Nursing Elites

1. What is the strongest evidence for evolution?

• A. The fossil record
• B. Comparative anatomy
• C. Biogeography
• D. All of the above

Correct answer: D

Rationale: A) The fossil record provides evidence of how organisms have changed over time, showing transitional forms and the progression of species. B) Comparative anatomy involves studying the similarities and differences in the structures of different species, which can reveal common ancestry and evolutionary relationships. C) Biogeography examines the distribution of species around the world, which can be explained by evolution and continental drift. By considering all of the above evidence together, scientists can build a comprehensive understanding of evolution and how species have changed and diversified over time.

2. Which hormone is released by the adrenal glands in response to stress?

• A. Insulin
• B. Cortisol
• C. Adrenaline
• D. Glucagon

Correct answer: C

Rationale: Adrenaline is the correct answer. It is released by the adrenal glands in response to stress to prepare the body for the 'fight or flight' response. Adrenaline increases heart rate, dilates airways, and mobilizes energy stores to help the body deal with the perceived threat. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not in response to stress. Cortisol (Choice B) is another hormone released by the adrenal glands in response to stress, but it primarily helps regulate metabolism and immune response. Glucagon (Choice D) is also produced by the pancreas to increase blood sugar levels when they are low, not by the adrenal glands in response to stress.

3. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

4. What is the process of combining two or more substances to form a heterogeneous mixture called?

• A. Dissolving
• B. Diluting
• C. Mixing
• D. Reacting

Correct answer: C

Rationale: The correct answer is 'Mixing.' When substances are combined, a heterogeneous mixture is formed where the components are physically distinguishable. 'Dissolving' (Choice A) is the process of a solute becoming uniformly dispersed in a solvent to form a solution, not a heterogeneous mixture. 'Diluting' (Choice B) refers to reducing the concentration of a solute in a solution. 'Reacting' (Choice D) involves a chemical change where substances interact to form new products, rather than just physically mixing to form a heterogeneous mixture.

5. 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.

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