Nursing Elites

1. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

2. Which of the following is NOT a type of chemical bond?

• A. Ionic bond
• B. Covalent bond
• C. Metallic bond
• D. Gravitational bond

Correct answer: D

Rationale: Ionic, covalent, and metallic bonds are all types of chemical bonds that involve the sharing or transfer of electrons between atoms. An ionic bond occurs when one atom donates an electron to another, creating positive and negative ions that attract each other. A covalent bond involves the sharing of electrons between atoms to achieve a stable electron configuration. Metallic bonds are formed between metal atoms where electrons are delocalized and move freely among the metal ions. On the other hand, a gravitational bond is not a type of chemical bond. It refers to the force of attraction between two objects with mass, such as the gravitational force between the Earth and objects on its surface. Therefore, the correct answer is 'Gravitational bond.'

3. What is the most common cause of aseptic meningitis?

• A. Bacteria
• B. Viruses
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Aseptic meningitis is typically caused by viral infections, such as enteroviruses (e.g., coxsackievirus, echovirus), herpes simplex virus, varicella-zoster virus, and others. These viruses can infect the meninges, leading to inflammation and symptoms of meningitis without the presence of bacteria. While bacterial meningitis is a serious and life-threatening condition, aseptic meningitis caused by viruses is usually less severe and has a better prognosis. Fungi and parasites are less common causes of meningitis compared to bacteria and viruses.

4. What is the primary function of the endocrine system?

• A. To fight infection
• B. To transport oxygen
• C. To regulate body functions through hormones
• D. To break down food

Correct answer: C

Rationale: The correct answer is C: 'To regulate body functions through hormones.' The endocrine system is responsible for producing and secreting hormones that help regulate various body functions such as growth, metabolism, reproduction, and mood. It does not primarily function to fight infection (A), transport oxygen (B), or break down food (D). While the immune system fights infection, the respiratory system transports oxygen, and the digestive system breaks down food, the main role of the endocrine system is to maintain homeostasis by coordinating and controlling bodily functions through the release of hormones.

5. What is the unit of measurement for density?

• A. Grams per liter (g/L)
• B. Kilograms per cubic meter (kg/m³)
• C. Pounds per square inch (psi)
• D. Newtons per meter (N/m)

Correct answer: A

Rationale: Density is defined as mass per unit volume. The most commonly used unit for density in the metric system is grams per liter (g/L). Kilograms per cubic meter (kg/m³) is also a common unit for density, but grams per liter is more frequently used in everyday measurements. Pounds per square inch (psi) is a unit of pressure, not density. Newtons per meter (N/m) is a unit of force per unit length, not density.

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