Nursing Elites

1. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

2. Which vitamin is crucial for calcium absorption and synthesized in the skin upon sun exposure?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: The correct answer is Vitamin D. Vitamin D is essential for calcium absorption as it helps regulate calcium and phosphorus levels in the body. When the skin is exposed to sunlight, UVB rays convert a compound in the skin to vitamin D. This vitamin is vital for maintaining bone health and ensuring the overall calcium balance in the body. Choices A, B, and D are incorrect. Vitamin A is important for vision and immune function, Vitamin C is essential for collagen synthesis and immune function, and Vitamin E is an antioxidant that helps protect cells from damage by free radicals. However, none of these vitamins are primarily responsible for calcium absorption and synthesized in the skin upon sun exposure.

3. How should the following sentence be correctly punctuated: 'She asked me if I wanted to go to the movies with her'?

• A. She asked me, if I wanted to go to the movies with her.
• B. She asked me: if I wanted to go to the movies with her?
• C. She asked me, if I wanted, to go to the movies with her.
• D. She asked me if I wanted to go to the movies with her.

Correct answer: D

Rationale: The correct answer is D because it uses a question mark within the quoted material as it is a direct question. In this case, the sentence is a reported question, so it does not need additional punctuation within the reported speech. Choice A is incorrect as it incorrectly adds a comma before 'if.' Choice B is incorrect because a colon is not appropriate before 'if' in this context. Choice C is incorrect as it adds an unnecessary comma after 'wanted.'

4. Which lifestyle practice can weaken the immune system?

• A. Getting enough sleep
• B. Eating a balanced diet rich in fruits and vegetables
• C. Managing stress levels
• D. Frequent smoking

Correct answer: D

Rationale: Frequent smoking can weaken the immune system by damaging immune cells and impairing their function. Smoking increases the risk of respiratory infections and other illnesses, negatively impacting immune health. Therefore, frequent smoking is a lifestyle practice that can weaken the immune system. Choices A, B, and C are all beneficial practices that support a healthy immune system. Getting enough sleep, eating a balanced diet rich in fruits and vegetables, and managing stress levels are important for maintaining optimal immune function and overall well-being.

5. The syllable '-tion' is a(n) _______ and turns a _______ into a _______.

• A. Suffix; verb; noun
• B. Affix; noun; pronoun
• C. Prefix; noun; verb
• D. Infix; noun; adjective

Correct answer: A

Rationale: The syllable '-tion' is a suffix that is commonly added to verbs to turn them into nouns. For example, the word 'action' is formed by adding '-tion' to the verb 'act.' This transformation changes the verb into a noun representing the act itself. Therefore, option A correctly identifies '-tion' as a suffix that turns a verb into a noun. Choices B, C, and D are incorrect because they misidentify '-tion' as a different type of affix (prefix, infix) and incorrectly associate it with nouns, pronouns, verbs, or adjectives instead of its actual function of transforming verbs into nouns.

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