Nursing Elites

1. Which of the following terms means close to the trunk of the body?

• A. Superficial
• B. Sagittal
• C. Proximal
• D. Distal

Correct answer: C

Rationale: The term 'proximal' means situated close to the point of attachment or the center of the body, such as close to the trunk. In anatomical terms, proximal is used to describe locations that are closer to the body's center or point of reference. 'Superficial' refers to something situated near the surface, 'sagittal' refers to a plane that divides the body into left and right portions, and 'distal' refers to a position away from the center or point of reference. Therefore, 'proximal' is the correct term to indicate a position close to the trunk of the body.

2. During embryonic development, all tissues originate from

• A. Epithelial tissue only
• B. Muscle tissue only
• C. Connective tissue only
• D. Embryonic germ layers

Correct answer: D

Rationale: During embryonic development, all tissues originate from the three primary germ layers: ectoderm, mesoderm, and endoderm. These germ layers give rise to various tissues and organs in the developing embryo through a process called gastrulation. Epithelial, muscle, and connective tissues are derived from these germ layers during development. Therefore, choices A, B, and C are incorrect as tissues do not originate from a single type of tissue but rather from the embryonic germ layers which differentiate into various tissues and organs.

3. What is the primary function of coronary arteries?

• A. Delivering oxygenated blood throughout the body.
• B. Supplying oxygenated blood to the heart muscle itself.
• C. Carrying deoxygenated blood back to the heart.
• D. Regulating blood pressure through vasoconstriction and vasodilation.

Correct answer: B

Rationale: The primary function of coronary arteries is to supply oxygenated blood to the heart muscle itself. The heart is a muscle that needs a constant supply of oxygen and nutrients to function properly. Coronary arteries branch off the aorta and specifically deliver oxygenated blood to the heart muscle, ensuring its proper function. Choice A is incorrect because coronary arteries do not deliver blood throughout the entire body but specifically to the heart. Choice C is incorrect as coronary arteries carry oxygenated blood away from the heart. Choice D is incorrect as the primary function of the coronary arteries is not to regulate blood pressure but rather to provide oxygenated blood to the heart muscle.

4. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

5. What does the concept of punctuated equilibrium suggest?

• A. Evolution occurs gradually through the continuous accumulation of small changes over long periods.
• B. Evolution is characterized by long periods of relative stasis punctuated by rapid bursts of evolutionary change.
• C. The fossil record is a complete and accurate representation of all past life forms.
• D. Natural selection primarily favors extreme phenotypes within a population.

Correct answer: B

Rationale: Punctuated equilibrium suggests that evolution is characterized by long periods of relative stasis punctuated by rapid bursts of evolutionary change. This concept, proposed by Stephen Jay Gould and Niles Eldredge, implies that species remain relatively unchanged for extended periods, followed by sudden bursts of rapid evolution. Option A describes the gradualism model, which is different from punctuated equilibrium. Option C is inaccurate as the fossil record is incomplete and biased. Option D is unrelated to the concept of punctuated equilibrium.

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