. This process does not involve changing the temperature of the solution, so option B is incorrect. Option A is also incorrect because you are not adding more solute to the solution during dilution. Therefore, the correct answer is C) Decrease the concentration of a solution. Options A and B are incorrect as dilution involves adding more solvent, not solute, and does not require changing the temperature of the solution.

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