Nursing Elites

1. Which of the following joints is an example of a hinge joint?

• A. Hip joint
• B. Elbow joint
• C. Shoulder joint
• D. Knee joint

Correct answer: B

Rationale: The correct answer is B: Elbow joint. A hinge joint allows movement primarily in one plane, enabling bending and straightening actions. The elbow joint specifically functions as a hinge joint, facilitating the bending and straightening of the arm. The other options, such as the hip joint (A), shoulder joint (C), and knee joint (D), are not examples of hinge joints as they allow movement in multiple planes with more complex motions.

2. From which type of tissue is the myelin sheath derived, a fatty substance that insulates nerve fibers?

• A. Epithelial tissue
• B. Muscle tissue
• C. Nervous tissue (glial cells)
• D. Connective tissue

Correct answer: C

Rationale: The myelin sheath, a fatty substance that insulates nerve fibers, is derived from nervous tissue, specifically glial cells. Glial cells, including oligodendrocytes in the central nervous system and Schwann cells in the peripheral nervous system, are responsible for producing the myelin sheath that surrounds and insulates nerve fibers, aiding in the conduction of nerve impulses. Epithelial tissue (Choice A), Muscle tissue (Choice B), and Connective tissue (Choice D) are not responsible for producing the myelin sheath; instead, nervous tissue (glial cells) plays this crucial role.

3. Which hormone stimulates the release of pancreatic enzymes and bile?

• A. Gastrin
• B. Insulin
• C. Cholecystokinin (CCK)
• D. Glucagon

Correct answer: C

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone that stimulates the release of pancreatic enzymes and bile. CCK is released by the small intestine in response to the presence of fats and proteins in the duodenum, triggering the release of digestive enzymes and bile to aid in the digestion of fats and proteins. Gastrin (Choice A) primarily stimulates gastric acid secretion, not the release of pancreatic enzymes and bile. Insulin (Choice B) regulates blood sugar levels by promoting glucose uptake. Glucagon (Choice D) raises blood glucose levels by stimulating the breakdown of glycogen in the liver.

4. Which type of immune cell does the human immunodeficiency virus (HIV) target and destroy?

• A. Neutrophils
• B. Macrophages
• C. Helper T cells
• D. Memory B cells

Correct answer: C

Rationale: HIV targets and destroys Helper T cells, which are vital for coordinating the immune response against infections. The destruction of Helper T cells weakens the immune system, leading to acquired immunodeficiency syndrome (AIDS). Neutrophils (Choice A) are primarily involved in acute inflammatory responses and fighting bacterial infections. Macrophages (Choice B) play a role in phagocytosis and antigen presentation but are not the primary target of HIV. Memory B cells (Choice D) are responsible for mounting a quicker and more robust antibody response upon re-exposure to a pathogen, but they are not the main target of HIV infection.

5. What does the phrase 'survival of the fittest' refer to?

• A. Organisms with the most complex anatomical structures are more likely to survive and reproduce.
• B. Organisms that demonstrate the best adaptations to their environment have a higher chance of survival and reproduction.
• C. All organisms have an equal probability of survival and reproductive success regardless of their traits.
• D. Only the strongest and most aggressive individuals within a population will survive and reproduce.

Correct answer: B

Rationale: The phrase 'survival of the fittest' is often associated with the concept of natural selection, proposed by Charles Darwin. Natural selection is the process by which organisms best adapted to their environment are more likely to survive and reproduce, passing on their advantageous traits to the next generation. This process does not necessarily favor the most complex anatomical structures (option A) or the strongest and most aggressive individuals (option D). Instead, it emphasizes the importance of adaptations that enhance an organism's ability to survive and reproduce in a specific environment. Option C is incorrect because natural selection results in differential reproductive success based on an organism's traits, meaning that not all organisms have an equal probability of survival and reproductive success.

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