Nursing Elites

1. What is the purpose of the periosteum, the tough outer layer of bone?

• A. Produces red blood cells
• B. Provides protection and nourishment to bone
• C. Forms the joint surface
• D. Stores minerals

Correct answer: B

Rationale: The periosteum, the tough outer layer of bone, serves the purpose of providing protection to the bone and nourishing it through the blood vessels it contains. It acts as a protective layer for the bone structures. Choices A, C, and D are incorrect because the periosteum does not produce red blood cells (which is the function of bone marrow), form joint surfaces (which is typically the role of articular cartilage), or store minerals (which is primarily done by bone tissue itself and not the periosteum).

2. 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.

3. Which organ's primary role is the production of bile and other metabolic functions such as blood sugar regulation and detoxification?

• A. Gallbladder
• B. Pancreas
• C. Liver
• D. Stomach

Correct answer: C

Rationale: The correct answer is the liver. The liver is responsible for producing bile, regulating blood sugar levels, and detoxifying the blood. Bile produced by the liver is stored in the gallbladder. The pancreas primarily functions in digestion by producing enzymes and insulin, while the stomach is mainly involved in breaking down food through the secretion of gastric juices.

4. Which of the following is a balanced chemical equation?

• A. H2 + O2 → H2O
• B. 2H2 + O2 → 2H2O
• C. 3H2O → 2H2 + O2
• D. H2O → H2 + O2

Correct answer: B

Rationale: A balanced chemical equation must have the same number of atoms of each element on both sides of the equation. In option B, 2H2 + O2 → 2H2O, the equation is balanced as there are 2 hydrogen atoms and 2 oxygen atoms on both the reactant and product sides after balancing, satisfying the law of conservation of mass. Option A is unbalanced as there are 2 oxygen atoms on the reactant side but only 1 oxygen atom on the product side. Option C is unbalanced with 3 hydrogen atoms on the reactant side and 2 hydrogen atoms on the product side. Option D is unbalanced with 1 oxygen atom on the reactant side and 2 oxygen atoms on the product side.

5. Which of the following is NOT a recognized mode of natural selection?

• A. Directional selection (favoring one extreme trait value on a spectrum)
• B. Disruptive selection (favoring both extreme trait values on a spectrum)
• C. Stabilizing selection (favoring the average trait value on a spectrum)
• D. Sexual selection (selection based on mate choice that influences reproductive success)

Correct answer: D

Rationale: A) Directional selection is a recognized mode of natural selection where one extreme trait value on a spectrum is favored over others, leading to a shift in the average trait value over time. B) Disruptive selection is a recognized mode of natural selection where both extreme trait values on a spectrum are favored over the average trait value, potentially causing the population to split into distinct groups. C) Stabilizing selection is a recognized mode of natural selection favoring the average trait value on a spectrum over extreme values, resulting in reduced genetic diversity. D) Sexual selection differs from traditional natural selection modes as it involves mate choice and competition for mates, not direct selection pressure on traits affecting survival and reproduction in the environment. Sexual selection can drive the evolution of traits enhancing an individual's attractiveness for mating purposes.

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