Nursing Elites

1. What makes bone resistant to shattering?

• A. The calcium salts deposited in the bone
• B. The collagen fibers
• C. The bone marrow and network of blood vessels
• D. The intricate balance of minerals and collagen fibers

Correct answer: D

Rationale: Bone is resistant to shattering due to the intricate balance of minerals and collagen fibers. The minerals provide strength to the bone, while the collagen fibers offer flexibility. This combination ensures that bone is a robust and resilient tissue. Choice A (The calcium salts deposited in the bone) is incorrect as calcium salts alone do not provide the necessary flexibility for bone to withstand shattering. Choice B (The collagen fibers) is partially correct as collagen fibers contribute to the flexibility of bone but alone are not sufficient for resistance to shattering. Choice C (The bone marrow and network of blood vessels) is incorrect as they do not directly contribute to the physical resistance of bone to shattering.

2. Two isotopes of the same element have different numbers of:

• A. Electrons
• B. Protons
• C. Neutrons
• D. Nuclei

Correct answer: C

Rationale: The correct answer is C: 'Neutrons.' Isotopes are variants of an element that have the same number of protons and electrons but differ in the number of neutrons they contain. This difference in neutron count is what distinguishes isotopes from each other while maintaining the same chemical properties. Choice A, 'Electrons,' is incorrect because isotopes of the same element have the same number of electrons. Choice B, 'Protons,' is incorrect because isotopes of the same element have the same number of protons. Choice D, 'Nuclei,' is incorrect as nuclei refer to the central part of an atom containing protons and neutrons, and the question specifically asks about differences between isotopes of the same element.

3. Which of the following constituents of blood is a biconcave disc that is round and flat without a nucleus?

• A. Plasma
• B. Platelet
• C. RBC
• D. WBC

Correct answer: C

Rationale: The correct answer is C, RBC (Red Blood Cell). Red blood cells are biconcave discs that lack a nucleus, allowing them to carry oxygen efficiently. Plasma (A) is the liquid component of blood that carries various substances. Platelets (B) are cell fragments important for blood clotting. White blood cells (WBCs) (D) are part of the immune system and have a nucleus.

4. Convert 0.2 liters to milliliters. What is the equivalent volume?

• A. 20 ml
• B. 200 ml
• C. 2 ml
• D. 2000 ml

Correct answer: B

Rationale: To convert 0.2 liters to milliliters, you need to multiply by 1,000 because there are 1,000 milliliters in a liter. So, 0.2 * 1,000 = 200 milliliters. Therefore, the correct answer is 200 ml. Choice A (20 ml) is incorrect because it represents 0.02 liters, not 0.2 liters. Choice C (2 ml) is incorrect as it represents 0.002 liters. Choice D (2000 ml) is incorrect as it represents 2 liters, not 0.2 liters.

5. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

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