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. What is the endoplasmic reticulum?

• A. A network of tubules that transport proteins and lipids throughout the cell
• B. A sac-like structure that stores water and nutrients
• C. The site of protein synthesis
• D. The site of cellular respiration

Correct answer: A

Rationale: Rationale: A) The endoplasmic reticulum (ER) is a network of tubules that are involved in the transport of proteins and lipids throughout the cell. It plays a crucial role in protein synthesis, folding, and transport within the cell. The ER can be further divided into rough ER, which has ribosomes attached to its surface and is involved in protein synthesis, and smooth ER, which is involved in lipid metabolism and detoxification. Therefore, option A is the most accurate description of the endoplasmic reticulum compared to the other options provided. B) A sac-like structure that stores water and nutrients does not accurately describe the endoplasmic reticulum. While some organelles like vacuoles or vesicles may store water and nutrients, the ER's primary function is not storage. C) The site of protein synthesis is partially

3. The neutral theory of molecular evolution proposes that:

• A. Most mutations in DNA are selectively neutral and do not affect an organism's fitness.
• B. All mutations are beneficial and contribute to the adaptation of a population.
• C. The rate of evolution is primarily driven by strong directional selection pressures.
• D. Genetic drift plays a negligible role in shaping genetic variation within populations.

Correct answer: A

Rationale: Rationale: A) The neutral theory of molecular evolution, proposed by Motoo Kimura in the 1960s, suggests that the majority of mutations that occur in DNA are selectively neutral, meaning they do not have a significant impact on an organism's fitness. These neutral mutations are not subject to natural selection and are allowed to accumulate in populations over time. This theory helps explain the high levels of genetic variation observed within populations. B) Option B is incorrect because not all mutations are beneficial. Mutations can be neutral, harmful, or beneficial, and the neutral theory specifically focuses on the idea that many mutations are neutral in their effects. C) Option C is incorrect because the neutral theory suggests that evolution is not primarily driven by strong directional selection pressures. Instead, it emphasizes the role of genetic drift and the accumulation of neutral mutations in shaping genetic variation. D) Option D is incorrect because

4. What is the tough, fibrous tissue that connects bones at joints called?

• A. Cartilage
• B. Ligaments
• C. Tendons
• D. Fascia

Correct answer: B

Rationale: The correct answer is B: Ligaments. Ligaments are the tough, fibrous tissue that connects bones at joints. They provide stability and support to the joints, preventing excessive movement that could result in injury. Cartilage is a smooth, rubbery tissue that covers the ends of bones and cushions joints. Tendons are fibrous cords that attach muscles to bones, allowing for movement. Fascia is a connective tissue that surrounds muscles, groups of muscles, blood vessels, and nerves, providing support and protection. Therefore, in this case, the term that specifically refers to the tissue connecting bones at joints is ligaments.

5. Which state of matter has particles that are highly organized in a fixed pattern and vibrate in place?

• A. Solid
• B. Liquid
• C. Gas
• D. Plasma

Correct answer: a

Rationale: In solids, particles are tightly packed in an ordered arrangement and vibrate around fixed positions, giving solids a definite shape and volume.

6. Emerging infectious diseases (EIDs) pose a significant public health threat because they are:

• A. Well-understood by medical professionals
• B. Easily treatable with existing antibiotics
• C. New, rapidly evolving, and can spread quickly
• D. Primarily affect animals and not humans

Correct answer: C

Rationale: Rationale: Emerging infectious diseases (EIDs) are a significant public health threat because they are characterized by being new or newly identified diseases that are rapidly evolving. These diseases can spread quickly within populations due to factors such as globalization, travel, urbanization, and changes in climate. EIDs often present challenges to medical professionals as they may not be well-understood initially, making it difficult to develop effective treatments or preventive measures. While some EIDs can be treatable with existing antibiotics, the rapid evolution of these diseases can lead to the development of drug resistance, further complicating treatment efforts. Additionally, EIDs are not limited to affecting animals; they can also have serious implications for human health and well-being.

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