Nursing Elites

1. Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. What is a potential cause of autoimmune diseases?

• A. Deficiency in essential vitamins and minerals
• B. Exposure to environmental toxins
• C. Breakdown in immune cell self-tolerance mechanisms
• D. All of the above

Correct answer: C

Rationale: Autoimmune diseases result from a breakdown in immune cell self-tolerance mechanisms, leading to the immune system mistakenly attacking healthy body tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact overall health, they are not direct causes of autoimmune diseases. Deficiency in essential vitamins and minerals may weaken the immune system, making it more susceptible to various health issues but does not directly cause autoimmune diseases. Exposure to environmental toxins can trigger immune responses, but autoimmune diseases specifically stem from the breakdown of self-tolerance mechanisms within immune cells. Therefore, the correct answer is a breakdown in immune cell self-tolerance mechanisms.

2. What is the molarity of a solution made by dissolving 4.0 grams of NaCl into enough water to make 120 mL of solution? The atomic mass of Na is 23.0 g/mol, and Cl is 35.5 g/mol.

• A. 0.34 M
• B. 0.57 M
• C. 0.034 M
• D. 0.057 M

Correct answer: B

Rationale: To find the molarity, first calculate the moles of NaCl. Moles of NaCl = 4.0 g / (23.0 g/mol + 35.5 g/mol) = 0.068 mol. Next, use the formula for molarity: Molarity = moles of solute / liters of solution. Molarity = 0.068 mol / 0.120 L = 0.57 M. Therefore, the molarity of the solution is 0.57 M. Choice A, 0.34 M, is incorrect as it does not match the calculated molarity. Choice C, 0.034 M, is incorrect as it is a decimal point off from the correct molarity. Choice D, 0.057 M, is incorrect as it does not match the calculated molarity of 0.57 M.

3. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

4. Sebaceous glands, located in the dermis, secrete an oily substance called:

• A. Sweat
• B. Sebum
• C. Cerumen
• D. Mucus

Correct answer: B

Rationale: Sebaceous glands are responsible for secreting an oily substance called sebum, not sweat, cerumen, or mucus. Sebum plays a vital role in lubricating and waterproofing the skin and hair, preventing them from drying out. Sweat glands produce sweat to regulate body temperature. Cerumen is the medical term for earwax, produced by ceruminous glands in the ear canal, while mucus is a slimy substance that protects and lubricates body tissues. Therefore, the correct answer is B: Sebum, as it is the oily substance secreted by sebaceous glands.

5. What is the role of RNA in protein synthesis?

• A. Stores genetic information
• B. Decodes genetic information
• C. Provides energy for the process
• D. Transports amino acids to the ribosomes

Correct answer: B

Rationale: RNA plays a crucial role in protein synthesis by decoding the genetic information stored in DNA and carrying it to the ribosomes where proteins are synthesized. This process involves transcription, where RNA is synthesized from DNA, and translation, where the information in RNA is used to assemble amino acids into proteins. RNA acts as a messenger between DNA and the ribosomes, ensuring that the correct sequence of amino acids is used to build proteins according to the genetic code. Option A is incorrect because DNA, not RNA, stores genetic information. Option C is incorrect because RNA does not provide energy for protein synthesis; energy is usually provided by ATP molecules. Option D is incorrect because tRNA (transfer RNA) is responsible for transporting amino acids to the ribosomes, not RNA in general. Therefore, option B is the most appropriate choice as it accurately describes the role of RNA in protein synthesis.

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