Nursing Elites

1. What is the main verb tense in the following sentence? "She had already left before I arrived."

• A. Present tense
• B. Past tense
• C. Future tense
• D. t perfect tense

Correct answer: D

Rationale: The verb "had left" is in the past perfect tense, indicating an action completed before another past action ("arrived").

2. When light reflects from a surface, what determines the angle of reflection?

• A. The material of the surface
• B. The wavelength of the light
• C. The angle of incidence
• D. The intensity of the light

Correct answer: C

Rationale: The angle of reflection is always equal to the angle of incidence according to the law of reflection, regardless of the material, wavelength, or intensity.

3. The layer of the skin responsible for new skin cell production is the:

• A. Stratum corneum
• B. Stratum basale
• C. Stratum granulosum
• D. Stratum spinosum

Correct answer: B

Rationale: The correct answer is B: Stratum basale. The stratum basale, also known as the basal layer or stratum germinativum, is the deepest layer of the epidermis responsible for new skin cell production through cell division. This layer contains stem cells that continuously divide and differentiate into keratinocytes, which eventually migrate to the outer layers of the epidermis. The stratum corneum (option A) is the outermost layer of the epidermis composed of dead skin cells. The stratum granulosum (option C) is the layer above the stratum basale where keratinocytes undergo changes in their structure. The stratum spinosum (option D) is a layer above the stratum basale where cells become interconnected by desmosomes. Therefore, the stratum basale is the primary layer responsible for the production of new skin cells.

4. The order of operations (PEMDAS) dictates the sequence for evaluating mathematical expressions. If a = 2 and b = -3, what is the value of 3a^2 - 2ab + b^2?

• A. -3
• B. 0
• C. 33
• D. 15

Correct answer: C

Rationale: Following PEMDAS (Parentheses, Exponents, Multiplication and Division from left to right, Addition and Subtraction from left to right), we start with exponents: 3(2^2) - 2ab + b^2. Then, multiply: 3(4) - 2ab + b^2. Next, perform the multiplication/division from left to right: 12 - 2ab + b^2. Finally, add/subtract from left to right: 12 + (-2)(2)(-3) + (-3)^2. Evaluate the remaining terms: 12 + 12 + 9. The answer is 33.

5. The fossil record shows that dinosaurs with feathers existed millions of years before birds. This is evidence for

• A. Convergent evolution (unrelated organisms evolving similar traits)
• B. Divergent evolution (related organisms evolving different traits)
• C. Coevolution (two species influencing each other's evolution)
• D. The extinction of dinosaurs due to an asteroid impact

Correct answer: A

Rationale: Rationale: The fossil record indicating that dinosaurs had feathers before birds suggests convergent evolution. Convergent evolution occurs when unrelated organisms independently evolve similar traits to adapt to similar environmental pressures. In this case, both dinosaurs and birds developed feathers for flight or insulation purposes, even though they are not closely related. This evidence supports the concept of convergent evolution rather than divergent evolution, coevolution, or the extinction of dinosaurs due to an asteroid impact.

6. A lab test result shows a blood glucose level of 5.5 millimoles per liter (mmol/L). What is the equivalent level in milligrams per deciliter (mg/dL)?

• A. 55 mg/dL
• B. 5.5 mg/dL
• C. 0.55 mg/dL
• D. 550 mg/dL

Correct answer: A

Rationale: This requires a double conversion: millimoles to milligrams and liters to deciliters. 1 millimole is equal to 180.15 milligrams, and 1 liter is equal to 10 deciliters. Multiply the glucose level (5.5 mmol/L) by the conversion factor for millimoles to milligrams (180.15 mg/mmol) and then divide by the conversion factor for liters to deciliters (10 dL/L): 5.5 mmol/L * 180.15 mg/mmol / 10 dL/L ≈ 55 mg/dL.

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