Nursing Elites

1. Which of the following is the MOST common symptom of angina pectoris, a condition related to insufficient blood flow to the heart?

• A. Fever and chills.
• B. Chest pain or discomfort.
• C. Sudden onset of severe shortness of breath
• D. Numbness or tingling in the extremities

Correct answer: B

Rationale: The correct answer is B: Chest pain or discomfort. Angina pectoris is characterized by chest pain or discomfort that occurs when the heart muscle does not receive enough oxygen-rich blood. This pain is often described as a squeezing, pressure, heaviness, or tightness in the chest. While other symptoms like fever, chills, shortness of breath, numbness, or tingling in the extremities can occur in various conditions, chest pain is the hallmark symptom of angina pectoris. It is important to recognize this symptom as it may indicate an underlying heart issue and prompt medical attention is crucial.

2. Which of the following is NOT a route of transmission for a sexually transmitted infection (STI)?

• A. Unprotected sexual contact
• B. Sharing contaminated needles
• C. Deep kissing
• D. Mother to child during childbirth

Correct answer: C

Rationale: Rationale: A) Unprotected sexual contact is a common route of transmission for sexually transmitted infections (STIs) as many STIs are spread through genital, anal, or oral sex without the use of barrier protection such as condoms. B) Sharing contaminated needles can also transmit STIs such as HIV and hepatitis B and C, especially among individuals who inject drugs. C) Deep kissing, while it can transmit certain infections like herpes simplex virus (HSV-1) or cytomegalovirus (CMV), is not a common route of transmission for most STIs. D) Mother to child transmission during childbirth can occur with certain STIs such as HIV, syphilis, and herpes, where the infection can be passed from the mother to the baby during delivery. Therefore, deep kissing (option C) is the correct answer as it is not a typical route of transmission for most STIs.

3. Identify the appositive in the following sentence: "My favorite author, Agatha Christie, wrote many detective novels."

• A. favorite
• B. Agatha Christie
• C. many
• D. novels

Correct answer: B

Rationale: An appositive renames or clarifies the noun or pronoun preceding it.

4. Which of the following is NOT a recognized mode of natural selection?

• A. Directional selection (favoring one extreme trait value on a spectrum)
• B. Disruptive selection (favoring both extreme trait values on a spectrum)
• C. Stabilizing selection (favoring the average trait value on a spectrum)
• D. Sexual selection (selection based on mate choice that influences reproductive success)

Correct answer: D

Rationale: Rationale: A) Directional selection is a recognized mode of natural selection where one extreme trait value on a spectrum is favored over others. This can lead to a shift in the average trait value over time. B) Disruptive selection is a recognized mode of natural selection where both extreme trait values on a spectrum are favored over the average trait value. This can lead to the population splitting into two distinct groups. C) Stabilizing selection is a recognized mode of natural selection where the average trait value on a spectrum is favored over extreme values. This can lead to a reduction in genetic diversity within a population. D) Sexual selection is not a mode of natural selection in the traditional sense, as it involves mate choice and competition for mates rather than direct selection pressure on traits that affect survival and reproduction in the environment. Sexual selection can lead to the evolution of traits that enhance an individual's ability to attract

5. In meiosis I, how are sister chromatids distinguished from homologous chromosomes?

• A. Sister chromatids share the same centromere, while homologues have different centromeres.
• B. Sister chromatids have identical DNA sequences, while homologues have slightly different sequences due to crossing over.
• C. Sister chromatids repel each other, while homologues attract each other during synapsis.
• D. Sister chromatids separate during anaphase I, while homologues separate during anaphase II.

Correct answer: B

Rationale: While sister chromatids are identical copies of the same chromosome, homologous chromosomes are paired copies, each inherited from one parent. Crossing over during meiosis I can lead to slight differences in their DNA sequences.

6. The spleen, an organ associated with the lymphatic system, plays a crucial role in:

• A. Regulating blood sugar levels
• B. Filtering blood and destroying old red blood cells
• C. Producing digestive enzymes
• D. Secreting hormones

Correct answer: B

Rationale: The correct answer is B: 'Filtering blood and destroying old red blood cells.' The spleen is part of the lymphatic system and acts as a blood filter, removing old or damaged red blood cells and helping to fight infections. It does not play a role in regulating blood sugar levels (A), producing digestive enzymes (C), or secreting hormones (D). Understanding the function of the spleen in filtering blood and removing old red blood cells is crucial for grasping its role in maintaining overall health and immunity.

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