Nursing Elites

1. Which of the following conditions is characterized by a wasting or decrease in muscle mass?

• A. Hypertrophy
• B. Atrophy
• C. Spasticity
• D. Myopathy

Correct answer: B

Rationale: Atrophy is the correct answer as it is characterized by a wasting or decrease in muscle mass. Hypertrophy, on the other hand, refers to an increase in muscle size. Spasticity is associated with increased muscle tone due to continuous contraction of muscles. Myopathy, on the other hand, is a broad term used to describe various muscle diseases affecting muscle tissue, which may or may not involve muscle wasting.

2. From which of the following germ layers does the nervous system develop?

• A. Ectoderm
• B. Endoderm
• C. Gastroderm
• D. Mesoderm

Correct answer: A

Rationale: The correct answer is A: Ectoderm. The nervous system develops from the ectoderm, which is the outermost of the three germ layers. The ectoderm gives rise to structures such as the skin, hair, nails, and the entire nervous system. Choices B, C, and D are incorrect because the endoderm gives rise to the lining of the gut and associated organs, the gastroderm is not a recognized germ layer, and the mesoderm forms structures like muscles, bones, blood, and the circulatory system, but not the nervous system.

3. In an SN2 reaction, what affects the rate of the reaction?

• A. Only the concentration of the nucleophile
• B. Only the concentration of the electrophile
• C. Neither the concentration of the nucleophile nor the electrophile
• D. Both the concentration of the nucleophile and the electrophile

Correct answer: D

Rationale: In an SN2 reaction, the rate of the reaction is affected by both the concentration of the nucleophile and the electrophile. The rate-determining step involves the nucleophile attacking the electrophile, so the concentrations of both species will impact the reaction rate. Increasing the concentration of the nucleophile increases the frequency of nucleophilic attacks, while increasing the concentration of the electrophile provides more opportunities for the nucleophile to react. Therefore, the correct answer is that both the concentration of the nucleophile and the electrophile affect the rate of the SN2 reaction. Choices A, B, and C are incorrect as they do not consider the interplay between the nucleophile and the electrophile in determining the overall reaction rate in an SN2 mechanism.

4. What are the three types of capillaries?

• A. Continuous, fenestrated, sinusoidal
• B. Continuous, discontinuous, fenestrated
• C. Sinusoidal, alveolar, continuous
• D. Continuous, fenestrated, vascular

Correct answer: A

Rationale: The correct answer is A: Continuous, fenestrated, sinusoidal. Capillaries are classified into three types based on their permeability: continuous (least permeable), fenestrated (moderately permeable), and sinusoidal (most permeable). Choices B, C, and D are incorrect because they do not represent the three main types of capillaries. Choice B includes 'discontinuous' which is not a recognized type. Choice C includes 'alveolar' which is not a type of capillary, and Choice D includes 'vascular' which is too broad and not specific to capillary classification.

5. Why is an extensive network of blood vessels necessary to supply the endocrine glands?

• A. To filter waste from the blood
• B. Because the glands empty directly into the blood
• C. To allow blood to empty into the endocrine system
• D. To filter waste from the endocrine glands

Correct answer: B

Rationale: The correct answer is B. Endocrine glands release hormones directly into the blood, which is why they require a rich blood supply to ensure effective hormone distribution throughout the body. The extensive network of blood vessels allows hormones to be quickly transported to target tissues and organs, regulating various physiological functions. Choices A, C, and D are incorrect because endocrine glands do not filter waste from the blood or the glands themselves. They release hormones into the bloodstream to regulate bodily functions, making a direct connection to the blood supply crucial for their function.

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