1. 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.

2. Which type of brain wave activity is often seen during REM sleep, associated with dreaming?

A. Delta waves
B. Alpha waves
C. Beta waves
D. Theta waves

Correct answer: D

Rationale: During REM (rapid eye movement) sleep, the brain is highly active, and theta waves are the dominant brain wave pattern. Theta waves are associated with deep relaxation, creativity, and dreaming. Delta waves are typically seen in deep sleep stages, not during REM sleep. Alpha waves are present when we are awake but relaxed, while beta waves are associated with active thinking and concentration. Therefore, theta waves are the correct answer for brain wave activity during REM sleep.

3. The phrase "survival of the fittest" refers to:

A. Organisms with the most complex anatomical structures are more likely to survive and reproduce.
B. Organisms that demonstrate the best adaptations to their environment have a higher chance of survival and reproduction.
C. All organisms have an equal probability of survival and reproductive success regardless of their traits.
D. Only the strongest and most aggressive individuals within a population will survive and reproduce.

Correct answer: B

Rationale: Rationale: The phrase "survival of the fittest" is often associated with the concept of natural selection, which was proposed by Charles Darwin. Natural selection is the process by which organisms that are best adapted to their environment are more likely to survive and reproduce, passing on their advantageous traits to the next generation. This process does not necessarily favor the most complex anatomical structures (option A) or the strongest and most aggressive individuals (option D). Instead, it emphasizes the importance of adaptations that enhance an organism's ability to survive and reproduce in a specific environment. Option C is incorrect because natural selection results in differential reproductive success based on an organism's traits, meaning that not all organisms have an equal probability of survival and reproductive success.

4. Which of the following blood vessels carries oxygenated blood away from the lungs?

A. Pulmonary artery
B. Aorta
C. Superior vena cava
D. Inferior vena cava

Correct answer: B

Rationale: The correct answer is B: Aorta. The aorta is the main artery in the body that carries oxygenated blood away from the heart to the rest of the body. The pulmonary artery, option A, carries deoxygenated blood from the heart to the lungs for oxygenation. The superior vena cava, option C, and inferior vena cava, option D, are veins that carry deoxygenated blood from the upper and lower parts of the body, respectively, back to the heart. Therefore, the aorta is the blood vessel that carries oxygenated blood away from the lungs.

5. A population refers to a group of organisms of the same:

A. Species living in the same area
B. Genus competing for resources
C. Kingdom inhabiting a specific biome
D. Phylum found throughout the world

Correct answer: A

Rationale: In ecology, a population is a specific group of organisms of the same species living in a particular geographic area at a given time. They share a common gene pool and interact with each other and their environment.

6. In an SN2 reaction, the rate of the reaction is affected by

A. Only the concentration of the nucleophile
B. Only the concentration of the electrophile
C. Neither the concentration of the nucleophile nor the electrophile
D. Both the concentration of the nucleophile and the electrophile

Correct answer: D

Rationale: In an SN2 reaction, the rate of the reaction is affected by both the concentration of the nucleophile and the electrophile. This is because in an SN2 reaction, the nucleophile directly attacks the electrophilic center, leading to the formation of the product. A higher concentration of nucleophile increases the chances of successful collisions with the electrophile, thereby increasing the reaction rate. Similarly, a higher concentration of the electrophile provides more reaction sites for the nucleophile to attack, also increasing the rate of the reaction. Therefore, both the nucleophile and electrophile concentrations play crucial roles in determining the rate of an SN2 reaction.