Nursing Elites

1. A medication order is for 250 micrograms of a drug to be administered subcutaneously. The available syringe measures in milliliters. How many milliliters should the nurse draw up?

• A. 0.00025 milliliters
• B. 0.0025 milliliters
• C. 0.025 milliliters
• D. 0.25 milliliters

Correct answer: B

Rationale: First convert micrograms to milliliters, knowing 1000 micrograms equal 1 milliliter. Divide the desired dosage (250 micrograms) by the conversion factor (1000 micrograms/milliliter) to find the volume needed: 250 micrograms / 1000 micrograms/milliliter = 0.00025 milliliters. However, drawing such a small volume might be inaccurate, so round to the nearest practical measurement, which is 0.0025 milliliters.

2. Homologous structures are similar structures in different organisms that have a common evolutionary origin. An example is:

• A. Butterfly wings and bird wings (analogous structures with different origins)
• B. The arm of a human, the wing of a bat, and the flipper of a whale
• C. The eyes of an octopus and a human (convergent evolution with different origins)
• D. The stinger of a bee and the barb of a cactus (unrelated structures)

Correct answer: B

Rationale: Rationale: Homologous structures are similar structures found in different organisms that share a common evolutionary origin. In this case, the arm of a human, the wing of a bat, and the flipper of a whale are all examples of homologous structures. Despite serving different functions in these organisms, they share a common underlying structure due to their evolutionary relationship. These structures are evidence of a shared ancestry and are modified over time to suit the specific needs of each species. Option A (Butterfly wings and bird wings) refers to analogous structures, which have similar functions but different evolutionary origins. Option C (The eyes of an octopus and a human) describes convergent evolution, where similar traits evolve independently in different species due to similar environmental pressures. Option D (The stinger of a bee and the barb of a cactus) refers to unrelated

3. Antibodies, crucial for immune defense, are produced by:

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

Correct answer: B

Rationale: The correct answer is B: Lymphocytes. Antibodies, also known as immunoglobulins, are produced by B lymphocytes (B cells) as a key component of the adaptive immune response. These specialized cells play a crucial role in recognizing and neutralizing pathogens, thereby providing immunity against infections. Neutrophils (A) are a type of white blood cell involved in innate immunity and phagocytosis. Monocytes (C) are another type of white blood cell that can differentiate into macrophages, which are important in phagocytosis and antigen presentation. Basophils (D) are involved in allergic responses and inflammation through the release of histamine. Lymphocytes, particularly B cells, are primarily responsible for antibody production in response to pathogens and foreign substances.

4. The framework of bones, cartilage, ligaments, and tendons that provides structure, support, and facilitates movement is the:

• A. Muscular system
• B. Skeletal system
• C. Nervous system
• D. Endocrine system

Correct answer: B

Rationale: The correct answer is B: Skeletal system. The skeletal system is composed of bones, cartilage, ligaments, and tendons that work together to provide structure, support, and facilitate movement in the body. The bones serve as the framework that supports and protects the body's organs, while cartilage cushions the joints. Ligaments connect bones to each other, and tendons connect muscles to bones, allowing for movement. The muscular system (choice A) consists of muscles that work with the skeletal system to produce movement. The nervous system (choice C) controls and coordinates bodily functions through the brain, spinal cord, and nerves. The endocrine system (choice D) regulates various bodily functions through the release of hormones. Therefore, the skeletal system is the correct answer as it specifically refers to the framework of bones, cartilage, ligaments, and tendons that support and enable movement in the body.

5. Which type of transport allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane?

• A. Endocytosis
• B. Exocytosis
• C. Active transport
• D. Facilitated diffusion

Correct answer: A

Rationale: Rationale: A) Endocytosis is the process by which cells engulf large molecules or particles by wrapping the cell membrane around them to form a vesicle that is brought into the cell. This mechanism allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane. B) Exocytosis is the opposite process of endocytosis, where cells release large molecules or particles by fusing vesicles with the cell membrane to expel their contents out of the cell. C) Active transport is a process that requires energy to move molecules across the cell membrane against their concentration gradient. While active transport can move large molecules, it is not specifically designed for the transport of proteins and polysaccharides. D) Facilitated diffusion is a type of passive transport that involves the movement of molecules across the cell membrane with the help of transport proteins. While facilitated diffusion can assist in the movement of

6. Square: A garden bed has a side length of 8 meters. What is its perimeter?

• A. 16m
• B. 24m
• C. 32m
• D. 64m

Correct answer: D

Rationale: Since all sides are equal, multiply the side length by 4: perimeter = 4 * side length = 4 * 8m = 32m.

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