Nursing Elites

1. What describes the change in direction of light when it passes through different mediums, such as air and water?

• A. Diffraction
• B. Reflection
• C. Refraction
• D. Dispersion

Correct answer: C

Rationale: Refraction is the change in direction of light as it moves from one medium to another, such as air to water or glass. This change occurs due to variations in the speed of light in each medium, causing the light rays to bend. When light passes through different mediums, it changes its path, a phenomenon known as refraction. Choice A, Diffraction, refers to the bending of waves around obstacles and the spreading of waves when passing through small openings, not the change in direction of light when moving between mediums. Choice B, Reflection, is the bouncing back of light rays from a surface into the same medium, not the change in direction when transitioning between different mediums. Choice D, Dispersion, involves the separation of light into its constituent colors based on their different wavelengths, not the change in direction of light when passing through different mediums.

2. What is the difference between type 1 and type 2 diabetes, both related to insulin and blood sugar?

• A. Type 1 is caused by insulin resistance, type 2 by insulin deficiency.
• B. Type 1 is temporary, type 2 is permanent.
• C. Type 1 affects adults, type 2 affects children.
• D. Type 1 is treated with diet only, type 2 requires medication.

Correct answer: A

Rationale: The correct difference between type 1 and type 2 diabetes lies in their underlying causes. Type 1 diabetes is caused by the body's inability to produce insulin, while type 2 diabetes is characterized by insulin resistance, where the body doesn't effectively use the insulin it produces. Insulin resistance is a key feature of type 2 diabetes, distinguishing it from type 1 where insulin deficiency is the primary issue. Choices B, C, and D are incorrect. Type 1 and type 2 diabetes can both be chronic conditions, affecting individuals of different age groups, and typically require a combination of diet, exercise, and medication for management.

3. Which of the following best describes eosinophils?

• A. A type of granulocyte that secretes histamine to stimulate the inflammatory response.
• B. The most abundant type of white blood cell that secretes substances toxic to pathogens.
• C. A type of granulocyte found under mucous membranes that defends against multicellular parasites.
• D. A circulating granulocyte with high phagocytic activity and aggressiveness.

Correct answer: C

Rationale: Eosinophils are best described as a type of granulocyte found under mucous membranes that defends against multicellular parasites. They release toxic substances to combat parasitic infections and play a significant role in allergic reactions and asthma. Histamine secretion to stimulate inflammation is more characteristic of basophils, while high phagocytic activity and aggressiveness are features of neutrophils, not eosinophils. Describing eosinophils as the most abundant type of white blood cell that secretes toxic substances to pathogens is inaccurate since eosinophils specifically target multicellular parasites, not a broad range of pathogens.

4. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

5. Which of the following is NOT a recognized mode of natural selection?

• A. Directional selection (favoring one extreme trait value on a spectrum)
• B. Disruptive selection (favoring both extreme trait values on a spectrum)
• C. Stabilizing selection (favoring the average trait value on a spectrum)
• D. Sexual selection (selection based on mate choice that influences reproductive success)

Correct answer: D

Rationale: A) Directional selection is a recognized mode of natural selection where one extreme trait value on a spectrum is favored over others, leading to a shift in the average trait value over time. B) Disruptive selection is a recognized mode of natural selection where both extreme trait values on a spectrum are favored over the average trait value, potentially causing the population to split into distinct groups. C) Stabilizing selection is a recognized mode of natural selection favoring the average trait value on a spectrum over extreme values, resulting in reduced genetic diversity. D) Sexual selection differs from traditional natural selection modes as it involves mate choice and competition for mates, not direct selection pressure on traits affecting survival and reproduction in the environment. Sexual selection can drive the evolution of traits enhancing an individual's attractiveness for mating purposes.

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