Nursing Elites

1. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

2. What are the three layers of the heart?

• A. Endocardium, myocardium, epicardium
• B. Pericardium, endocardium, myocardium
• C. Epicardium, myocardium, endocardium
• D. Pericardium, myocardium, endocardium

Correct answer: C

Rationale: The correct answer is C: Epicardium, myocardium, endocardium. The heart wall consists of three layers: the outer layer is the epicardium, the middle muscular layer is the myocardium, and the inner layer is the endocardium. Understanding the layers of the heart is essential for comprehending its structure and function. Choices A, B, and D are incorrect because they do not present the layers of the heart in the correct order. The pericardium is the outermost layer that surrounds the heart, but it is not part of the heart wall itself. Therefore, choices B and D are incorrect. Choice A is incorrect as it presents the layers in the wrong order, starting with the endocardium instead of the epicardium, which is the outermost layer.

3. His charismatic personality, organizational abilities, sheer determination, and rhetorical skills enabled him to quickly rise through the chapter’s ranks. Which of the following revisions maintains the correct tense?

• A. NO CHANGE
• B. are enabling him to quickly rise
• C. enabled him to quickly rise
• D. will enable him to quickly rise

Correct answer: C

Rationale: Choice C, 'enabled him to quickly rise,' is the correct answer as it maintains the past tense to match the context of the sentence. The sentence describes actions that have already occurred, so the past tense 'enabled' is appropriate. Choice A is incorrect as it does not provide the correct tense for the sentence. Choice B is incorrect as it uses the present continuous tense, which is not suitable for the context of the sentence. Choice D is incorrect as it uses the future tense, which does not align with the past actions described in the sentence.

4. What most likely describes the relationship between the author and Alan?

• A. competitive
• B. formal
• C. friendly
• D. caring

Correct answer: C

Rationale: The most likely description of the relationship between the author and Alan is friendly. The author's message to Alan is filled with warmth, concern, and offers of help, indicating a positive and supportive tone. The use of phrases like 'I just wanted to drop you a quick note' and 'Let me know if you want any special treats' reflect a friendly and amicable relationship. Choices A, B, and D are not as suitable as competitive, formal, or caring relationships do not align as strongly with the friendly and supportive nature of the interaction described in the text.

5. What is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

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