Nursing Elites

1. Chromatids divide into identical chromosomes and migrate to opposite ends of the cell in which of the following phases of mitosis?

• A. metaphase
• B. anaphase
• C. prophase
• D. telophase

Correct answer: B

Rationale: During anaphase of mitosis, the sister chromatids detach from each other and migrate to opposite poles of the cell. This process ensures that each daughter cell ultimately receives an identical set of chromosomes, as the chromatids separate and become individual chromosomes again. This is a crucial step in ensuring accurate distribution of genetic material during cell division. In metaphase, the chromosomes align at the cell's equator but do not separate yet. Prophase is the phase where chromatin condenses into chromosomes and the nuclear envelope breaks down. Telophase is the final phase where the nuclear envelope reforms around the separated chromosomes.

2. What are isotopes?

• A. Atoms of the same element with different numbers of protons.
• B. Atoms of the same element with different numbers of neutrons.
• C. Atoms of different elements with the same number of protons.
• D. Atoms of different elements with the same number of electrons.

Correct answer: B

Rationale: Isotopes are atoms of the same element with different numbers of neutrons. While isotopes share the same number of protons, which determines the element, they differ in the number of neutrons. This variance in neutron count results in isotopes having different atomic masses. Choice A is incorrect because isotopes have the same number of protons (same element) but differ in the number of neutrons. Choice C is incorrect as it describes atoms of different elements, not isotopes of the same element. Choice D is also incorrect because isotopes can have different numbers of electrons, but what defines isotopes is the variation in neutron numbers.

3. What are the three main types of blood vessels?

• A. Arteries, veins, capillaries
• B. Arteries, capillaries, bronchioles
• C. Veins, arteries, bronchioles
• D. Veins, arteries, alveoli

Correct answer: A

Rationale: The correct answer is A: Arteries, veins, capillaries. Arteries carry blood away from the heart, veins carry blood to the heart, and capillaries facilitate the exchange of gases and nutrients between the blood and tissues. Choice B is incorrect because bronchioles are not blood vessels but part of the respiratory system. Choice C is incorrect as it lists veins before arteries, which is not the standard order in anatomy. Choice D is incorrect as alveoli are small air sacs in the lungs, not blood vessels.

4. 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.

5. How can you differentiate between a bacterial and viral infection based solely on symptoms?

• A. It's impossible to differentiate solely based on symptoms.
• B. Bacterial infections typically respond well to antibiotics, while viral infections don't.
• C. Bacterial infections usually cause fever, while viral infections don't.
• D. Viral infections often present with respiratory symptoms like a cough, while bacterial infections don't.

Correct answer: A

Rationale: It is impossible to differentiate between a bacterial and viral infection based solely on symptoms because many symptoms overlap between the two types of infections. Symptoms like fever, cough, and others can be present in both bacterial and viral infections. Additional diagnostic tests such as cultures or blood tests are often needed to determine the cause of the infection accurately. Relying only on symptoms can lead to misdiagnosis and inappropriate treatment. Choices B, C, and D are incorrect because they oversimplify the differentiation process and do not encompass the complexity of symptoms associated with bacterial and viral infections. While it is true that bacterial infections may respond to antibiotics and some differences in symptoms may be observed between bacterial and viral infections, these are not definitive indicators without proper diagnostic tests.

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