Nursing Elites

1. Which of the following blood vessels carries oxygenated blood from the lungs back to the left atrium of the heart?

• A. Pulmonary artery
• B. Pulmonary vein
• C. Aorta
• D. Inferior vena cava

Correct answer: B

Rationale: The correct answer is B: Pulmonary vein. The pulmonary vein is the blood vessel that carries oxygenated blood from the lungs back to the heart. Oxygenated blood flows from the lungs through the pulmonary veins to the left atrium of the heart, where it is then pumped out to the rest of the body through the aorta. The pulmonary artery, on the other hand, carries deoxygenated blood from the heart to the lungs for oxygenation. The aorta is the largest artery in the body and carries oxygenated blood from the heart to the rest of the body. The inferior vena cava carries deoxygenated blood from the lower body back to the right atrium of the heart. Therefore, the correct choice is B, the pulmonary vein, as it specifically carries oxygenated blood from the lungs back to the left atrium of the heart.

2. Coronary arteries are responsible for:

• 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 correct answer is B: 'Supplying oxygenated blood to the heart muscle itself.' Coronary arteries are specialized blood vessels that branch off the aorta and provide oxygenated blood to the heart muscle. This is crucial for the heart to function properly and maintain its own blood supply separate from the systemic circulation. The other options are incorrect because delivering oxygenated blood throughout the body is the role of the systemic circulation and not specific to coronary arteries. Carrying deoxygenated blood back to the heart is the function of veins, while regulating blood pressure through vasoconstriction and vasodilation is primarily controlled by arteries in general, not just the coronary arteries.

3. A diabetic patient's blood sugar is 180mg/dL. Their usual insulin dose is 1 unit per 40mg/dL above 100mg/dL. How much insulin should be administered?

• A. 2 units
• B. 3 units
• C. 4 units
• D. 5 units

Correct answer: B

Rationale: Rationale: 1. Calculate the excess blood sugar above 100mg/dL: 180mg/dL - 100mg/dL = 80mg/dL. 2. Determine the insulin dose based on the patient's usual insulin dose: 80mg/dL / 40mg/dL = 2 units. 3. Add the calculated insulin dose to the patient's usual insulin dose: 1 unit (usual dose) + 2 units (calculated dose) = 3 units. Therefore, the correct answer is 3 units of insulin should be administered to the diabetic patient with a blood sugar level of 180mg/dL.

4. Which of the following factors would NOT affect the solubility of a solid solute in a liquid solvent?

• A. Temperature
• B. Pressure
• C. Particle size
• D. Nature of the solute and solvent

Correct answer: b

Rationale: Pressure does not significantly affect the solubility of solid solutes in liquid solvents. The other choices are factors that can influence solubility.

5. What is the name of the radioactive isotope commonly used in medical imaging techniques like PET scans?

• A. Uranium-235
• B. Plutonium-239
• C. Potassium-40
• D. Fluorine-18

Correct answer: D

Rationale: Fluorine-18 is the radioactive isotope commonly used in medical imaging techniques like PET scans. It is often used in the form of fluorodeoxyglucose (FDG) to detect areas of increased metabolic activity in the body, such as in cancer cells. Uranium-235 and Plutonium-239 are not typically used in medical imaging, and Potassium-40 is a naturally occurring radioactive isotope found in the human body but is not commonly used in medical imaging techniques.

6. Vaccines work by stimulating the immune system to develop memory without causing full-blown illness. What type of molecule in a vaccine typically triggers the immune response?

• A. Toxins produced by the pathogen
• B. Live, attenuated (weakened) forms of the pathogen
• C. Inactivated (dead) forms of the pathogen
• D. Antigens (specific molecules) from the pathogen

Correct answer: D

Rationale: The correct answer is D: Antigens (specific molecules) from the pathogen. Vaccines contain antigens, which are specific molecules from the pathogen that trigger the immune response without causing the full-blown illness. By presenting these antigens to the immune system, vaccines stimulate the production of memory cells that can recognize and combat the pathogen in the future. Options A, B, and C are incorrect because vaccines typically do not contain toxins, live attenuated forms, or inactivated forms of the pathogen. Instead, they contain specific antigens to induce an immune response without causing the actual disease.

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