Nursing Elites

1. Which of the following organs is NOT directly involved in urine production?

• A. Kidneys
• B. Urethra
• C. Lungs
• D. Bladder

Correct answer: C

Rationale: The correct answer is C: Lungs. The lungs are not directly involved in urine production. The kidneys are responsible for filtering waste products from the blood to create urine. The urethra is the tube that carries urine from the bladder out of the body. The bladder serves as a temporary storage reservoir for urine. In contrast, the lungs are primarily responsible for the exchange of gases, such as oxygen and carbon dioxide, during respiration and are not directly involved in the process of urine production.

2. The protective fluid surrounding the brain and spinal cord is called:

• A. Blood
• B. Cerebrospinal fluid
• C. Plasma
• D. Myelin

Correct answer: B

Rationale: The correct answer is B: Cerebrospinal fluid. Cerebrospinal fluid is a clear, colorless liquid that surrounds the brain and spinal cord, providing cushioning and protection against physical impact. It also helps to maintain a stable environment for the central nervous system by regulating pressure and removing waste products. Blood (option A) is not the fluid that directly surrounds the brain and spinal cord. Plasma (option C) is the liquid component of blood and is not specific to the central nervous system. Myelin (option D) is a fatty substance that forms a protective sheath around nerve fibers but is not the fluid surrounding the brain and spinal cord.

3. 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.

4. What is the main function of the epiglottis, a small flap of cartilage located above the larynx?

• A. To warm and humidify inhaled air
• B. To control the passage of food and air
• C. To produce sound vibrations for speech
• D. To sense the presence of foreign objects

Correct answer: B

Rationale: The correct answer is B: 'To control the passage of food and air.' The epiglottis is a crucial structure that prevents food and liquids from entering the airway during swallowing. It acts as a lid over the trachea, ensuring that food goes down the esophagus while air passes into the respiratory system. This function is essential for preventing choking and ensuring proper breathing. Options A, C, and D are incorrect as the epiglottis is not primarily responsible for warming and humidifying inhaled air, producing sound vibrations for speech, or sensing foreign objects.

5. A ball is thrown upwards. Which of the following statements is TRUE about its potential energy and kinetic energy at the peak of its trajectory?

• A. Both potential and kinetic energy are zero.
• B. Potential energy is maximum and kinetic energy is minimum.
• C. Potential energy is minimum and kinetic energy is maximum.
• D. Both potential and kinetic energy remain constant.

Correct answer: B

Rationale: At the peak, the ball momentarily stops moving, minimizing kinetic energy. However, it's still at its highest point, maximizing its potential energy due to gravity.

6. During antibiotic use, bacteria can evolve resistance. This is an example of:

• A. Coevolution (two species influencing each other's evolution)
• B. Convergent evolution (unrelated organisms evolving similar traits)
• C. Macroevolution (large-scale evolutionary change)
• D. Artificial selection acting on a natural process

Correct answer: D

Rationale: Rationale: - Coevolution (option A) refers to the influence of two species on each other's evolution, which is not the case in the scenario described in the question. - Convergent evolution (option B) involves unrelated organisms evolving similar traits due to similar environmental pressures, which is not directly applicable to the situation of bacteria evolving resistance to antibiotics. - Macroevolution (option C) refers to large-scale evolutionary changes over long periods, which is not specifically demonstrated in the context of bacteria evolving resistance during antibiotic use. - The process of bacteria evolving resistance to antibiotics due to the selective pressure exerted by the antibiotics is an example of artificial selection (human intervention selecting for certain traits) acting on a natural process (bacterial evolution). Antibiotic use creates a selective pressure that favors the survival and reproduction of bacteria with resistance traits, leading to the evolution of an

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