Nursing Elites

1. Patient A, who weighs 68 kilograms, steps onto a scale 20 times. The scale consistently weighs Patient A as 75 kilograms. What is true of the measurement?

• A. It is valid, but not reliable.
• B. It is reliable, but not valid.
• C. It is both valid and reliable.
• D. It is neither reliable nor valid.

Correct answer: B

Rationale: The correct answer is B: 'It is reliable, but not valid.' The measurement is reliable because it consistently provides the same result (75 kg). However, it is not valid because it does not accurately reflect the true weight of Patient A (68 kg). Choice A is incorrect because if the scale consistently shows the same weight (75 kg), it is reliable. Choice C is incorrect because although the scale is consistent, the measurement does not reflect the true weight, making it not valid. Choice D is incorrect as the measurement is reliable but lacks validity.

2. How is mitosis different from meiosis?

• A. Mitosis is the process by which body cells are formed.
• B. Meiosis creates cells with half the chromosomes of the parent cell.
• C. Telophase occurs in both mitosis and meiosis.
• D. Spermatogenesis and oogenesis occur via meiosis.

Correct answer: B

Rationale: Meiosis is the type of cell division that creates cells with half the number of chromosomes compared to the parent cell. This is essential for sexual reproduction as it ensures that when the sex cells (sperm and egg) combine during fertilization, the resulting offspring has the correct number of chromosomes. In contrast, mitosis results in two identical daughter cells with the same number of chromosomes as the parent cell. Choice A is incorrect because mitosis is responsible for the division of body cells, not sex cells. Choice C is incorrect because telophase is a phase that occurs in both mitosis and meiosis. Choice D is incorrect because spermatogenesis and oogenesis involve meiosis, not mitosis.

3. The procedure to focus an image using a compound microscope involves

• A. Adjusting the coarse adjustment each time a new magnification is selected
• B. Adjusting the fine adjustment each time a new magnification is selected
• C. Adjusting the stage each time a new magnification is selected
• D. All of the above

Correct answer: B

Rationale: When using a compound microscope, it is essential to adjust the fine adjustment knob each time you switch to a new magnification level. The fine adjustment knob allows for precise focusing on the specimen at different magnifications, ensuring a clear and sharp image. The coarse adjustment knob is typically used only at the lower magnification settings to bring the image into view roughly. Adjusting the stage may be necessary based on the size and thickness of the specimen, but it does not need to be done every time a new magnification is selected. Therefore, option B is the correct choice as it focuses on the key aspect of precise focusing during magnification changes.

4. Choose the two bases that have two carbon rings:

• A. Adenine
• B. Cytosine
• C. Thymine
• D. Guanine

Correct answer: A

Rationale: Adenine and guanine have two carbon rings and are known as purines. These bases are found in nucleic acids such as DNA and RNA. Adenine (option A) and guanine (option D) are the correct choices as they both have two carbon rings in their molecular structure. Cytosine (option B) and thymine (option C) have a single carbon ring each, making them incorrect choices for bases with two carbon rings.

5. Tonicity refers to the movement of:

• A. Water
• B. Solute
• C. Cells
• D. None of the above

Correct answer: A

Rationale: Tonicity refers to the movement of water across a membrane in response to differences in solute concentration. In a hypertonic solution, where there is a higher concentration of solutes outside the cell, water will move out of the cell to try to reach equilibrium. In a hypotonic solution, where there is a lower concentration of solutes outside the cell, water will move into the cell to balance the concentrations. Cells and solutes themselves do not actively move in response to tonicity; it is the movement of water that helps achieve equilibrium. Therefore, the correct answer is water (Choice A). Choices B, C, and D are incorrect as tonicity specifically refers to water movement and not the movement of solutes, cells, or none of the above.

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