Nursing Elites

1. Which part of the brain is responsible for higher brain functions, such as thought and action?

• A. Amygdala
• B. Brain stem
• C. Cerebellum
• D. Cerebrum

Correct answer: D

Rationale: The cerebrum is the correct answer as it is responsible for higher brain functions like thought and action. The amygdala (Choice A) is involved in emotions and emotional responses, not higher brain functions. The brain stem (Choice B) controls basic life functions such as breathing and heart rate, not higher brain functions. The cerebellum (Choice C) is mainly responsible for motor control and coordination, not higher brain functions like thought and action.

2. As a nursing student triaging a patient, which of the following is an example of quantitative data you can gather?

• A. The patient says he feels pain.
• B. The patient says he has stabbing pain.
• C. The patient's temperature is 101.7°F.
• D. The patient reports that he had a fever yesterday.

Correct answer: C

Rationale: The corrected choice C, 'The patient's temperature is 101.7°F,' is an example of quantitative data because it provides a specific numerical value that can be measured. Quantitative data involves measurable and numerical information, making it crucial for assessing a patient's condition objectively. Choices A and B are subjective statements based on the patient's perception of pain and its description, which are qualitative data and may vary between individuals. Choice D provides historical information about a fever, which is not a current measurable value and does not constitute quantitative data for immediate assessment.

3. Which of the following produces the first heart sound ('lub')?

• A. The closing of the aortic and pulmonary valves
• B. The closing of the tricuspid and mitral valves
• C. The opening of the aortic and pulmonary valves
• D. The opening of the tricuspid and mitral valves

Correct answer: B

Rationale: The correct answer is B. The first heart sound, known as the 'lub' sound, is produced by the closure of the tricuspid and mitral valves, which are the atrioventricular valves. This sound marks the beginning of systole in the cardiac cycle. Choice A, the closing of the aortic and pulmonary valves, is incorrect as these valves produce the second heart sound ('dub'). Choice C, the opening of the aortic and pulmonary valves, is incorrect because the first heart sound occurs during ventricular contraction (systole). Choice D, the opening of the tricuspid and mitral valves, is incorrect as the 'lub' sound is associated with the closure, not the opening, of these valves.

4. A routine urinalysis is a common diagnostic test. What does a urinalysis typically evaluate?

• A. Blood sugar levels
• B. Presence of white blood cells (indicating possible infection)
• C. Kidney function
• D. All of the above

Correct answer: D

Rationale: A routine urinalysis evaluates multiple components of urine, including blood sugar levels, the presence of white blood cells indicating a possible infection, and kidney function. Blood sugar levels are assessed to monitor for conditions like diabetes. The presence of white blood cells is checked to detect possible urinary tract infections. Kidney function is evaluated by assessing markers like creatinine and protein levels. Therefore, all of the above options are typically evaluated in a urinalysis, making choice D the correct answer.

5. What is the difference between polygenic inheritance and pleiotropy?

• A. Polygenic inheritance involves multiple genes influencing one trait, while pleiotropy involves one gene affecting multiple traits.
• B. Polygenic inheritance is found in simple Mendelian traits, while pleiotropy is found in complex traits.
• C. Polygenic inheritance is always quantitative, while pleiotropy can be qualitative or quantitative.
• D. Both involve multiple genes and multiple traits, but the specific mechanisms differ

Correct answer: A

Rationale: - Polygenic inheritance refers to the situation where a trait is influenced by multiple genes, each contributing a small effect to the phenotype. These traits often show continuous variation and are not easily categorized into discrete categories. - Pleiotropy, on the other hand, occurs when a single gene influences multiple, seemingly unrelated traits. This means that a mutation in one gene can lead to multiple phenotypic effects across different traits or characteristics. - Therefore, the key difference between polygenic inheritance and pleiotropy lies in the number of genes involved in influencing a trait (multiple genes in polygenic inheritance vs. one gene in pleiotropy) and the direction of influence (one trait affected by multiple genes in polygenic inheritance vs. multiple traits affected by one gene in pleiotropy).

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