Nursing Elites

1. Unlike the circulatory system, the lymphatic system does not have a pump. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Unlike the circulatory system which relies on the heart's pumping action, the lymphatic system lacks a central pump. Lymph moves through lymphatic vessels primarily due to muscle contractions and breathing movements that squeeze the vessels, helping propel the lymph forward. Additionally, one-way valves within the lymphatic vessels prevent the backward flow of lymph, ensuring it moves in the right direction. Therefore, all three mechanisms - heart pumping, muscle contractions, and one-way valves - work together to facilitate the movement of lymph through the lymphatic system.

2. Which type of white blood cell directly attacks and destroys pathogens like bacteria and viruses?

• A. Neutrophils
• B. Lymphocytes
• C. Monocytes
• D. Eosinophils

Correct answer: A

Rationale: The correct answer is A: Neutrophils. Neutrophils are a type of white blood cell that plays a crucial role in the innate immune response by directly attacking and destroying pathogens like bacteria and viruses. They are the most abundant type of white blood cell and are known for their rapid response to infections. Neutrophils work by engulfing and digesting pathogens through a process called phagocytosis. Lymphocytes (option B) are involved in adaptive immunity, producing antibodies and coordinating immune responses. Monocytes (option C) differentiate into macrophages and dendritic cells, playing a role in phagocytosis and antigen presentation. Eosinophils (option D) are primarily involved in combating parasitic infections and allergic reactions, not directly attacking bacteria and viruses.

3. A lab report shows a potassium level of 4.5 millimoles per liter (mmol/L). Is this within the normal range of 3.5 to 5.3 mmol/L?

• A. No, it is too low.
• B. Yes, it is within the normal range.
• C. No, it is too high.
• D. Cannot be determined without additional information.

Correct answer: B

Rationale: The potassium level of 4.5 mmol/L falls within the normal range provided (3.5 to 5.3 mmol/L). 5. An infant's feeding schedule prescribes 120 milliliters of formula every 3 hours. How many ounces of formula should be prepared for a 24-hour period?

4. What is the correct way to punctuate the following sentence: "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: Option D uses a question mark within the quoted material as it is a direct question.

5. Which of these pairs represents an example of convergent evolution?

• A. Humans and chimpanzees
• B. Bats and birds
• C. Dolphins and sharks
• D. Snakes and earthworms

Correct answer: B

Rationale: Rationale: Convergent evolution refers to the process by which different species independently evolve similar traits or characteristics due to similar environmental pressures. In the case of bats and birds, both have evolved wings for flight despite not sharing a recent common ancestor with wings. Bats are mammals, while birds are avians, yet they both have wings adapted for flight, which is a classic example of convergent evolution. A) Humans and chimpanzees share a common ancestor and have not independently evolved similar traits. C) Dolphins and sharks are not closely related, and their similarities are due to adaptations to their aquatic environment rather than convergent evolution. D) Snakes and earthworms belong to different classes (reptiles and annelids, respectively) and do not share recent common ancestors, making their similarities not a result of convergent evolution.

6. Vacuoles are large sacs for storage in plant cells. What is their main function in animal cells?

• A. Protein synthesis
• B. Waste storage and disposal
• C. Photosynthesis
• D. Cellular respiration

Correct answer: B

Rationale: Vacuoles in plant cells are primarily used for storage of water, nutrients, and waste products. In animal cells, vacuoles are smaller and serve various functions, including waste storage and disposal. Option B, 'Waste storage and disposal,' is the correct answer because vacuoles in animal cells help maintain cellular homeostasis by storing and breaking down waste materials. This process aids in detoxification and maintaining proper cellular function in animal cells, similar to the role of vacuoles in plant cells.

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