Nursing Elites

1. Which of the following is a consequence of bone marrow failure?

• A. Seizures.
• B. Pancytopenia.
• C. Paraplegia.
• D. Pathologic fractures.

Correct answer: B

Rationale: The corrected question focuses on the consequence of bone marrow failure, which is pancytopenia. Bone marrow failure results in decreased production of red blood cells, white blood cells, and platelets, leading to pancytopenia. This condition manifests as fatigue, weakness, increased infection susceptibility, and bleeding tendencies. Paraplegia, seizures, and pathologic fractures are not typical outcomes of bone marrow failure. Paraplegia is associated with spinal cord injury, seizures with neurological disorders, and pathologic fractures with conditions like osteoporosis or bone tumors.

2. Which of the following is produced by Natural Killer Cells to create pores for target cell rupture?

• A. Interferon
• B. Apoptosis
• C. Perforin
• D. Antibody

Correct answer: C

Rationale: The correct answer is C, Perforin. Natural Killer cells release perforin, which forms pores in the membrane of target cells, leading to their lysis. Interferon (choice A) is a protein released by cells in response to viral infections, apoptosis (choice B) is programmed cell death, and antibodies (choice D) are produced by B cells to neutralize pathogens but are not directly involved in creating pores for cell rupture like perforin.

3. Alan currently weighs 200 pounds, but he wants to lose weight to get down to 175 pounds. What is the difference in kilograms? (1 pound is approximately equal to 0.45 kilograms.)

• A. 9 kg
• B. 11.25 kg
• C. 78.75 kg
• D. 90 kg

Correct answer: B

Rationale: The difference between Alan's current weight of 200 pounds and his goal weight of 175 pounds is 25 pounds (200 pounds - 175 pounds). To convert pounds to kilograms, you multiply the number of pounds by 0.45 (not divide by 2.2). Thus, 25 pounds is approximately 11.25 kilograms (25 pounds x 0.45). Therefore, the difference in kilograms is 11.25 kg. Choice A is incorrect because it miscalculates the conversion. Choices C and D are significantly higher values and do not reflect the correct conversion from pounds to kilograms.

4. The critical angle is defined as the minimum angle of incidence in a denser medium for which light undergoes:

• A. Total internal reflection
• B. Continued refraction
• C. Specular reflection
• D. Increased dispersion

Correct answer: A

Rationale: The critical angle is the minimum angle of incidence in a denser medium at which light undergoes total internal reflection instead of refraction. This phenomenon occurs when light travels from a denser medium to a less dense medium, and the angle of incidence is greater than the critical angle. Total internal reflection is a crucial concept in optics and is utilized in various applications such as fiber optics and prisms. Choice B, 'Continued refraction,' is incorrect as the critical angle specifically marks the point at which total internal reflection occurs, not continued refraction. Choice C, 'Specular reflection,' does not accurately describe the phenomenon associated with the critical angle. Choice D, 'Increased dispersion,' is unrelated to the concept of the critical angle and does not describe the behavior of light at this specific point.

5. Which macromolecules are composed of nucleotides and store information and energy?

• A. Lipids
• B. Proteins
• C. Carbohydrates
• D. Nucleic acids

Correct answer: D

Rationale: The correct answer is D: Nucleic acids. Nucleic acids, such as DNA and RNA, are composed of nucleotides and are responsible for storing genetic information and energy (e.g., ATP). Lipids, proteins, and carbohydrates are distinct macromolecules with varying functions and structures. Lipids primarily serve as energy reservoirs, structural components, and cell signaling molecules. Proteins play crucial roles in cellular functions like enzyme activity, structural support, and intracellular signaling. Carbohydrates are mainly utilized as an energy source and for structural purposes within cells.

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