Nursing Elites

1. A keystone species plays a critical role in an ecosystem because its removal would:

• A. Lead to a decrease in competition among other species
• B. Cause a slight increase in primary productivity
• C. Have a minimal impact on the overall ecosystem structure
• D. Disrupt the food web and cause cascading effects on other populations

Correct answer: D

Rationale: Rationale: Keystone species are species that have a disproportionately large effect on their environment relative to their abundance. They play a critical role in maintaining the structure and function of an ecosystem. If a keystone species is removed from an ecosystem, it can disrupt the food web by causing imbalances in predator-prey relationships. This disruption can lead to cascading effects on other populations within the ecosystem, potentially causing population declines or even extinctions. Therefore, the removal of a keystone species would have significant impacts on the overall ecosystem structure, making option D the correct answer.

2. Ms. Valencia develops the standards to be followed. Among the following standards, which is

• A. The patients verbalized satisfaction of the nursing care received
• B. Rotation of duty will be done every four weeks for all patient care personnel.
• C. All patients shall have their weights taken recorded
• D. Patients shall answer the evaluation form before discharge

Correct answer: C

Rationale: The correct answer is C because it is a clear and specific standard that can be easily measured and monitored. Weight recording is a fundamental aspect of patient care and is essential for tracking changes in health status. Verbalized satisfaction (option A) is subjective and may not be consistently measurable. Rotation of duty (option B) is important but may not be a standard developed by a nurse manager. Answering an evaluation form before discharge (option D) is important but may not be a standard created by Ms. Valencia for all patients.

3. Which of the following is NOT a function of the endoplasmic reticulum (ER)?

• A. Synthesis of lipids (fats)
• B. Transport of materials within the cell
• C. Detoxification of harmful substances
• D. Breakdown of cellular waste products

Correct answer: C

Rationale: The correct answer is C: 'Detoxification of harmful substances.' The endoplasmic reticulum (ER) is responsible for synthesizing lipids (fats), transporting materials within the cell, and breaking down cellular waste products. However, detoxification of harmful substances is primarily carried out by the smooth endoplasmic reticulum (SER) where enzymes detoxify drugs and other harmful compounds. Therefore, C is the correct answer as it is not a primary function of the ER.

4. What is the role of surfactant in the respiratory system?

• A. To trap dust particles
• B. To increase lung compliance
• C. To produce mucus
• D. To generate oxygen during respiration

Correct answer: B

Rationale: The correct answer is B: 'To increase lung compliance.' Surfactant is a substance produced by the alveolar cells in the lungs that reduces surface tension within the alveoli. This helps to prevent the alveoli from collapsing, making it easier for the lungs to expand and contract during breathing. This action increases lung compliance, which is the ease with which the lungs can be inflated. Trapping dust particles (A) is the role of mucus and cilia in the respiratory system. Surfactant does not produce mucus (C) but rather acts to reduce surface tension. Generating oxygen (D) is the function of the respiratory system as a whole through the process of respiration, and surfactant does not play a direct role in this process.

5. What is the difference between isometric and isotonic muscle contractions?

• A. Isometric involves movement, while isotonic does not.
• B. Isotonic involves shortening of muscle, while isometric maintains length.
• C. Isometric uses more energy, while isotonic uses less.
• D. Isotonic involves smooth muscle, while isometric involves skeletal muscle.

Correct answer: B

Rationale: The correct answer is B: "Isotonic involves shortening of muscle, while isometric maintains length." Isometric contractions occur when the muscle generates force without changing its length, such as holding a weight in a fixed position. On the other hand, isotonic contractions involve the muscle changing length, either by shortening (concentric contraction) or lengthening (eccentric contraction) while generating force. Understanding this distinction is crucial for grasping the different types of muscle contractions and their effects on the body during exercise and movement.

6. What is the difference between a homozygous recessive genotype and a homozygous dominant genotype?

• A. Both have the same phenotype, but different genotypes.
• B. Both have the same genotype, but different phenotypes.
• C. Homozygous recessive has two dominant alleles, while homozygous dominant has two recessive alleles.
• D. Homozygous recessive has two identical recessive alleles, while homozygous dominant has two identical dominant alleles.

Correct answer: D

Rationale: Rationale: - Homozygous recessive genotype refers to an individual having two identical recessive alleles for a particular gene (e.g., rr for a trait where r represents the recessive allele). - Homozygous dominant genotype refers to an individual having two identical dominant alleles for a particular gene (e.g., RR for a trait where R represents the dominant allele). - The difference between the two genotypes lies in the specific alleles present in each case, with homozygous recessive having two recessive alleles and homozygous dominant having two dominant alleles. - This genetic difference results in different phenotypes being expressed, as the dominant allele typically masks the expression of the recessive allele in heterozygous individuals.

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