Nursing Elites

1. Which type of immunity does the MMR vaccine provide?

• A. Artificial/active
• B. Artificial/passive
• C. Natural/active
• D. Natural/passive

Correct answer: A

Rationale: The correct answer is A: Artificial/active. The MMR vaccine provides artificial/active immunity. It works by introducing a weakened or killed form of the virus to trigger the body's immune response, leading to the production of antibodies that offer long-lasting protection against measles, mumps, and rubella. Artificial immunity is obtained through medical intervention, such as vaccination, while active immunity involves the immune system's direct response to an antigen. Choices B, C, and D are incorrect because the MMR vaccine does not provide passive immunity nor is it acquired naturally; instead, it stimulates the body to actively produce its immune response.

2. What is the role of the spindle apparatus in cell division?

• A. To separate sister chromatids
• B. To move chromosomes to opposite poles of the cell
• C. To form a new nuclear envelope around each daughter cell
• D. To synthesize new DNA

Correct answer: B

Rationale: The spindle apparatus, composed of microtubules, plays a crucial role in cell division (mitosis and meiosis) by ensuring proper chromosome separation and distribution to opposite poles of the cell. This segregation is vital for creating two genetically identical daughter cells in mitosis or four haploid daughter cells in meiosis. Choice A is incorrect because the separation of sister chromatids is specifically carried out by kinetochore fibers within the spindle apparatus. Choice C is inaccurate as the formation of a new nuclear envelope occurs post chromosome segregation. Choice D is incorrect as DNA synthesis does not occur within the spindle apparatus; it takes place during the S phase of the cell cycle.

3. Which part of the heart is responsible for generating the QRS complex on an ECG?

• A. Sinoatrial node (SA node)
• B. Atrioventricular node (AV node)
• C. Bundle of His
• D. Ventricular muscle cells

Correct answer: D

Rationale: The QRS complex on an ECG represents ventricular depolarization. This electrical activity is generated by the ventricular muscle cells. While the SA node generates the P wave, the AV node delays the impulse, and the Bundle of His and Purkinje fibers assist in rapidly conducting the impulse through the ventricles, it is the ventricular muscle cells that specifically create the QRS complex. Therefore, choice D, Ventricular muscle cells, is the correct answer. Choices A, B, and C are incorrect as they are primarily involved in initiating and coordinating the electrical impulses in the heart but do not directly generate the QRS complex on an ECG.

4. What is the significance of the nuclear envelope breaking down during mitosis?

• A. It allows the chromosomes to condense and become visible.
• B. It allows the spindle apparatus to form and attach to the chromosomes.
• C. It allows the sister chromatids to separate.
• D. It allows the nuclear material to be evenly distributed to the daughter cells.

Correct answer: B

Rationale: A) The breakdown of the nuclear envelope does not directly cause the chromosomes to condense and become visible. Chromosome condensation is a separate process that occurs before mitosis begins. B) The breakdown of the nuclear envelope is crucial for the formation of the spindle apparatus, a structure made of microtubules that helps separate the chromosomes during cell division. The spindle apparatus attaches to the chromosomes and helps move them to opposite poles of the cell. C) The separation of sister chromatids occurs during anaphase, which is facilitated by the spindle apparatus. The breakdown of the nuclear envelope is not directly involved in this process. D) The even distribution of nuclear material to daughter cells is achieved through the movement of chromosomes by the spindle apparatus, which is made possible by the breakdown of the nuclear envelope.

5. Which vitamin is essential for proper absorption of calcium and plays a role in lung function?

• A. Vitamin A
• B. Vitamin B12
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: The correct answer is Vitamin D. Vitamin D is crucial for the proper absorption of calcium in the intestines and is essential for maintaining lung function. It regulates calcium and phosphorus levels, crucial for healthy bones and teeth. Vitamin A is important for vision and immune function, not specifically for calcium absorption or lung function. Vitamin B12 is essential for nerve function and red blood cell production, not related to calcium absorption or lung function. Vitamin E is an antioxidant that helps protect cells from damage, but it is not directly involved in calcium absorption or lung function.

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