Nursing Elites

1. What is the primary function of the myelin sheath that surrounds some axons in the nervous system?

• A. To initiate nerve impulses
• B. To transmit sensory information
• C. To speed up the transmission of nerve impulses
• D. To connect neurons at synapses

Correct answer: C

Rationale: The primary function of the myelin sheath is to speed up the transmission of nerve impulses. The myelin sheath acts as an insulating layer around the axon, allowing for faster conduction of electrical impulses along the nerve fiber. This insulation prevents the electrical signal from dissipating or 'leaking' out, which helps in the rapid and efficient transmission of nerve impulses along the axon. Choice A is incorrect because the myelin sheath does not initiate nerve impulses; it helps in conducting them. Choice B is incorrect as the myelin sheath's main role is not in transmitting sensory information but rather in facilitating the transmission of nerve impulses. Choice D is incorrect because the myelin sheath's function is not to connect neurons at synapses; instead, it is primarily involved in enhancing the speed of nerve impulse transmission.

2. Which part of the nervous system is responsible for the “fight-or-flight” response?

• A. Somatic nervous system
• B. Parasympathetic nervous system
• C. Sympathetic nervous system
• D. Enteric nervous system

Correct answer: C

Rationale: The sympathetic nervous system is responsible for the 'fight-or-flight' response, triggering the body's automatic response to a perceived threat or danger. This system initiates physiological changes like increased heart rate, dilated pupils, and the release of adrenaline, preparing the body to confront or escape the threat. The somatic nervous system (Choice A) controls voluntary movements, the parasympathetic nervous system (Choice B) is responsible for the 'rest and digest' response to promote relaxation and digestion, and the enteric nervous system (Choice D) regulates the gastrointestinal system. Therefore, they are not associated with the 'fight-or-flight' response.

3. When referring to blood vessel walls, the term 'atherosclerosis' describes:

• A. The abnormal buildup of plaque within the arterial walls.
• B. The inflammation of the inner lining of blood vessels.
• C. The dilation and weakening of a blood vessel wall (aneurysm).
• D. The normal process of blood vessel wall thickening with age.

Correct answer: A

Rationale: The correct answer is A: 'The abnormal buildup of plaque within the arterial walls.' Atherosclerosis is the process where plaque, consisting of fat, cholesterol, calcium, and other substances, accumulates within the arteries. This buildup can lead to the hardening and narrowing of arteries, reducing blood flow and potentially causing severe health issues like heart attacks and strokes. Choice B is incorrect because inflammation of the inner lining of blood vessels is known as vasculitis, not atherosclerosis. Choice C is incorrect as it describes an aneurysm, which is a dilation and weakening of a blood vessel wall, not atherosclerosis. Choice D is incorrect as it describes arteriosclerosis, a process of blood vessel wall thickening with age, which is different from atherosclerosis.

4. Which process allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane?

• A. Endocytosis
• B. Exocytosis
• C. Active transport
• D. Facilitated diffusion

Correct answer: A

Rationale: Endocytosis is the process by which cells engulf large molecules or particles by wrapping the cell membrane around them to form a vesicle that is brought into the cell. This mechanism facilitates the movement of large molecules like proteins and polysaccharides across the cell membrane. Exocytosis involves the release of large molecules or particles from the cell, opposite to the scenario described in the question. Active transport requires energy to move molecules against their concentration gradient and is not primarily used for transporting proteins and polysaccharides. Facilitated diffusion entails the movement of molecules aided by transport proteins but is not the primary mechanism for transporting large molecules such as proteins and polysaccharides.

5. If a scientist finds that the results of her experiment seem to contradict her hypothesis, what is the best course of action?

• A. Publish the results anyway, acknowledging that her hypothesis seems to have been incorrect.
• B. Keep trying the experiment until the results match her hypothesis.
• C. Publish the results, retroactively changing the hypothesis.
• D. None of the above; this cannot occur. The experimental results cannot contradict the hypothesis, by definition.

Correct answer: A

Rationale: The best course of action is to publish the results anyway, acknowledging that her hypothesis seems to have been incorrect. Science relies on accurate reporting and transparency, even if the results do not align with the original hypothesis. This allows for further discussion, analysis, and potentially new hypotheses to be developed based on the findings. It is essential in scientific research to report both positive and negative results to contribute to the body of knowledge and advance understanding in the field. Choice B is incorrect because persisting with the same experiment to force results to align with the hypothesis goes against scientific integrity and may lead to biased conclusions. Choice C is incorrect as changing the hypothesis after obtaining results is not scientifically sound and undermines the credibility of the research. Choice D is incorrect because science embraces the possibility of experimental results contradicting hypotheses, as this provides valuable insights for refining theories and expanding scientific knowledge.

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