Nursing Elites

1. 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.

2. What is the function of arrector pili muscles?

• A. To control sweat production
• B. To contract and cause goosebumps
• C. To produce sebum
• D. To sense touch

Correct answer: B

Rationale: The correct answer is B: 'To contract and cause goosebumps.' Arrector pili muscles are small muscles attached to hair follicles in the skin. When these muscles contract, they cause the hair to stand upright, resulting in the appearance of goosebumps. This physiological response is a remnant of our evolutionary past when our ancestors had more hair, and the raised hair helped to trap air for insulation or to make them look larger when threatened. Therefore, the function of arrector pili muscles is not to control sweat production (A), produce sebum (C), or sense touch (D), but rather to create the physical response of goosebumps.

3. The inability of the kidneys to effectively filter waste products from the blood is called:

• A. Dehydration
• B. Kidney failure
• C. Incontinence
• D. Nephritis

Correct answer: B

Rationale: The correct answer is B: "Kidney failure." Kidney failure refers to the inability of the kidneys to effectively filter waste products from the blood, leading to a buildup of toxins in the body. Dehydration, option A, is the state of lacking adequate fluid in the body and is not specifically related to kidney function. Incontinence, option C, is the loss of bladder control and is unrelated to kidney filtration function. Nephritis, option D, specifically refers to inflammation of the kidneys and may not always result in complete kidney failure. Therefore, the most appropriate answer for the described scenario is B.

4. What figure of speech is used in the statement "His words were a dagger to my heart"?

• A. Metonymy
• B. Simile
• C. Metaphor (Correct)
• D. Hyperbole

Correct answer: C

Rationale: The statement compares the pain of his words to a physical object, forming a metaphor.

5. 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.

6. Which of the following functional groups is present in carboxylic acids?

• A. Carbonyl
• B. Hydroxyl
• C. Carboxyl
• D. Aldehyde

Correct answer: C

Rationale: Carboxylic acids contain the carboxyl functional group (-COOH). The other choices are associated with different functional groups.

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