Nursing Elites

1. Which type of muscle is characterized by involuntary contractions, is striated, and is primarily found in the heart?

• A. Skeletal muscle
• B. Smooth muscle
• C. Cardiac muscle
• D. Elastic muscle

Correct answer: C

Rationale: The correct answer is C: Cardiac muscle. Cardiac muscle is characterized by involuntary contractions, meaning it contracts without conscious control. It is striated, which refers to the striped appearance of muscle fibers under a microscope. Cardiac muscle is primarily found in the heart, where it plays a crucial role in pumping blood throughout the body. Skeletal muscle (option A) is also striated but is under voluntary control. Smooth muscle (option B) is non-striated and found in organs like the intestines. Elastic muscle (option D) is not a recognized type of muscle tissue.

2. The moon-shaped white structures at the base of fingernails are called:

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A, "Lunulae." The moon-shaped white structures at the base of fingernails are called lunulae. These are most visible on the thumb and are the visible part of the nail matrix. The lunulae appear white because the nail matrix underneath is not visible due to its thickness. Cuticle (B) refers to the thin layer of skin at the base of the nail, hyponychium (C) is the skin located under the free edge of the nail, and matrix (D) is the tissue at the base of the nail where growth occurs. Therefore, the correct term for the moon-shaped white structures is lunulae.

3. Molecular clocks utilize the accumulation of mutations in DNA sequences to estimate the evolutionary divergence time between species. This method relies on the assumption that:

• A. The rate of mutation is constant across all genes and all species.
• B. Species with more morphological similarities diverged more recently.
• C. Mutations are always beneficial and contribute to increased fitness.
• D. The fossil record provides the most accurate estimates of evolutionary relationships.

Correct answer: A

Rationale: Rationale: A molecular clock is a method used to estimate the time of divergence between species by measuring the accumulation of mutations in DNA sequences. This method relies on the assumption that mutations occur at a relatively constant rate over time. If the rate of mutation were not constant, it would be challenging to accurately estimate the evolutionary divergence time between species. Therefore, option A is the most appropriate choice as it aligns with the fundamental principle underlying the molecular clock hypothesis. Option B is incorrect because the assumption that species with more morphological similarities diverged more recently does not directly relate to the concept of molecular clocks and the accumulation of mutations in DNA sequences. Option C is incorrect because mutations are not always beneficial and do not always contribute to increased fitness. Mutations can be neutral or deleterious as well, and their accumulation is what is used to estimate evolutionary di

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 of the following phases of mitosis is characterized by the separation of sister chromatids and their movement to opposite poles?

• A. Metaphase
• B. Anaphase
• C. Anaphase
• D. Cytokinesis

Correct answer: B

Rationale: Rationale: During anaphase of mitosis, the sister chromatids, which are duplicated copies of a chromosome, separate and move towards opposite poles of the cell. This movement is facilitated by the shortening of microtubules attached to the chromatids. As a result, each pole of the cell receives a complete set of chromosomes, ensuring that the daughter cells produced after cell division will have the correct number of chromosomes. Metaphase is characterized by the alignment of chromosomes at the cell's equator, not their separation. Telophase is the phase following anaphase, where the separated chromatids reach the opposite poles and nuclear envelopes start to form around them. Cytokinesis is the final stage of cell division, where the cytoplasm is divided to form two separate daughter cells.

6. Harry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going

• A. Call for a staff meeting and take this up in the agenda.
• B. Seek help from her manager.
• C. Develop a strategic action on how to deal with these concerns.
• D. Ignore the issues since these will be resolved naturally.

Correct answer: A

Rationale: Choosing option A, 'Call for a staff meeting and take this up in the agenda,' is the best course of action for Harry as a Unit Manager. By calling for a staff meeting, Harry can openly address his concerns with the team, gather input from team members, and work collaboratively to find solutions. This approach promotes transparency, communication, and teamwork, which are essential in resolving issues within a unit. Seeking help from his manager, as suggested in option B, may be necessary in some cases, but initiating a discussion with the staff first allows for a more inclusive problem-solving process. Developing a strategic action, as in option C, is important, but involving the team in this process through a staff meeting is crucial for buy-in and implementation. Ignoring the issues, as in option D, is never a productive approach as unresolved issues can escalate and impact team morale and performance. Therefore, option A is the most effective and proactive way for Harry to address hi

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