Nursing Elites

1. Calcitonin, a hormone that helps regulate calcium levels, is produced by the:

• A. Thyroid gland
• B. Parathyroid gland
• C. Thymus gland
• D. Adrenal gland

Correct answer: A

Rationale: The correct answer is A: "Thyroid gland." Calcitonin is a hormone produced by the thyroid gland that helps regulate calcium levels in the body. It works in opposition to parathyroid hormone, which is produced by the parathyroid gland. The thymus gland is responsible for immune function, while the adrenal gland produces hormones like cortisol and adrenaline. Therefore, the thyroid gland is the specific gland responsible for producing calcitonin to regulate calcium levels in the body.

2. Histamine, released during an allergic reaction, causes symptoms like:

• A. Fever and fatigue
• B. Runny nose and itchiness
• C. Muscle aches and joint pain
• D. Cough and shortness of breath

Correct answer: B

Rationale: The correct answer is B: 'Runny nose and itchiness.' Histamine is a chemical released by the body during an allergic reaction. It causes various symptoms such as itching, sneezing, runny nose, and watery eyes. These symptoms are commonly associated with allergic reactions like hay fever or hives. Fever and fatigue (option A) are not directly caused by histamine release. Muscle aches and joint pain (option C) are not typical symptoms of histamine release during an allergic reaction. Cough and shortness of breath (option D) are more commonly associated with asthma or respiratory allergies rather than histamine release.

3. The fatty sheath that insulates some nerve fibers and speeds up signal transmission is called the:

• A. Myelin sheath
• B. Dura mater
• C. Pia mater
• D. Arachnoid mater

Correct answer: A

Rationale: The correct answer is A: Myelin sheath. The myelin sheath is a fatty layer that surrounds and insulates certain nerve fibers. It acts as an electrical insulator, speeding up the transmission of nerve impulses along the axon. This insulation helps to prevent signal loss or interference, allowing for faster and more efficient communication between neurons. The other options, B: Dura mater, C: Pia mater, and D: Arachnoid mater, are all layers of the meninges that protect the brain and spinal cord, but they do not play a role in insulating nerve fibers for signal transmission like the myelin sheath does.

4. What is the difference between type 1 and type 2 diabetes, both related to insulin and blood sugar?

• A. Type 1 is caused by insulin resistance, type 2 by insulin deficiency.
• B. Type 1 is temporary, type 2 is permanent.
• C. Type 1 affects adults, type 2 affects children
• D. Type 1 is treated with diet only, type 2 requires medication.

Correct answer: A

Rationale: The correct answer is A: 'Type 1 is caused by insulin resistance, type 2 by insulin deficiency.' Type 1 diabetes is an autoimmune condition where the body attacks insulin-producing cells, leading to insulin deficiency. In contrast, type 2 diabetes occurs when the body becomes resistant to insulin's effects. This distinction is crucial for understanding the underlying causes and treatment approaches for each type of diabetes. Type 1 diabetes is not temporary; it is a chronic condition that requires lifelong management. Type 2 diabetes can also affect adults, but it is more commonly diagnosed in middle-aged and older adults. Treatment for type 1 diabetes typically involves insulin therapy along with diet and exercise, while type 2 diabetes may require medication in addition to lifestyle modifications.

5. The Hardy-Weinberg equilibrium describes a population that is:

• A. Undergoing rapid evolution due to strong directional selection.
• B. Not evolving and at genetic equilibrium with stable allele frequencies.
• C. Experiencing a founder effect leading to a reduction in genetic diversity.
• D. Dominated by a single homozygous genotype that eliminates all variation.

Correct answer: B

Rationale: Rationale: The Hardy-Weinberg equilibrium describes a theoretical population in which allele frequencies remain constant from generation to generation, indicating that the population is not evolving. This equilibrium occurs under specific conditions: no mutation, no gene flow, random mating, a large population size, and no natural selection. In this scenario, all genotypes are in proportion to the allele frequencies, and genetic diversity is maintained. Options A, C, and D do not accurately describe a population in Hardy-Weinberg equilibrium. Option A suggests rapid evolution due to strong directional selection, which would disrupt the equilibrium. Option C mentions a founder effect, which can reduce genetic diversity but is not a characteristic of a population in Hardy-Weinberg equilibrium. Option D describes a population dominated by a single homozygous genotype, which also does not align with the genetic diversity seen in a population at Hardy-Weinberg equilibrium.

6. A doctor orders 1 gram of a medication to be administered intravenously. The available vial contains 200 milligrams per milliliter. How many milliliters of the solution should be drawn up?

• A. 4 milliliters
• B. 5 milliliters
• C. 10 milliliters
• D. 20 milliliters

Correct answer: B

Rationale: First convert grams to milligrams (1 gram * 1000 milligrams/gram = 1000 milligrams). Then, divide the desired dosage by the concentration per milliliter: 1000 milligrams / 200 milligrams/milliliter = 5 milliliters.

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