Nursing Elites

1. What is the breakdown product of creatine phosphate, an energy source used for short bursts of muscle activity?

• A. Glucose
• B. Lactic acid
• C. Carbon dioxide
• D. Creatine

Correct answer: D

Rationale: The breakdown product of creatine phosphate is creatine. Creatine phosphate is stored in muscle cells and rapidly converts to creatine to provide energy for short bursts of muscle activity, such as weightlifting or sprinting. It is not converted into glucose, lactic acid, or carbon dioxide. Creatine is then further broken down into creatinine, which is excreted in urine. Therefore, the correct answer is D: Creatine.

2. What is the term for the first exposure to a specific pathogen, leading to the development of an initial immune response?

• A. Primary immune response
• B. Secondary immune response
• C. Hypersensitivity reaction
• D. Immunological tolerance

Correct answer: A

Rationale: The correct answer is A: 'Primary immune response.' The primary immune response refers to the initial encounter with a specific pathogen, which triggers the immune system to respond by producing antibodies and memory cells. This process lays the foundation for the secondary immune response, which occurs upon subsequent exposure to the same pathogen. The primary immune response is characterized by the lag time in antibody production as the immune system is mobilized to combat the new threat. In contrast, the secondary immune response is faster and more robust due to the presence of memory cells from the primary response. Hypersensitivity reactions involve an exaggerated immune response to an antigen, while immunological tolerance refers to the immune system's ability to recognize self from non-self to prevent autoimmunity.

3. What is the term for a repetitive, involuntary muscle contraction that can cause pain and stiffness?

• A. Cramp
• B. Spasm
• C. Tic
• D. Fibrosis

Correct answer: B

Rationale: The correct answer is B: 'Spasm.' A spasm is a sudden, involuntary muscle contraction that can cause pain and stiffness. Cramps are a type of spasm characterized by intense, localized pain and temporary muscle tightness. Tics are repetitive, involuntary movements or vocalizations. Fibrosis refers to the formation of excess fibrous connective tissue in an organ or tissue, not related to muscle contractions. Therefore, 'spasm' best fits the description provided in the question.

4. What type of particle carries no charge and mediates the strong nuclear force between protons and neutrons?

• A. Electron
• B. Photon
• C. Gluon
• D. Neutrino

Correct answer: C

Rationale: Gluons are the force carriers of the strong nuclear force, holding protons and neutrons together within the nucleus.

5. Which of the following guidelines should be least considered in formulating objectives for

• A. Written nursing care plan
• B. Holistic approach
• C. Prescribed standards
• D. Staff preferences

Correct answer: D

Rationale: When formulating objectives for a written nursing care plan, staff preferences should be least considered. Objectives should be based on patient needs, evidence-based practice, and professional standards rather than personal preferences of the staff. Prescribed standards ensure quality care and adherence to best practices. A holistic approach considers the whole patient, including physical, emotional, and spiritual aspects. Staff preferences may introduce bias and should not dictate patient care objectives.

6. The gradual change in a species over time in response to environmental pressures is best described by:

• A. Punctuated equilibrium (rapid bursts of evolution)
• B. Gradualism (slow and continuous change)
• C. Founder effect (genetic drift in a small population)
• D. Adaptive radiation (rapid diversification of a species)

Correct answer: B

Rationale: Rationale: A) Punctuated equilibrium refers to rapid bursts of evolution followed by long periods of stability, rather than gradual change over time in response to environmental pressures. B) Gradualism is the process by which species evolve through slow and continuous changes over time in response to environmental pressures. This gradual change can lead to the development of new traits and adaptations. C) Founder effect is a type of genetic drift that occurs when a small group of individuals establishes a new population, leading to a loss of genetic variation compared to the original population. It does not specifically describe the gradual change in a species over time. D) Adaptive radiation is the rapid diversification of a species into a variety of forms to exploit different ecological niches, but it does not specifically refer to the gradual change in response to environmental pressures. Therefore, the best description of the gradual change in a species over time in response to e

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